From 0e1f03b999f7189c7174e178df1cc5a9ec04ab89 Mon Sep 17 00:00:00 2001 From: James Agnew Date: Thu, 19 Dec 2019 14:41:35 -0500 Subject: [PATCH] Work on validation --- .../ctx/DefaultProfileValidationSupport.java | 44 ++++++--- .../fhir/r4/hapi/ctx/HapiWorkerContext.java | 2 +- .../fhir/r4/hapi/ctx/IValidationSupport.java | 11 +++ hapi-fhir-validation/pom.xml | 8 +- .../PrePopulatedValidationSupport.java | 36 +++++++- .../validation/ValidationSupportChain.java | 28 +++++- .../r4/validation/HapiWorkerContextTest.java | 91 +++++++++++++++++++ ...System-CARIN-BB-Adjudication-Category.json | 1 + ...deSystem-CARIN-BB-Claim-CareTeam-Role.json | 1 + ...m-CARIN-BB-Claim-Information-Category.json | 1 + .../CodeSystem-CARIN-BB-Claim-Type.json | 1 + ...m-CARIN-BB-Network-Contracting-Status.json | 1 + ...m-CARIN-BB-Related-Claim-Relationship.json | 1 + ...StructureDefinition-CARIN-BB-Coverage.json | 1 + ...planationOfBenefit-Inpatient-Facility.json | 1 + ...lanationOfBenefit-Outpatient-Facility.json | 1 + ...ARIN-BB-ExplanationOfBenefit-Pharmacy.json | 1 + ...onOfBenefit-Professional-NonClinician.json | 1 + ...inition-CARIN-BB-ExplanationOfBenefit.json | 1 + ...ctureDefinition-CARIN-BB-Organization.json | 1 + .../StructureDefinition-CARIN-BB-Patient.json | 1 + ...eDefinition-CARIN-BB-PractitionerRole.json | 1 + ...tureDefinition-CARIN-BB-RelatedPerson.json | 1 + ...CARIN-BB-Adjudication-Amount-Category.json | 1 + ...ation-Benefit-Payment-Status-Category.json | 1 + ...lueSet-CARIN-BB-Adjudication-Category.json | 1 + ...t-CARIN-BB-Adjudication-Denial-Reason.json | 1 + ...Set-CARIN-BB-CPT-HCPCS-ProcedureCodes.json | 1 + ...ValueSet-CARIN-BB-Claim-CareTeam-Role.json | 1 + ...t-CARIN-BB-Claim-Information-Category.json | 1 + .../ValueSet-CARIN-BB-Claim-Type.json | 1 + .../ValueSet-CARIN-BB-DiagnosisType.json | 1 + ...ValueSet-CARIN-BB-HCPCS-ModifierCodes.json | 1 + .../ValueSet-CARIN-BB-Identifier-Type.json | 1 + .../valueset/ValueSet-CARIN-BB-MS-DRG.json | 1 + ...t-CARIN-BB-Network-Contracting-Status.json | 1 + .../ValueSet-CARIN-BB-PlaceOfService.json | 1 + ...t-CARIN-BB-Related-Claim-Relationship.json | 1 + .../ValueSet-CARIN-BB-Revenue-Center.json | 1 + ...eSet-CARIN-BB-SNOMEDCT-ProcedureCodes.json | 1 + ...ueSet-CARIN-BB-TOB-BillClassification.json | 1 + .../ValueSet-CARIN-BB-TOB-Frequency.json | 1 + .../ValueSet-CARIN-BB-TOB-TypeOfFacility.json | 1 + .../ValueSet-CARIN-BB-TypeOfService.json | 1 + .../ValueSet-nubc-patientdischargestatus.json | 1 + ...nubc-pointoforiginforadmissionorvisit.json | 1 + ...t-nubc-prioritytypeofadmissionorvisit.json | 1 + .../CodeSystem-careplan-category.json | 1 + .../uscore/codesystem/CodeSystem-cdcrec.json | 1 + .../CodeSystem-condition-category.json | 1 + ...em-us-core-documentreference-category.json | 1 + ...m-us-core-provenance-participant-type.json | 1 + ...ctureDefinition-pediatric-bmi-for-age.json | 1 + ...efinition-pediatric-weight-for-height.json | 1 + ...Definition-us-core-allergyintolerance.json | 1 + .../StructureDefinition-us-core-birthsex.json | 1 + .../StructureDefinition-us-core-careplan.json | 1 + .../StructureDefinition-us-core-careteam.json | 1 + ...StructureDefinition-us-core-condition.json | 1 + ...finition-us-core-diagnosticreport-lab.json | 1 + ...inition-us-core-diagnosticreport-note.json | 1 + .../StructureDefinition-us-core-direct.json | 1 + ...eDefinition-us-core-documentreference.json | 1 + ...StructureDefinition-us-core-encounter.json | 1 + ...StructureDefinition-us-core-ethnicity.json | 1 + .../StructureDefinition-us-core-goal.json | 1 + ...uctureDefinition-us-core-immunization.json | 1 + ...Definition-us-core-implantable-device.json | 1 + .../StructureDefinition-us-core-location.json | 1 + ...tructureDefinition-us-core-medication.json | 1 + ...eDefinition-us-core-medicationrequest.json | 1 + ...ureDefinition-us-core-observation-lab.json | 1 + ...uctureDefinition-us-core-organization.json | 1 + .../StructureDefinition-us-core-patient.json | 1 + ...uctureDefinition-us-core-practitioner.json | 1 + ...reDefinition-us-core-practitionerrole.json | 1 + ...StructureDefinition-us-core-procedure.json | 1 + ...tructureDefinition-us-core-provenance.json | 1 + ...tureDefinition-us-core-pulse-oximetry.json | 1 + .../StructureDefinition-us-core-race.json | 1 + ...ctureDefinition-us-core-smokingstatus.json | 1 + .../uscore/valueset/ValueSet-birthsex.json | 1 + .../valueset/ValueSet-detailed-ethnicity.json | 1 + .../valueset/ValueSet-detailed-race.json | 1 + .../ValueSet-omb-ethnicity-category.json | 1 + .../valueset/ValueSet-omb-race-category.json | 1 + .../valueset/ValueSet-simple-language.json | 1 + .../ValueSet-us-core-allergy-substance.json | 1 + ...ueSet-us-core-careteam-provider-roles.json | 1 + .../ValueSet-us-core-clinical-note-type.json | 1 + .../ValueSet-us-core-condition-category.json | 1 + .../ValueSet-us-core-condition-code.json | 1 + ...Set-us-core-diagnosticreport-category.json | 1 + ...et-us-core-diagnosticreport-lab-codes.json | 1 + ...iagnosticreport-report-and-note-codes.json | 1 + ...et-us-core-documentreference-category.json | 1 + ...lueSet-us-core-documentreference-type.json | 1 + .../ValueSet-us-core-encounter-type.json | 1 + .../ValueSet-us-core-medication-codes.json | 1 + .../ValueSet-us-core-narrative-status.json | 1 + .../ValueSet-us-core-ndc-vaccine-codes.json | 1 + ...ore-observation-smoking-status-status.json | 1 + ...Set-us-core-observation-smokingstatus.json | 1 + ...ueSet-us-core-observation-value-codes.json | 1 + .../ValueSet-us-core-procedure-code.json | 1 + .../ValueSet-us-core-procedure-icd10pcs.json | 1 + ...t-us-core-provenance-participant-type.json | 1 + .../ValueSet-us-core-provider-role.json | 1 + .../ValueSet-us-core-provider-specialty.json | 1 + ...core-smoking-status-observation-codes.json | 1 + .../valueset/ValueSet-us-core-usps-state.json | 1 + .../ValueSet-us-core-vaccines-cvx.json | 1 + 112 files changed, 305 insertions(+), 20 deletions(-) create mode 100644 hapi-fhir-validation/src/test/java/org/hl7/fhir/r4/validation/HapiWorkerContextTest.java create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Adjudication-Category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-CareTeam-Role.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Information-Category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Network-Contracting-Status.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Related-Claim-Relationship.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Coverage.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Inpatient-Facility.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Outpatient-Facility.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Pharmacy.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Professional-NonClinician.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Organization.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Patient.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-PractitionerRole.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-RelatedPerson.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Amount-Category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Benefit-Payment-Status-Category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Denial-Reason.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-CPT-HCPCS-ProcedureCodes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-CareTeam-Role.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Information-Category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-DiagnosisType.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-HCPCS-ModifierCodes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Identifier-Type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-MS-DRG.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Network-Contracting-Status.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-PlaceOfService.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Related-Claim-Relationship.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Revenue-Center.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-SNOMEDCT-ProcedureCodes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-BillClassification.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-Frequency.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-TypeOfFacility.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TypeOfService.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-patientdischargestatus.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-pointoforiginforadmissionorvisit.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-prioritytypeofadmissionorvisit.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-careplan-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-cdcrec.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-condition-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-documentreference-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-provenance-participant-type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-bmi-for-age.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-weight-for-height.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-allergyintolerance.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-birthsex.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careplan.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careteam.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-condition.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-lab.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-note.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-direct.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-documentreference.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-encounter.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-ethnicity.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-goal.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-immunization.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-implantable-device.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-location.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medication.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medicationrequest.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-observation-lab.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-organization.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-patient.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitioner.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitionerrole.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-procedure.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-provenance.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-pulse-oximetry.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-race.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-smokingstatus.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-birthsex.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-ethnicity.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-race.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-ethnicity-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-race-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-simple-language.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-allergy-substance.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-careteam-provider-roles.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-clinical-note-type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-code.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-lab-codes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-report-and-note-codes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-category.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-encounter-type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-medication-codes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-narrative-status.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-ndc-vaccine-codes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smoking-status-status.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smokingstatus.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-value-codes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-code.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-icd10pcs.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provenance-participant-type.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-role.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-specialty.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-smoking-status-observation-codes.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-usps-state.json create mode 100644 hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-vaccines-cvx.json diff --git a/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/DefaultProfileValidationSupport.java b/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/DefaultProfileValidationSupport.java index 9f4b398d656..3558221c4e3 100644 --- a/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/DefaultProfileValidationSupport.java +++ b/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/DefaultProfileValidationSupport.java @@ -5,10 +5,16 @@ import ca.uhn.fhir.rest.api.Constants; import org.apache.commons.lang3.StringUtils; import org.apache.commons.lang3.Validate; import org.hl7.fhir.instance.model.api.IBaseResource; -import org.hl7.fhir.r4.model.*; +import org.hl7.fhir.r4.model.Bundle; import org.hl7.fhir.r4.model.Bundle.BundleEntryComponent; +import org.hl7.fhir.r4.model.CodeSystem; import org.hl7.fhir.r4.model.CodeSystem.CodeSystemContentMode; import org.hl7.fhir.r4.model.CodeSystem.ConceptDefinitionComponent; +import org.hl7.fhir.r4.model.CodeType; +import org.hl7.fhir.r4.model.DomainResource; +import org.hl7.fhir.r4.model.StructureDefinition; +import org.hl7.fhir.r4.model.UriType; +import org.hl7.fhir.r4.model.ValueSet; import org.hl7.fhir.r4.model.ValueSet.ConceptReferenceComponent; import org.hl7.fhir.r4.model.ValueSet.ConceptSetComponent; import org.hl7.fhir.r4.model.ValueSet.ValueSetExpansionComponent; @@ -19,9 +25,16 @@ import org.hl7.fhir.utilities.validation.ValidationMessage.IssueSeverity; import java.io.IOException; import java.io.InputStream; import java.io.InputStreamReader; -import java.util.*; +import java.util.ArrayList; +import java.util.HashMap; +import java.util.HashSet; +import java.util.List; +import java.util.Map; +import java.util.Set; -import static org.apache.commons.lang3.StringUtils.*; +import static org.apache.commons.lang3.StringUtils.defaultString; +import static org.apache.commons.lang3.StringUtils.isBlank; +import static org.apache.commons.lang3.StringUtils.isNotBlank; public class DefaultProfileValidationSupport implements IValidationSupport { @@ -177,6 +190,11 @@ public class DefaultProfileValidationSupport implements IValidationSupport { return cs != null && cs.getContent() != CodeSystemContentMode.NOTPRESENT; } + @Override + public boolean isValueSetSupported(FhirContext theContext, String theValueSetUrl) { + return isNotBlank(theValueSetUrl) && fetchValueSet(theContext, theValueSetUrl) != null; + } + @Override public StructureDefinition generateSnapshot(StructureDefinition theInput, String theUrl, String theWebUrl, String theProfileName) { return null; @@ -304,16 +322,16 @@ public class DefaultProfileValidationSupport implements IValidationSupport { ValueSet valueSet = fetchValueSet(theContext, theValueSetUrl); if (valueSet != null) { ValueSetExpander.ValueSetExpansionOutcome expanded = expander.expand(valueSet, null); - Optional haveMatch = expanded - .getValueset() - .getExpansion() - .getContains() - .stream() - .filter(t -> (Constants.codeSystemNotNeeded(theCodeSystem) || t.getSystem().equals(theCodeSystem)) && t.getCode().equals(theCode)) - .findFirst(); - if (haveMatch.isPresent()) { - return new CodeValidationResult(new ConceptDefinitionComponent(new CodeType(theCode))); + ValueSetExpansionComponent expansion = expanded.getValueset().getExpansion(); + for (ValueSet.ValueSetExpansionContainsComponent nextExpansionCode : expansion.getContains()) { + + if (theCode.equals(nextExpansionCode.getCode())) { + if (Constants.codeSystemNotNeeded(theCodeSystem) || nextExpansionCode.getSystem().equals(theCodeSystem)) { + return new CodeValidationResult(new CodeSystem.ConceptDefinitionComponent(new CodeType(theCode))); + } + } } + } } catch (Exception e) { return new CodeValidationResult(IssueSeverity.WARNING, e.getMessage()); @@ -343,7 +361,7 @@ public class DefaultProfileValidationSupport implements IValidationSupport { @Override public LookupCodeResult lookupCode(FhirContext theContext, String theSystem, String theCode) { - return validateCode(theContext, theSystem, theCode, null, (String)null).asLookupCodeResult(theSystem, theCode); + return validateCode(theContext, theSystem, theCode, null, (String) null).asLookupCodeResult(theSystem, theCode); } } diff --git a/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/HapiWorkerContext.java b/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/HapiWorkerContext.java index 7e43f24efa2..46d0a2fbd2f 100644 --- a/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/HapiWorkerContext.java +++ b/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/HapiWorkerContext.java @@ -228,7 +228,7 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander @Override public ValidationResult validateCode(TerminologyServiceOptions theOptions, String code, ValueSet vs) { - return validateCode(theOptions, null, code, null, vs); + return validateCode(theOptions, Constants.CODESYSTEM_VALIDATE_NOT_NEEDED, code, null, vs); } @Override diff --git a/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/IValidationSupport.java b/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/IValidationSupport.java index 88f3f69bfb0..cc8f317b0bd 100644 --- a/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/IValidationSupport.java +++ b/hapi-fhir-structures-r4/src/main/java/org/hl7/fhir/r4/hapi/ctx/IValidationSupport.java @@ -75,6 +75,17 @@ public interface IValidationSupport @Override boolean isCodeSystemSupported(FhirContext theContext, String theSystem); + /** + * Returns true if the given valueset can be validated by the given + * validation support module + * + * @param theContext The FHIR context + * @param theValueSetUrl The URL + */ + default boolean isValueSetSupported(FhirContext theContext, String theValueSetUrl) { + return false; + } + /** * Generate a snapshot from the given differential profile. * diff --git a/hapi-fhir-validation/pom.xml b/hapi-fhir-validation/pom.xml index f242ef53002..751a3b721ee 100644 --- a/hapi-fhir-validation/pom.xml +++ b/hapi-fhir-validation/pom.xml @@ -239,8 +239,14 @@ httpclient + + org.springframework + spring-core + test + - + + diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/PrePopulatedValidationSupport.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/PrePopulatedValidationSupport.java index 49dca9833a1..8487ada17a8 100644 --- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/PrePopulatedValidationSupport.java +++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/PrePopulatedValidationSupport.java @@ -1,15 +1,20 @@ package org.hl7.fhir.r4.hapi.validation; import ca.uhn.fhir.context.FhirContext; +import ca.uhn.fhir.rest.api.Constants; import org.apache.commons.lang3.Validate; import org.hl7.fhir.instance.model.api.IBaseResource; +import org.hl7.fhir.r4.hapi.ctx.HapiWorkerContext; import org.hl7.fhir.r4.hapi.ctx.IValidationSupport; import org.hl7.fhir.r4.model.CodeSystem; +import org.hl7.fhir.r4.model.CodeType; import org.hl7.fhir.r4.model.MetadataResource; +import org.hl7.fhir.r4.model.Parameters; import org.hl7.fhir.r4.model.StructureDefinition; import org.hl7.fhir.r4.model.ValueSet; import org.hl7.fhir.r4.model.ValueSet.ConceptSetComponent; import org.hl7.fhir.r4.terminologies.ValueSetExpander; +import org.hl7.fhir.r4.terminologies.ValueSetExpanderSimple; import java.util.ArrayList; import java.util.HashMap; @@ -143,7 +148,7 @@ public class PrePopulatedValidationSupport implements IValidationSupport { @Override public List fetchAllStructureDefinitions(FhirContext theContext) { - return new ArrayList(myStructureDefinitions.values()); + return new ArrayList<>(myStructureDefinitions.values()); } @Override @@ -179,7 +184,12 @@ public class PrePopulatedValidationSupport implements IValidationSupport { @Override public boolean isCodeSystemSupported(FhirContext theContext, String theSystem) { - return false; + return myCodeSystems.containsKey(theSystem); + } + + @Override + public boolean isValueSetSupported(FhirContext theContext, String theValueSetUrl) { + return myValueSets.containsKey(theValueSetUrl); } @Override @@ -189,6 +199,28 @@ public class PrePopulatedValidationSupport implements IValidationSupport { @Override public CodeValidationResult validateCode(FhirContext theContext, String theCodeSystem, String theCode, String theDisplay, String theValueSetUrl) { + ValueSet vs; + if (isNotBlank(theValueSetUrl)) { + vs = myValueSets.get(theValueSetUrl); + if (vs == null) { + return null; + } + } else { + vs = new ValueSet(); + vs.getCompose().addInclude().setSystem(theCodeSystem); + } + + ValueSetExpanderSimple expander = new ValueSetExpanderSimple(new HapiWorkerContext(theContext, this)); + ValueSetExpander.ValueSetExpansionOutcome expansion = expander.expand(vs, new Parameters()); + for (ValueSet.ValueSetExpansionContainsComponent nextExpansionCode : expansion.getValueset().getExpansion().getContains()) { + + if (theCode.equals(nextExpansionCode.getCode())) { + if (Constants.codeSystemNotNeeded(theCodeSystem) || nextExpansionCode.getSystem().equals(theCodeSystem)) { + return new CodeValidationResult(new CodeSystem.ConceptDefinitionComponent(new CodeType(theCode))); + } + } + } + return null; } diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/ValidationSupportChain.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/ValidationSupportChain.java index 59cbfe2bf2d..653c666a328 100644 --- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/ValidationSupportChain.java +++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/ValidationSupportChain.java @@ -17,6 +17,7 @@ import java.util.List; import java.util.Set; import static org.apache.commons.lang3.StringUtils.isBlank; +import static org.apache.commons.lang3.StringUtils.isNotBlank; public class ValidationSupportChain implements IValidationSupport { @@ -129,6 +130,16 @@ public class ValidationSupportChain implements IValidationSupport { return false; } + @Override + public boolean isValueSetSupported(FhirContext theContext, String theValueSetUrl) { + for (IValidationSupport next : myChain) { + if (next.isValueSetSupported(theContext, theValueSetUrl)) { + return true; + } + } + return false; + } + @Override public StructureDefinition generateSnapshot(StructureDefinition theInput, String theUrl, String theWebUrl, String theProfileName) { StructureDefinition outcome = null; @@ -147,15 +158,26 @@ public class ValidationSupportChain implements IValidationSupport { ourLog.debug("Validating code {} in chain with {} items", theCode, myChain.size()); for (IValidationSupport next : myChain) { - if (next.isCodeSystemSupported(theCtx, theCodeSystem)) { + boolean shouldTry = false; + + if (isNotBlank(theValueSetUrl)) { + if (next.isValueSetSupported(theCtx, theValueSetUrl)) { + shouldTry = true; + } + } else if (next.isCodeSystemSupported(theCtx, theCodeSystem)) { + shouldTry = true; + } else { + ourLog.debug("Chain item {} does not support code system {}", next, theCodeSystem); + } + + if (shouldTry) { CodeValidationResult result = next.validateCode(theCtx, theCodeSystem, theCode, theDisplay, theValueSetUrl); if (result != null) { ourLog.debug("Chain item {} returned outcome {}", next, result.isOk()); return result; } - } else { - ourLog.debug("Chain item {} does not support code system {}", next, theCodeSystem); } + } return myChain.get(0).validateCode(theCtx, theCodeSystem, theCode, theDisplay, theValueSetUrl); } diff --git a/hapi-fhir-validation/src/test/java/org/hl7/fhir/r4/validation/HapiWorkerContextTest.java b/hapi-fhir-validation/src/test/java/org/hl7/fhir/r4/validation/HapiWorkerContextTest.java new file mode 100644 index 00000000000..6a6e8e38bc5 --- /dev/null +++ b/hapi-fhir-validation/src/test/java/org/hl7/fhir/r4/validation/HapiWorkerContextTest.java @@ -0,0 +1,91 @@ +package org.hl7.fhir.r4.validation; + +import ca.uhn.fhir.context.FhirContext; +import ca.uhn.fhir.rest.server.exceptions.InternalErrorException; +import ca.uhn.fhir.test.BaseTest; +import com.google.common.base.Charsets; +import org.apache.commons.lang.Validate; +import org.hl7.fhir.instance.model.api.IBaseResource; +import org.hl7.fhir.r4.context.IWorkerContext; +import org.hl7.fhir.r4.hapi.ctx.DefaultProfileValidationSupport; +import org.hl7.fhir.r4.hapi.ctx.HapiWorkerContext; +import org.hl7.fhir.r4.hapi.ctx.IValidationSupport; +import org.hl7.fhir.r4.hapi.validation.PrePopulatedValidationSupport; +import org.hl7.fhir.r4.hapi.validation.ValidationSupportChain; +import org.hl7.fhir.r4.model.CodeSystem; +import org.hl7.fhir.r4.model.StructureDefinition; +import org.hl7.fhir.r4.model.ValueSet; +import org.hl7.fhir.utilities.TerminologyServiceOptions; +import org.junit.Test; +import org.springframework.core.io.Resource; +import org.springframework.core.io.support.PathMatchingResourcePatternResolver; +import org.springframework.core.io.support.ResourcePatternResolver; + +import java.io.IOException; +import java.io.InputStream; +import java.io.InputStreamReader; +import java.io.Reader; +import java.util.ArrayList; +import java.util.Arrays; +import java.util.List; + +import static org.junit.Assert.assertEquals; + +public class HapiWorkerContextTest extends BaseTest { + FhirContext ctx = FhirContext.forR4(); + + @Test + public void testCodeInPrePopulatedValidationSupport() throws IOException { + + PrePopulatedValidationSupport prePopulatedValidationSupport = new PrePopulatedValidationSupport(); + + getResources("/r4/carin/carin/codesystem/").forEach(t -> prePopulatedValidationSupport.addCodeSystem((CodeSystem) t)); + getResources("/r4/carin/uscore/codesystem/").forEach(t -> prePopulatedValidationSupport.addCodeSystem((CodeSystem) t)); + getResources("/r4/carin/carin/valueset/").forEach(t -> prePopulatedValidationSupport.addValueSet((ValueSet) t)); + getResources("/r4/carin/uscore/valueset/").forEach(t -> prePopulatedValidationSupport.addValueSet((ValueSet) t)); + getResources("/r4/carin/carin/structuredefinition/").forEach(t -> prePopulatedValidationSupport.addStructureDefinition((StructureDefinition) t)); + getResources("/r4/carin/uscore/structuredefinition/").forEach(t -> prePopulatedValidationSupport.addStructureDefinition((StructureDefinition) t)); + + IValidationSupport validationSupportChain = new ValidationSupportChain( + new DefaultProfileValidationSupport(), + prePopulatedValidationSupport + ); + HapiWorkerContext workerCtx = new HapiWorkerContext(ctx, validationSupportChain); + + ValueSet vs = new ValueSet(); + vs.setUrl("http://hl7.org/fhir/ValueSet/fm-status"); + + IWorkerContext.ValidationResult outcome = workerCtx.validateCode(new TerminologyServiceOptions(), "active", vs); + assertEquals(outcome.getMessage(), true, outcome.isOk()); + + outcome = workerCtx.validateCode(new TerminologyServiceOptions(), "active2", vs); + assertEquals(outcome.getMessage(), false, outcome.isOk()); + assertEquals("Unknown code[active2] in system[(none)]", outcome.getMessage()); + + } + + + private List getResources(String theDirectory) throws IOException { + ResourcePatternResolver resolver = new PathMatchingResourcePatternResolver(HapiWorkerContext.class.getClassLoader()); + List resources; + String path = "classpath*:" + theDirectory + "*.json"; + try { + resources = Arrays.asList(resolver.getResources(path)); + } catch (IOException theIoe) { + throw new InternalErrorException("Unable to get resources from path: " + path, theIoe); + } + List retVal = new ArrayList<>(); + + for (Resource nextFileResource : resources) { + try (InputStream is = nextFileResource.getInputStream()) { + Reader reader = new InputStreamReader(is, Charsets.UTF_8); + retVal.add(ctx.newJsonParser().parseResource(reader)); + } + } + + Validate.isTrue(retVal.size() > 0, "No files found in " + path); + + return retVal; + } + +} diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Adjudication-Category.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Adjudication-Category.json new file mode 100644 index 00000000000..07b206945f3 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Adjudication-Category.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"CARIN-BB-Adjudication-Category","meta":{"versionId":"4","lastUpdated":"2019-12-01T13:53:17.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Adjudication Category Code System

This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory defines the following codes:

CodeDisplayDefinition
benefitPaymentStatusCode Benefit payment status codeBenefit payment status code
paymentDenialCode Payment denial codePayment Denial Code
submittedamount submitted amount
allowedamount allowed amount
deductibleamount deductible amount
coinsuranceamount coinsurance amount
copayamount copay amount
noncoveredamount noncovered amount
cobamount cob amount
paymentamount payment amount
patientpayamount patient pay amount
denialreason payment denial reason
innetworkbenefitpaymentstatus in network benefit payment status
outofnetworkbenefitpaymentstatus out of network benefit payment status
otherbenefitpaymentstatus other benefit payment status
allowedunits allowed units
"},"url":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","version":"0.1.59-DRAFT","name":"CARINBBAdjudicationCategory","title":"CARIN Blue Button Claim Adjudication Category Code System","status":"draft","date":"2019-07-27T00:00:00-04:00","publisher":"CARIN Alliance","caseSensitive":true,"content":"complete","concept":[{"code":"benefitPaymentStatusCode","display":"Benefit payment status code","definition":"Benefit payment status code"},{"code":"paymentDenialCode","display":"Payment denial code","definition":"Payment Denial Code"},{"code":"submittedamount","display":"submitted amount"},{"code":"allowedamount","display":"allowed amount"},{"code":"deductibleamount","display":"deductible amount"},{"code":"coinsuranceamount","display":"coinsurance amount"},{"code":"copayamount","display":"copay amount"},{"code":"noncoveredamount","display":"noncovered amount"},{"code":"cobamount","display":"cob amount"},{"code":"paymentamount","display":"payment amount"},{"code":"patientpayamount","display":"patient pay amount"},{"code":"denialreason","display":"payment denial reason"},{"code":"innetworkbenefitpaymentstatus","display":"in network benefit payment status"},{"code":"outofnetworkbenefitpaymentstatus","display":"out of network benefit payment status"},{"code":"otherbenefitpaymentstatus","display":"other benefit payment status"},{"code":"allowedunits","display":"allowed units"}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-CareTeam-Role.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-CareTeam-Role.json new file mode 100644 index 00000000000..803479472aa --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-CareTeam-Role.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"CARIN-BB-Claim-CareTeam-Role","meta":{"versionId":"4","lastUpdated":"2019-12-01T14:02:49.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Care Team Role Code System

This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claimcareteamrole defines the following codes:

CodeDisplayDefinition
supervising Attending or Supervising provider
referring Referring provider
performing Servicing or Rendering provider
prescribing Prescribing provider
pcp Primary care provider
"},"url":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claimcareteamrole","version":"0.1.59-DRAFT","name":"CARINBBClaimCareTeamRole","title":"CARIN Blue Button Claim Care Team Role Code System","status":"draft","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","caseSensitive":true,"content":"complete","concept":[{"code":"supervising","display":"Attending or Supervising provider"},{"code":"referring","display":"Referring provider"},{"code":"performing","display":"Servicing or Rendering provider"},{"code":"prescribing","display":"Prescribing provider"},{"code":"pcp","display":"Primary care provider"}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Information-Category.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Information-Category.json new file mode 100644 index 00000000000..5324cf1db67 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Information-Category.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"CARIN-BB-Claim-Information-Category","meta":{"versionId":"6","lastUpdated":"2019-12-01T14:03:08.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Information Category Code System

This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory defines the following codes:

CodeDisplayDefinition
billingnetworkcontractingstatus billingnetworkcontractingstatus
attendingnetworkcontractingstatus attendingnetworkcontractingstatus
sitenetworkcontractingstatus sitenetworkcontractingstatus
referringnetworkcontractingstatus referringnetworkcontractingstatus
performingnetworkcontractingstatus performingnetworkcontractingstatus
prescribingnetworkcontractingstatus prescribingnetworkcontractingstatus
clmrecvddate clmrecvddate
typeofservice typeofservice for inpatient
tob-typeoffacility tob-typeoffacility
tob-billclassification tob-billclassification
tob-frequency tob-frequency
admsrc admsrc
admtype admtype
discharge-status discharge-status
ms-drg ms-drg
placeofservice placeofservice
dayssupply Days supply
dawcode DAW code
refillnum Refill Num
rxorigincode RX origin Code
brandgenericcode Brand generic code
clmlastactiondate claim last action date
"},"url":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","version":"0.1.59-DRAFT","name":"CARINBBClaimInformationCategory","title":"CARIN Blue Button Claim Information Category Code System","status":"draft","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","caseSensitive":true,"content":"complete","concept":[{"code":"billingnetworkcontractingstatus","display":"billingnetworkcontractingstatus"},{"code":"attendingnetworkcontractingstatus","display":"attendingnetworkcontractingstatus"},{"code":"sitenetworkcontractingstatus","display":"sitenetworkcontractingstatus"},{"code":"referringnetworkcontractingstatus","display":"referringnetworkcontractingstatus"},{"code":"performingnetworkcontractingstatus","display":"performingnetworkcontractingstatus"},{"code":"prescribingnetworkcontractingstatus","display":"prescribingnetworkcontractingstatus"},{"code":"clmrecvddate","display":"clmrecvddate"},{"code":"typeofservice","display":"typeofservice for inpatient"},{"code":"tob-typeoffacility","display":"tob-typeoffacility"},{"code":"tob-billclassification","display":"tob-billclassification"},{"code":"tob-frequency","display":"tob-frequency"},{"code":"admsrc","display":"admsrc"},{"code":"admtype","display":"admtype"},{"code":"discharge-status","display":"discharge-status"},{"code":"ms-drg","display":"ms-drg"},{"code":"placeofservice","display":"placeofservice"},{"code":"dayssupply","display":"Days supply"},{"code":"dawcode","display":"DAW code"},{"code":"refillnum","display":"Refill Num"},{"code":"rxorigincode","display":"RX origin Code"},{"code":"brandgenericcode","display":"Brand generic code"},{"code":"clmlastactiondate","display":"claim last action date"}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Type.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Type.json new file mode 100644 index 00000000000..e9733b2f6e3 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Claim-Type.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"CARIN-BB-Claim-Type","meta":{"versionId":"5","lastUpdated":"2019-12-01T14:02:14.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Type Code System

This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type defines the following codes:

CodeDisplayDefinition
inpatient-facility Inpatient Facility
outpatient-facility Outpatient Facility
professional-nonclinician Professional or Non-Clinician
pharmacy Pharmacy
vision Vision
oral Oral
"},"url":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","version":"0.1.59-DRAFT","name":"CARINBBClaimType","title":"CARIN Blue Button Claim Type Code System","status":"draft","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","caseSensitive":true,"content":"complete","concept":[{"code":"inpatient-facility","display":"Inpatient Facility"},{"code":"outpatient-facility","display":"Outpatient Facility"},{"code":"professional-nonclinician","display":"Professional or Non-Clinician"},{"code":"pharmacy","display":"Pharmacy"},{"code":"vision","display":"Vision"},{"code":"oral","display":"Oral"}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Network-Contracting-Status.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Network-Contracting-Status.json new file mode 100644 index 00000000000..b5335168b5a --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Network-Contracting-Status.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"CARIN-BB-Network-Contracting-Status","meta":{"versionId":"3","lastUpdated":"2019-12-01T14:03:23.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Network Contracting Status Code System

This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-networkcontractingstatus defines the following codes:

CodeDisplayDefinition
contracted contracted
non-contracted non-contracted
"},"url":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-networkcontractingstatus","version":"0.1.59-DRAFT","name":"CARINBBNetworkContractingStatus","title":"CARIN Blue Button Network Contracting Status Code System","status":"draft","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","caseSensitive":true,"content":"complete","concept":[{"code":"contracted","display":"contracted"},{"code":"non-contracted","display":"non-contracted"}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Related-Claim-Relationship.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Related-Claim-Relationship.json new file mode 100644 index 00000000000..6d835c9a29c --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/codesystem/CodeSystem-CARIN-BB-Related-Claim-Relationship.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"CARIN-BB-Related-Claim-Relationship","meta":{"versionId":"3","lastUpdated":"2019-12-01T14:03:36.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Related Claim Relationship Code System

This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-relatedclaimrelationship defines the following codes:

CodeDisplayDefinition
prior Prior claim
replaced Replaced claim
"},"url":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-relatedclaimrelationship","version":"0.1.59-DRAFT","name":"CARINBBRelatedClaimRelationship","title":"CARIN Blue Button Related Claim Relationship Code System","status":"draft","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","caseSensitive":true,"content":"complete","concept":[{"code":"prior","display":"Prior claim"},{"code":"replaced","display":"Replaced claim"}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Coverage.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Coverage.json new file mode 100644 index 00000000000..a5cc72f4261 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Coverage.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-Coverage","meta":{"versionId":"10","lastUpdated":"2019-12-15T09:07:29.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Coverage 0..*Coverage
\".\"\".\"\".\" subscriber 0..1Reference(CARIN Blue Button Patient Profile | CARIN Blue Button Related Person Profile)
\".\"\".\"\".\" subscriberId 1..1string
\".\"\".\"\".\" beneficiary 1..1Reference(CARIN Blue Button Patient Profile)
\".\"\".\"\".\" relationship 1..1CodeableConcept
\".\"\".\"\".\" payor 1..*Reference(CARIN Blue Button Organization Profile)
\".\"\".\"\".\" class 0..*(Slice Definition)Slice: Unordered, Open by value:type
\".\"\".\"\".\"\".\" class:group 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" type 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-class
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: group
\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Group
\".\"\".\"\".\"\".\" class:plan 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" type 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-class
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: plan
\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Plan

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage","version":"0.1.59-DRAFT","name":"CARINBBCoverage","title":"CARIN Blue Button Coverage Profile","status":"active","date":"2019-07-27T00:00:00-04:00","description":"CARIN Blue Button Coverage Profile\n\n","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":"cdanetv4","uri":"http://www.cda-adc.ca/en/services/cdanet/","name":"Canadian Dental Association eclaims standard"},{"identity":"v2","uri":"http://hl7.org/v2","name":"HL7 v2 Mapping"},{"identity":"cpha3pharm","uri":"http://www.pharmacists.ca/","name":"Canadian Pharmacy Associaiton eclaims standard"}],"kind":"resource","abstract":false,"type":"Coverage","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Coverage","derivation":"constraint","snapshot":{"element":[{"id":"Coverage","path":"Coverage","short":"Insurance or medical plan or a payment agreement","definition":"Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.","comment":"The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers.","min":0,"max":"*","base":{"path":"Coverage","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":"Coverage"}]},{"id":"Coverage.id","path":"Coverage.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":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Coverage.meta","path":"Coverage.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":"Coverage.implicitRules","path":"Coverage.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":"Coverage.language","path":"Coverage.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Coverage.text","path":"Coverage.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":"Coverage.contained","path":"Coverage.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":"Coverage.extension","path":"Coverage.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":"Coverage.modifierExtension","path":"Coverage.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":"Coverage.identifier","path":"Coverage.identifier","short":"Business Identifier for the coverage","definition":"A unique identifier assigned to this coverage.","comment":"The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatenation of the Coverage.SubscriberID and the Coverage.dependant.","requirements":"Allows coverages to be distinguished and referenced.","min":0,"max":"*","base":{"path":"Coverage.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":"cdanetv4","map":"C02"},{"identity":"v2","map":"IN1-2"},{"identity":"rim","map":".id"},{"identity":"cpha3pharm","map":"C.32, C.33, C.39"}]},{"id":"Coverage.status","path":"Coverage.status","short":"active | cancelled | draft | entered-in-error","definition":"The status of the resource instance.","comment":"This element is labeled as a modifier because the status contains the code entered-in-error that marks the coverage as not currently valid.","requirements":"Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.","min":1,"max":"1","base":{"path":"Coverage.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":"CoverageStatus"}],"strength":"required","description":"A code specifying the state of the resource instance.","valueSet":"http://hl7.org/fhir/ValueSet/fm-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"Act.status"}]},{"id":"Coverage.type","path":"Coverage.type","short":"Coverage category such as medical or accident","definition":"The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.","requirements":"The order of application of coverages is dependent on the types of coverage.","min":0,"max":"1","base":{"path":"Coverage.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":"CoverageType"}],"strength":"preferred","description":"The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.","valueSet":"http://hl7.org/fhir/ValueSet/coverage-type"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"IN1-15"}]},{"id":"Coverage.policyHolder","path":"Coverage.policyHolder","short":"Owner of the policy","definition":"The party who 'owns' the insurance policy.","comment":"For example: may be an individual, corporation or the subscriber's employer.","requirements":"This provides employer information in the case of Worker's Compensation and other policies.","min":0,"max":"1","base":{"path":"Coverage.policyHolder","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","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":"w5","map":"FiveWs.subject[x]"},{"identity":"cdanetv4","map":"D01 through D09"},{"identity":"v2","map":"IN1-16, 18, 19-name of insured, address, date of birth"},{"identity":"cpha3pharm","map":"C.35"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Coverage.subscriber","path":"Coverage.subscriber","short":"Subscriber to the policy","definition":"The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.","comment":"May be self or a parent in the case of dependants.","requirements":"This is the party who is entitled to the benfits under the policy.","min":0,"max":"1","base":{"path":"Coverage.subscriber","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-patient","http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.subject[x]"},{"identity":"cdanetv4","map":"D01 through D09"},{"identity":"v2","map":"IN1-16, 18, 19-name of insured, address, date of birth"},{"identity":"cpha3pharm","map":"C.35"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Coverage.subscriberId","path":"Coverage.subscriberId","short":"ID assigned to the subscriber","definition":"The insurer assigned ID for the Subscriber.","requirements":"The insurer requires this identifier on correspondance and claims (digital and otherwise).","min":1,"max":"1","base":{"path":"Coverage.subscriberId","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.subject[x]"},{"identity":"cdanetv4","map":"D01 through D09"},{"identity":"v2","map":"IN1-16, 18, 19-name of insured, address, date of birth"},{"identity":"cpha3pharm","map":"C.35"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Coverage.beneficiary","path":"Coverage.beneficiary","short":"Plan beneficiary","definition":"The party who benefits from the insurance coverage; the patient when products and/or services are provided.","requirements":"This is the party who receives treatment for which the costs are reimbursed under the coverage.","min":1,"max":"1","base":{"path":"Coverage.beneficiary","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"cdanetv4","map":"D01 through D09"},{"identity":"v2","map":"IN1-16, 18, 19-name of insured, address, date of birth"},{"identity":"cpha3pharm","map":"C.35"},{"identity":"w5","map":"FiveWs.subject"}]},{"id":"Coverage.dependent","path":"Coverage.dependent","short":"Dependent number","definition":"A unique identifier for a dependent under the coverage.","comment":"Periodically the member number is constructed from the subscriberId and the dependant number.","requirements":"For some coverages a single identifier is issued to the Subscriber and then a unique dependent number is issued to each beneficiary.","min":0,"max":"1","base":{"path":"Coverage.dependent","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":"cdanetv4","map":"C17"},{"identity":"v2","map":"- No exact HL7 v2 equivalent concept seems to exist;"}]},{"id":"Coverage.relationship","path":"Coverage.relationship","short":"Beneficiary relationship to the subscriber","definition":"The relationship of beneficiary (patient) to the subscriber.","comment":"Typically, an individual uses policies which are theirs (relationship='self') before policies owned by others.","requirements":"To determine relationship between the patient and the subscriber to determine coordination of benefits.","min":1,"max":"1","base":{"path":"Coverage.relationship","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":"Relationship"}],"strength":"extensible","description":"The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).","valueSet":"http://hl7.org/fhir/ValueSet/subscriber-relationship"},"mapping":[{"identity":"cdanetv4","map":"C03"}]},{"id":"Coverage.period","path":"Coverage.period","short":"Coverage start and end dates","definition":"Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.","requirements":"Some insurers require the submission of the coverage term.","min":0,"max":"1","base":{"path":"Coverage.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":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"IN1-12 / IN1-13"},{"identity":"rim","map":"Act.effectiveTime"}]},{"id":"Coverage.payor","path":"Coverage.payor","short":"Issuer of the policy","definition":"The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.","comment":"May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).\nFor selfpay it may provide multiple paying persons and/or organizations.","requirements":"Need to identify the issuer to target for claim processing and for coordination of benefit processing.","min":1,"max":"*","base":{"path":"Coverage.payor","min":1,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.author"},{"identity":"cdanetv4","map":"A05"},{"identity":"v2","map":"IN1-3"},{"identity":"cpha3pharm","map":"C.30"}]},{"id":"Coverage.class","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Class"}],"path":"Coverage.class","slicing":{"discriminator":[{"type":"value","path":"type"}],"rules":"open"},"short":"Additional coverage classifications","definition":"A suite of underwriter specific classifiers.","comment":"For example may be used to identify a class of coverage or employer group, Policy, Plan.","requirements":"The codes provided on the health card which identify or confirm the specific policy for the insurer.","min":0,"max":"*","base":{"path":"Coverage.class","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":"Coverage.class.id","path":"Coverage.class.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":"Coverage.class.modifierExtension","path":"Coverage.class.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":"Coverage.class.type","path":"Coverage.class.type","short":"Type of class such as 'group' or 'plan'","definition":"The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.","requirements":"The insurer issued label for a specific health card value.","min":1,"max":"1","base":{"path":"Coverage.class.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":"CoverageClass"}],"strength":"extensible","description":"The policy classifications, eg. 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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":"Coverage.class:group.modifierExtension","path":"Coverage.class.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. 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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":"Coverage.class:plan.modifierExtension","path":"Coverage.class.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. 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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":"Coverage.class:plan.type","path":"Coverage.class.type","short":"Type of class such as 'group' or 'plan'","definition":"The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.","requirements":"The insurer issued label for a specific health card value.","min":1,"max":"1","base":{"path":"Coverage.class.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCoding":{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"plan","display":"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":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CoverageClass"}],"strength":"extensible","description":"The policy classifications, eg. Group, Plan, Class, etc.","valueSet":"http://hl7.org/fhir/ValueSet/coverage-class"}},{"id":"Coverage.class:plan.value","path":"Coverage.class.value","short":"Value associated with the type","definition":"The alphanumeric string value associated with the insurer issued label.","comment":"For example, the Group or Plan number.","requirements":"The insurer issued label and value are necessary to identify the specific policy.","min":1,"max":"1","base":{"path":"Coverage.class.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":true,"mapping":[{"identity":"cdanetv4","map":"C11 (Division,Section)"},{"identity":"v2","map":"IN1-8"},{"identity":"cpha3pharm","map":"C.31"}]},{"id":"Coverage.class:plan.name","path":"Coverage.class.name","short":"Human readable description of the type and value","definition":"A short description for the class.","requirements":"Used to provide a meaningful description in correspondence to the patient.","min":0,"max":"1","base":{"path":"Coverage.class.name","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":"cdanetv4","map":"C11 (Division,Section)"},{"identity":"v2","map":"IN1-8"},{"identity":"cpha3pharm","map":"C.31"}]},{"id":"Coverage.order","path":"Coverage.order","short":"Relative order of the coverage","definition":"The order of applicability of this coverage relative to other coverages which are currently in force. Note, there may be gaps in the numbering and this does not imply primary, secondary etc. as the specific positioning of coverages depends upon the episode of care.","requirements":"Used in managing the coordination of benefits.","min":0,"max":"1","base":{"path":"Coverage.order","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":"- No exact HL7 v2 equivalent concept seems to exist;"}]},{"id":"Coverage.network","path":"Coverage.network","short":"Insurer network","definition":"The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.","requirements":"Used in referral for treatment and in claims processing.","min":0,"max":"1","base":{"path":"Coverage.network","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":"cdanetv4","map":"D10"}]},{"id":"Coverage.costToBeneficiary","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"CostToBeneficiary"}],"path":"Coverage.costToBeneficiary","short":"Patient payments for services/products","definition":"A suite of codes indicating the cost category and associated amount which have been detailed in the policy and may have been included on the health card.","comment":"For example by knowing the patient visit co-pay, the provider can collect the amount prior to undertaking treatment.","requirements":"Required by providers to manage financial transaction with the patient.","alias":["CoPay","Deductible","Exceptions"],"min":0,"max":"*","base":{"path":"Coverage.costToBeneficiary","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":"Coverage.costToBeneficiary.id","path":"Coverage.costToBeneficiary.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":"Coverage.costToBeneficiary.extension","path":"Coverage.costToBeneficiary.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":"Coverage.costToBeneficiary.modifierExtension","path":"Coverage.costToBeneficiary.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":"Coverage.costToBeneficiary.type","path":"Coverage.costToBeneficiary.type","short":"Cost category","definition":"The category of patient centric costs associated with treatment.","comment":"For example visit, specialist visits, emergency, inpatient care, etc.","requirements":"Needed to identify the category associated with the amount for the patient.","min":0,"max":"1","base":{"path":"Coverage.costToBeneficiary.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":"CopayTypes"}],"strength":"extensible","description":"The types of services to which patient copayments are specified.","valueSet":"http://hl7.org/fhir/ValueSet/coverage-copay-type"}},{"id":"Coverage.costToBeneficiary.value[x]","path":"Coverage.costToBeneficiary.value[x]","short":"The amount or percentage due from the beneficiary","definition":"The amount due from the patient for the cost category.","comment":"Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency.","requirements":"Needed to identify the amount for the patient associated with the category.","min":1,"max":"1","base":{"path":"Coverage.costToBeneficiary.value[x]","min":1,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true,"mapping":[{"identity":"cdanetv4","map":"C11 (Division,Section)"},{"identity":"v2","map":"IN1-8"},{"identity":"cpha3pharm","map":"C.31"}]},{"id":"Coverage.costToBeneficiary.exception","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Exemption"}],"path":"Coverage.costToBeneficiary.exception","short":"Exceptions for patient payments","definition":"A suite of codes indicating exceptions or reductions to patient costs and their effective periods.","requirements":"Required by providers to manage financial transaction with the patient.","min":0,"max":"*","base":{"path":"Coverage.costToBeneficiary.exception","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":"Coverage.costToBeneficiary.exception.id","path":"Coverage.costToBeneficiary.exception.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":"Coverage.costToBeneficiary.exception.extension","path":"Coverage.costToBeneficiary.exception.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":"Coverage.costToBeneficiary.exception.modifierExtension","path":"Coverage.costToBeneficiary.exception.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":"Coverage.costToBeneficiary.exception.type","path":"Coverage.costToBeneficiary.exception.type","short":"Exception category","definition":"The code for the specific exception.","requirements":"Needed to identify the exception associated with the amount for the patient.","min":1,"max":"1","base":{"path":"Coverage.costToBeneficiary.exception.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":"CoverageFinancialException"}],"strength":"example","description":"The types of exceptions from the part or full value of financial obligations such as copays.","valueSet":"http://hl7.org/fhir/ValueSet/coverage-financial-exception"}},{"id":"Coverage.costToBeneficiary.exception.period","path":"Coverage.costToBeneficiary.exception.period","short":"The effective period of the exception","definition":"The timeframe during when the exception is in force.","requirements":"Needed to identify the applicable timeframe for the exception for the correct calculation of patient costs.","min":0,"max":"1","base":{"path":"Coverage.costToBeneficiary.exception.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":"Coverage.subrogation","path":"Coverage.subrogation","short":"Reimbursement to insurer","definition":"When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs.","comment":"Typically, automotive and worker's compensation policies would be flagged with 'subrogation=true' to enable healthcare payors to collect against accident claims.","requirements":"See definition for when to be used.","min":0,"max":"1","base":{"path":"Coverage.subrogation","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},{"id":"Coverage.contract","path":"Coverage.contract","short":"Contract details","definition":"The policy(s) which constitute this insurance coverage.","requirements":"To reference the legally binding contract between the policy holder and the insurer.","min":0,"max":"*","base":{"path":"Coverage.contract","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Contract"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"cdanetv4","map":"D01 through D09"},{"identity":"v2","map":"IN1-16, 18, 19"},{"identity":"rim","map":"n/a"},{"identity":"cpha3pharm","map":"C.35"}]}]},"differential":{"element":[{"id":"Coverage","path":"Coverage"},{"id":"Coverage.subscriber","path":"Coverage.subscriber","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-patient","http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-relatedperson"]}]},{"id":"Coverage.subscriberId","path":"Coverage.subscriberId","min":1},{"id":"Coverage.beneficiary","path":"Coverage.beneficiary","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-patient"]}]},{"id":"Coverage.relationship","path":"Coverage.relationship","min":1},{"id":"Coverage.payor","path":"Coverage.payor","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-organization"]}]},{"id":"Coverage.class","path":"Coverage.class","slicing":{"discriminator":[{"type":"value","path":"type"}],"rules":"open"}},{"id":"Coverage.class:group","path":"Coverage.class","sliceName":"group","max":"1"},{"id":"Coverage.class:group.type","path":"Coverage.class.type","patternCoding":{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"group","display":"Group"}},{"id":"Coverage.class:plan","path":"Coverage.class","sliceName":"plan","max":"1"},{"id":"Coverage.class:plan.type","path":"Coverage.class.type","patternCoding":{"system":"http://terminology.hl7.org/CodeSystem/coverage-class","code":"plan","display":"Plan"}}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Inpatient-Facility.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Inpatient-Facility.json new file mode 100644 index 00000000000..14f6ba4f3f0 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Inpatient-Facility.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-ExplanationOfBenefit-Inpatient-Facility","meta":{"versionId":"27","lastUpdated":"2019-12-16T12:33:58.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ExplanationOfBenefit 0..*CARINBBExplanationOfBenefit
\".\"\".\"\".\" type 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type
\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: inpatient-facility
\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Inpatient Facility
\".\"\".\"\".\" supportingInfo 0..*(Slice Definition)Slice: Unordered, Open by value:category
\".\"\".\"\".\"\".\" supportingInfo:billingnetworkcontractingstatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (billingnetworkcontractingstatus)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: billingnetworkcontractingstatus
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Network Contracting Status Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:attendingnetworkcontractingstatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (attendingnetworkcontractingstatus)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: attendingnetworkcontractingstatus
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Network Contracting Status Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:referringnetworkcontractingstatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (referringnetworkcontractingstatus)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: referringnetworkcontractingstatus
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Network Contracting Status Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:clmrecvddate 1..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (clmrecvddate)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: clmrecvddate
\".\"\".\"\".\"\".\"\".\" timing[x] 1..1date
\".\"\".\"\".\"\".\" supportingInfo:typeofservice 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (typeofservice for inpatient)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: typeofservice
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Type Of Service Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:tob-typeoffacility 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (tob-typeoffacility)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: tob-typeoffacility
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Type Of Bill (Type Of Facility) Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:tob-billclassification 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (tob-billclassification)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: tob-billclassification
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Type Of Bill (Bill Classification) Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:tob-frequency 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (tob-frequency)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: tob-frequency
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Type Of Bill (Frequency) Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:admsrc 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (admsrc)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: admsrc
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: NUBC Point of Origin for Admission or Visit Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:admtype 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (admtype)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: admtype
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: NUBC Priority (Type) of Admission or Visit Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:discharge-status 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (discharge-status)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: discharge-status
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: NUBC Patient Discharge Status (required)
\".\"\".\"\".\"\".\" supportingInfo:ms-drg 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (ms-drg)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: ms-drg
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button MS-DRG Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:placeofservice 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (placeofservice)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: placeofservice
\".\"\".\"\".\" item
\".\"\".\"\".\"\".\" revenue 1..1CodeableConceptBinding: CARIN Blue Button Revenue Center Value Set (required)
\".\"\".\"\".\"\".\" productOrService 1..1CodeableConceptBinding: CARIN Blue Button SNOMEDCT Procedure Codes Value Set (required)
\".\"\".\"\".\"\".\" adjudication 0..*(Slice Definition)Slice: Unordered, Closed by value:category
\".\"\".\"\".\"\".\"\".\" adjudication:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Claim Adjudication Category Value Set (required)
\".\"\".\"\".\"\".\"\".\" adjudication:adjudicationamounttype 0..*BackboneElement
\".\"\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Adjudication Amount Category Value Set (required)
\".\"\".\"\".\"\".\"\".\" adjudication:denialreason 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (payment denial reason)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: denialreason
\".\"\".\"\".\"\".\"\".\"\".\" reason 1..1CodeableConceptBinding: CARIN Blue Button Adjudication Denial Reason Value Set (required)
\".\"\".\"\".\" total 1..*BackboneElement

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit-inpatient-facility","version":"0.1.59-DRAFT","name":"CARINBBExplanationOfBenefitInpatientFacility","title":"CARIN Blue Button Explanation of Benefit Inpatient Facility Profile","status":"active","date":"2019-07-26T00:00:00-04:00","publisher":"CARIN Alliance","description":"This profile is built upon the CARINBBExplanationOfBenefit Profile. The profile is used for Explanation of Benefits (EOBs) based on claims submitted by clinics, hospitals, skilled nursing facilities and other institutions for inpatient services, which may include the use of equipment and supplies, laboratory services, radiology services and other charges. Inpatient claims are submitted for services rendered at a facility as part of an overnight stay. The claims data is based on the institutional claim format UB-04, submission standards adopted by the Department of Health and Human Services as form CMS-1450.\n","fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"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":"ExplanationOfBenefit","baseDefinition":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit","derivation":"constraint","snapshot":{"element":[{"id":"ExplanationOfBenefit","path":"ExplanationOfBenefit","short":"Explanation of Benefit resource","definition":"This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.","alias":["EOB"],"min":0,"max":"*","base":{"path":"ExplanationOfBenefit","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"}]},{"id":"ExplanationOfBenefit.id","path":"ExplanationOfBenefit.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":1,"max":"1","base":{"path":"Resource.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":true},{"id":"ExplanationOfBenefit.meta","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.implicitRules","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.language","path":"ExplanationOfBenefit.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"ExplanationOfBenefit.text","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.contained","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.extension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.modifierExtension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.identifier","path":"ExplanationOfBenefit.identifier","short":"Business Identifier for the resource","definition":"A unique identifier assigned to this explanation of benefit.","requirements":"Allows EOBs to be distinguished and referenced.","min":1,"max":"*","base":{"path":"ExplanationOfBenefit.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"}]},{"id":"ExplanationOfBenefit.status","path":"ExplanationOfBenefit.status","short":"active | cancelled | draft | entered-in-error","definition":"The status of the resource instance.","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 the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.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":"ExplanationOfBenefitStatus"}],"strength":"required","description":"A code specifying the state of the resource instance.","valueSet":"http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"}]},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","short":"Category or discipline","definition":"The category of claim, e.g. oral, pharmacy, vision, institutional, professional.","comment":"The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.","requirements":"Claim type determine the general sets of business rules applied for information requirements and adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"inpatient-facility","display":"Inpatient Facility"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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/us/carin/ValueSet/carin-bb-claim-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.subType","path":"ExplanationOfBenefit.subType","short":"More granular claim type","definition":"A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Some jurisdictions need a finer grained claim type for routing and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.subType","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":"ClaimSubType"}],"strength":"example","description":"A more granular claim typecode.","valueSet":"http://hl7.org/fhir/ValueSet/claim-subtype"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.use","path":"ExplanationOfBenefit.use","short":"claim | preauthorization | predetermination","definition":"A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.","requirements":"This element is required to understand the nature of the request for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.use","min":1,"max":"1"},"type":[{"code":"code"}],"patternCode":"claim","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"Use"}],"strength":"required","description":"Complete, proposed, exploratory, other.","valueSet":"http://hl7.org/fhir/ValueSet/claim-use|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.patient","path":"ExplanationOfBenefit.patient","short":"The recipient of the products and services","definition":"The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.","requirements":"The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.subject"}]},{"id":"ExplanationOfBenefit.billablePeriod","path":"ExplanationOfBenefit.billablePeriod","short":"Relevant time frame for the claim","definition":"The period for which charges are being submitted.","comment":"Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.","requirements":"A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.billablePeriod","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.created","path":"ExplanationOfBenefit.created","short":"Response creation date","definition":"The date this resource was created.","comment":"This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.","requirements":"Need to record a timestamp for use by both the recipient and the issuer.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.created","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.recorded"}]},{"id":"ExplanationOfBenefit.enterer","path":"ExplanationOfBenefit.enterer","short":"Author of the claim","definition":"Individual who created the claim, predetermination or preauthorization.","requirements":"Some jurisdictions require the contact information for personnel completing claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.enterer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["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":"workflow","map":"Event.performer.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.insurer","path":"ExplanationOfBenefit.insurer","short":"Party responsible for reimbursement","definition":"The party responsible for authorization, adjudication and reimbursement.","requirements":"To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurer","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.provider","path":"ExplanationOfBenefit.provider","short":"Party responsible for the claim","definition":"The provider which is responsible for the claim, predetermination or preauthorization.","comment":"Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.source"}]},{"id":"ExplanationOfBenefit.priority","path":"ExplanationOfBenefit.priority","short":"Desired processing urgency","definition":"The provider-required urgency of processing the request. Typical values include: stat, routine deferred.","comment":"If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.","requirements":"The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.priority","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":"ProcessPriority"}],"strength":"example","description":"The timeliness with which processing is required: stat, normal, deferred.","valueSet":"http://terminology.hl7.org/CodeSystem/processpriority"},"mapping":[{"identity":"v2","map":"Request.priority"}]},{"id":"ExplanationOfBenefit.fundsReserveRequested","path":"ExplanationOfBenefit.fundsReserveRequested","short":"For whom to reserve funds","definition":"A code to indicate whether and for whom funds are to be reserved for future claims.","comment":"This field is only used for preauthorizations.","requirements":"In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.","alias":["Fund pre-allocation"],"min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserveRequested","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.fundsReserve","path":"ExplanationOfBenefit.fundsReserve","short":"Funds reserved status","definition":"A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.","comment":"Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.","requirements":"Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserve","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.related","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"RelatedClaim"}],"path":"ExplanationOfBenefit.related","short":"Prior or corollary claims","definition":"Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.","comment":"For example, for the original treatment and follow-up exams.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.related","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.related.id","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.extension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.modifierExtension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.claim","path":"ExplanationOfBenefit.related.claim","short":"Reference to the related claim","definition":"Reference to a related claim.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.related.relationship","path":"ExplanationOfBenefit.related.relationship","short":"How the reference claim is related","definition":"A code to convey how the claims are related.","comment":"For example, prior claim or umbrella.","requirements":"Some insurers need a declaration of the type of relationship.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.related.relationship","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-relatedclaimrelationship"}},{"id":"ExplanationOfBenefit.related.reference","path":"ExplanationOfBenefit.related.reference","short":"File or case reference","definition":"An alternate organizational reference to the case or file to which this particular claim pertains.","comment":"For example, Property/Casualty insurer claim number or Workers Compensation case number.","requirements":"In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.reference","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},{"id":"ExplanationOfBenefit.prescription","path":"ExplanationOfBenefit.prescription","short":"Prescription authorizing services or products","definition":"Prescription to support the dispensing of pharmacy, device or vision products.","requirements":"Required to authorize the dispensing of controlled substances and devices.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.prescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/VisionPrescription"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.originalPrescription","path":"ExplanationOfBenefit.originalPrescription","short":"Original prescription if superceded by fulfiller","definition":"Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.","comment":"For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.","requirements":"Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.originalPrescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payee","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payee"}],"path":"ExplanationOfBenefit.payee","short":"Recipient of benefits payable","definition":"The party to be reimbursed for cost of the products and services according to the terms of the policy.","comment":"Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.","requirements":"The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payee","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.payee.id","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.extension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.modifierExtension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.type","path":"ExplanationOfBenefit.payee.type","short":"Category of recipient","definition":"Type of Party to be reimbursed: Subscriber, provider, other.","requirements":"Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.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":"PayeeType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"A code for the party to be reimbursed.","valueSet":"http://hl7.org/fhir/ValueSet/payeetype"}},{"id":"ExplanationOfBenefit.payee.party","path":"ExplanationOfBenefit.payee.party","short":"Recipient reference","definition":"Reference to the individual or organization to whom any payment will be made.","comment":"Not required if the payee is 'subscriber' or 'provider'.","requirements":"Need to provide demographics if the payee is not 'subscriber' nor 'provider'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.party","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-practitionerrole","http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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},{"id":"ExplanationOfBenefit.referral","path":"ExplanationOfBenefit.referral","short":"Treatment Referral","definition":"A reference to a referral resource.","comment":"The referral resource which lists the date, practitioner, reason and other supporting information.","requirements":"Some insurers require proof of referral to pay for services or to pay specialist rates for services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.referral","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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.cause"}]},{"id":"ExplanationOfBenefit.facility","path":"ExplanationOfBenefit.facility","short":"Servicing Facility","definition":"Facility where the services were provided.","requirements":"Insurance adjudication can be dependant on where services were delivered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.facility","min":0,"max":"1"},"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":false,"mapping":[{"identity":"workflow","map":"Event.performer.location"},{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.claim","path":"ExplanationOfBenefit.claim","short":"Claim reference","definition":"The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.","requirements":"To provide a link to the original adjudication request.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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]"}]},{"id":"ExplanationOfBenefit.claimResponse","path":"ExplanationOfBenefit.claimResponse","short":"Claim response reference","definition":"The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.","requirements":"To provide a link to the original adjudication response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claimResponse","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.outcome","path":"ExplanationOfBenefit.outcome","short":"queued | complete | error | partial","definition":"The outcome of the claim, predetermination, or preauthorization processing.","comment":"The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).","requirements":"To advise the requestor of an overall processing outcome.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.outcome","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":"RemittanceOutcome"}],"strength":"required","description":"The result of the claim processing.","valueSet":"http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1"}},{"id":"ExplanationOfBenefit.disposition","path":"ExplanationOfBenefit.disposition","short":"Disposition Message","definition":"A human readable description of the status of the adjudication.","requirements":"Provided for user display.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.disposition","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":"ExplanationOfBenefit.preAuthRef","path":"ExplanationOfBenefit.preAuthRef","short":"Preauthorization reference","definition":"Reference from the Insurer which is used in later communications which refers to this adjudication.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRef","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},{"id":"ExplanationOfBenefit.preAuthRefPeriod","path":"ExplanationOfBenefit.preAuthRefPeriod","short":"Preauthorization in-effect period","definition":"The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRefPeriod","min":0,"max":"*"},"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},{"id":"ExplanationOfBenefit.careTeam","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"CareTeam"}],"path":"ExplanationOfBenefit.careTeam","short":"Care Team members","definition":"The members of the team who provided the products and services.","requirements":"Common to identify the responsible and supporting practitioners.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.careTeam","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.id","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.extension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.modifierExtension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.sequence","path":"ExplanationOfBenefit.careTeam.sequence","short":"Order of care team","definition":"A number to uniquely identify care team entries.","requirements":"Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.careTeam.provider","path":"ExplanationOfBenefit.careTeam.provider","short":"Practitioner or organization","definition":"Member of the team who provided the product or service.","requirements":"Often a regulatory requirement to specify the responsible provider.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.actor"}]},{"id":"ExplanationOfBenefit.careTeam.responsible","path":"ExplanationOfBenefit.careTeam.responsible","short":"Indicator of the lead practitioner","definition":"The party who is billing and/or responsible for the claimed products or services.","comment":"Responsible might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the lead or responsible individual.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.responsible","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.role","path":"ExplanationOfBenefit.careTeam.role","short":"Function within the team","definition":"The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.","comment":"Role might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the roles performed by each member.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.role","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claimcareteamrole"}},{"id":"ExplanationOfBenefit.careTeam.qualification","path":"ExplanationOfBenefit.careTeam.qualification","short":"Practitioner credential or specialization","definition":"The qualification of the practitioner which is applicable for this service.","requirements":"Need to specify which qualification a provider is delivering the product or service under.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.qualification","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":"ProviderQualification"}],"strength":"example","description":"Provider professional 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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":"ExplanationOfBenefit.supportingInfo.extension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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. 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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":"ExplanationOfBenefit.supportingInfo.sequence","path":"ExplanationOfBenefit.supportingInfo.sequence","short":"Information instance identifier","definition":"A number to uniquely identify supporting information entries.","requirements":"Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.supportingInfo.category","path":"ExplanationOfBenefit.supportingInfo.category","short":"Classification of the supplied information","definition":"The general class of the information supplied: information; exception; accident, employment; onset, etc.","comment":"This may contain a category for the local bill type codes.","requirements":"Required to group or associate information items with common characteristics. 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For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo:ms-drg.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.supportingInfo:placeofservice","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","sliceName":"placeofservice","short":"Supporting information","definition":"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.","comment":"Often there are multiple jurisdiction specific valuesets which are required.","requirements":"Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo:placeofservice.id","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:placeofservice.extension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:placeofservice.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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. 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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":"ExplanationOfBenefit.supportingInfo:placeofservice.sequence","path":"ExplanationOfBenefit.supportingInfo.sequence","short":"Information instance identifier","definition":"A number to uniquely identify supporting information entries.","requirements":"Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.supportingInfo:placeofservice.category","path":"ExplanationOfBenefit.supportingInfo.category","short":"Classification of the supplied information","definition":"The general class of the information supplied: information; exception; accident, employment; onset, etc.","comment":"This may contain a category for the local bill type codes.","requirements":"Required to group or associate information items with common characteristics. 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For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo:placeofservice.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.diagnosis","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Diagnosis"}],"path":"ExplanationOfBenefit.diagnosis","short":"Pertinent diagnosis information","definition":"Information about diagnoses relevant to the claim items.","requirements":"Required for the adjudication by provided context for the services and product listed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.diagnosis","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.diagnosis.id","path":"ExplanationOfBenefit.diagnosis.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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The use of extensions 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":"ExplanationOfBenefit.diagnosis.modifierExtension","path":"ExplanationOfBenefit.diagnosis.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. 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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 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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":"DiagnosisOnAdmission"}],"strength":"example","description":"Present on admission.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"}},{"id":"ExplanationOfBenefit.diagnosis.packageCode","path":"ExplanationOfBenefit.diagnosis.packageCode","short":"Package billing code","definition":"A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.","comment":"For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.","requirements":"Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.packageCode","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":"DiagnosisRelatedGroup"}],"strength":"example","description":"The DRG codes associated with the diagnosis.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"}},{"id":"ExplanationOfBenefit.procedure","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Procedure"}],"path":"ExplanationOfBenefit.procedure","short":"Clinical procedures performed","definition":"Procedures performed on the patient relevant to the billing items with the claim.","requirements":"The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.id","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.extension","path":"ExplanationOfBenefit.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 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":"ExplanationOfBenefit.procedure.modifierExtension","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.sequence","path":"ExplanationOfBenefit.procedure.sequence","short":"Procedure instance identifier","definition":"A number to uniquely identify procedure entries.","requirements":"Necessary to provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.procedure.type","path":"ExplanationOfBenefit.procedure.type","short":"Category of Procedure","definition":"When the condition was observed or the relative ranking.","requirements":"Often required to capture a particular diagnosis, for example: primary or discharge.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureType"}],"strength":"example","description":"Example procedure type codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-procedure-type"}},{"id":"ExplanationOfBenefit.procedure.date","path":"ExplanationOfBenefit.procedure.date","short":"When the procedure was performed","definition":"Date and optionally time the procedure was performed.","requirements":"Required for auditing purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.procedure[x]","path":"ExplanationOfBenefit.procedure.procedure[x]","short":"Specific clinical procedure","definition":"The code or reference to a Procedure resource which identifies the clinical intervention performed.","requirements":"This identifies the actual clinical procedure.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.procedure[x]","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":"ICD10_Procedures"}],"strength":"example","description":"ICD10 Procedure codes.","valueSet":"http://hl7.org/fhir/ValueSet/icd-10-procedures"}},{"id":"ExplanationOfBenefit.procedure.udi","path":"ExplanationOfBenefit.procedure.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.precedence","path":"ExplanationOfBenefit.precedence","short":"Precedence (primary, secondary, etc.)","definition":"This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.","requirements":"Needed to coordinate between multiple EOBs for the same suite of services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.precedence","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":false},{"id":"ExplanationOfBenefit.insurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","slicing":{"discriminator":[{"type":"value","path":"focal"}],"rules":"closed"},"short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":1,"max":"2","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":true,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.insurance:primaryinsurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","sliceName":"primaryinsurance","short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":false,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.accident","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Accident"}],"path":"ExplanationOfBenefit.accident","short":"Details of the event","definition":"Details of a accident which resulted in injuries which required the products and services listed in the claim.","requirements":"When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident","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},{"id":"ExplanationOfBenefit.accident.id","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.extension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.modifierExtension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.date","path":"ExplanationOfBenefit.accident.date","short":"When the incident occurred","definition":"Date of an accident event related to the products and services contained in the claim.","comment":"The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.","requirements":"Required for audit purposes and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.date","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},{"id":"ExplanationOfBenefit.accident.type","path":"ExplanationOfBenefit.accident.type","short":"The nature of the accident","definition":"The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.","requirements":"Coverage may be dependant on the type of accident.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.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":"AccidentType"}],"strength":"extensible","description":"Type of accident: work place, auto, etc.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"}},{"id":"ExplanationOfBenefit.accident.location[x]","path":"ExplanationOfBenefit.accident.location[x]","short":"Where the event occurred","definition":"The physical location of the accident event.","requirements":"Required for audit purposes and determination of applicable insurance liability.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.location[x]","min":0,"max":"1"},"type":[{"code":"Address"},{"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":false},{"id":"ExplanationOfBenefit.item","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Item"}],"path":"ExplanationOfBenefit.item","short":"Product or service provided","definition":"A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.","requirements":"The items to be processed for adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.sequence","path":"ExplanationOfBenefit.item.sequence","short":"Item instance identifier","definition":"A number to uniquely identify item entries.","requirements":"Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.careTeamSequence","path":"ExplanationOfBenefit.item.careTeamSequence","short":"Applicable care team members","definition":"Care team members related to this service or product.","requirements":"Need to identify the individuals and their roles in the provision of the product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.careTeamSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.diagnosisSequence","path":"ExplanationOfBenefit.item.diagnosisSequence","short":"Applicable diagnoses","definition":"Diagnoses applicable for this service or product.","requirements":"Need to related the product or service to the associated diagnoses.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.diagnosisSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.procedureSequence","path":"ExplanationOfBenefit.item.procedureSequence","short":"Applicable procedures","definition":"Procedures applicable for this service or product.","requirements":"Need to provide any listed specific procedures to support the product or service being claimed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.procedureSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.informationSequence","path":"ExplanationOfBenefit.item.informationSequence","short":"Applicable exception and supporting information","definition":"Exceptions, special conditions and supporting information applicable for this service or product.","requirements":"Need to reference the supporting information items that relate directly to this product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.informationSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.revenue","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":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-revenue-center"}},{"id":"ExplanationOfBenefit.item.category","path":"ExplanationOfBenefit.item.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.productOrService","path":"ExplanationOfBenefit.item.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.productOrService","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":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-snomedct-procedurecodes"}},{"id":"ExplanationOfBenefit.item.modifier","path":"ExplanationOfBenefit.item.modifier","short":"Product or service billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.programCode","path":"ExplanationOfBenefit.item.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.serviced[x]","path":"ExplanationOfBenefit.item.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.item.location[x]","path":"ExplanationOfBenefit.item.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.location[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Address"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServicePlace"}],"strength":"example","description":"Place where the service is rendered.","valueSet":"http://hl7.org/fhir/ValueSet/service-place"},"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.item.quantity","path":"ExplanationOfBenefit.item.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.unitPrice","path":"ExplanationOfBenefit.item.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.factor","path":"ExplanationOfBenefit.item.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.udi","path":"ExplanationOfBenefit.item.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product 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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. 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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":"ExplanationOfBenefit.item.adjudication:denialreason.modifierExtension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication:denialreason.category","path":"ExplanationOfBenefit.item.adjudication.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to enable understanding of the context of the other information in the adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.category","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","code":"denialreason"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","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":"Adjudication"}],"strength":"example","description":"The adjudication codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.reason","path":"ExplanationOfBenefit.item.adjudication.reason","short":"Explanation of adjudication outcome","definition":"A code supporting the understanding of the adjudication result and explaining variance from expected amount.","comment":"For example, may indicate that the funds for this benefit type have been exhausted.","requirements":"To support understanding of variance from adjudication expectations.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.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":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.amount","path":"ExplanationOfBenefit.item.adjudication.amount","short":"Monetary amount","definition":"Monetary amount associated with the category.","comment":"For example, amount submitted, eligible amount, co-payment, and benefit payable.","requirements":"Most adjuciation categories convey a monetary amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.adjudication:denialreason.value","path":"ExplanationOfBenefit.item.adjudication.value","short":"Non-monitary value","definition":"A non-monetary value associated with the category. Mutually exclusive to the amount element above.","comment":"For example: eligible percentage or co-payment percentage.","requirements":"Some adjudication categories convey a percentage or a fixed value.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.value","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":false},{"id":"ExplanationOfBenefit.item.detail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Detail"}],"path":"ExplanationOfBenefit.item.detail","short":"Additional items","definition":"Second-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail","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":"ExplanationOfBenefit.item.detail.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.sequence","path":"ExplanationOfBenefit.item.detail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.revenue","path":"ExplanationOfBenefit.item.detail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.category","path":"ExplanationOfBenefit.item.detail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.productOrService","path":"ExplanationOfBenefit.item.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.detail.programCode","path":"ExplanationOfBenefit.item.detail.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.quantity","path":"ExplanationOfBenefit.item.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.unitPrice","path":"ExplanationOfBenefit.item.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.factor","path":"ExplanationOfBenefit.item.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.factor","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":false},{"id":"ExplanationOfBenefit.item.detail.net","path":"ExplanationOfBenefit.item.detail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.udi","path":"ExplanationOfBenefit.item.detail.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.detail.noteNumber","path":"ExplanationOfBenefit.item.detail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.detail.adjudication","path":"ExplanationOfBenefit.item.detail.adjudication","short":"Detail level adjudication details","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication:denialreason","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SubDetail"}],"path":"ExplanationOfBenefit.item.detail.subDetail","short":"Additional items","definition":"Third-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail","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":"ExplanationOfBenefit.item.detail.subDetail.id","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.extension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.modifierExtension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.sequence","path":"ExplanationOfBenefit.item.detail.subDetail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.revenue","path":"ExplanationOfBenefit.item.detail.subDetail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.category","path":"ExplanationOfBenefit.item.detail.subDetail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.productOrService","path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.modifier","path":"ExplanationOfBenefit.item.detail.subDetail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.programCode","path":"ExplanationOfBenefit.item.detail.subDetail.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.quantity","path":"ExplanationOfBenefit.item.detail.subDetail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","path":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.factor","path":"ExplanationOfBenefit.item.detail.subDetail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.factor","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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.net","path":"ExplanationOfBenefit.item.detail.subDetail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.udi","path":"ExplanationOfBenefit.item.detail.subDetail.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.adjudication","path":"ExplanationOfBenefit.item.detail.subDetail.adjudication","short":"Subdetail level adjudication details","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication:denialreason","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"740;600"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"AddedItem"}],"path":"ExplanationOfBenefit.addItem","short":"Insurer added line items","definition":"The first-tier service adjudications for payor added product or service lines.","requirements":"Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem","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":"ExplanationOfBenefit.addItem.id","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.extension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.modifierExtension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.itemSequence","path":"ExplanationOfBenefit.addItem.itemSequence","short":"Item sequence number","definition":"Claim items which this service line is intended to replace.","requirements":"Provides references to the claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.itemSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detailSequence","path":"ExplanationOfBenefit.addItem.detailSequence","short":"Detail sequence number","definition":"The sequence number of the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim details within the claim item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.subDetailSequence","path":"ExplanationOfBenefit.addItem.subDetailSequence","short":"Subdetail sequence number","definition":"The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim sub-details within the claim detail.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.subDetailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.provider","path":"ExplanationOfBenefit.addItem.provider","short":"Authorized providers","definition":"The providers who are authorized for the services rendered to the patient.","requirements":"Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.provider","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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}]},{"id":"ExplanationOfBenefit.addItem.productOrService","path":"ExplanationOfBenefit.addItem.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.addItem.serviced[x]","path":"ExplanationOfBenefit.addItem.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine 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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":"ExplanationOfBenefit.addItem.detail.modifierExtension","path":"ExplanationOfBenefit.addItem.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. 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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":"ExplanationOfBenefit.addItem.detail.productOrService","path":"ExplanationOfBenefit.addItem.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.modifier","path":"ExplanationOfBenefit.addItem.detail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.quantity","path":"ExplanationOfBenefit.addItem.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.factor","path":"ExplanationOfBenefit.addItem.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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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":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.factor","path":"ExplanationOfBenefit.addItem.detail.subDetail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.factor","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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.net","path":"ExplanationOfBenefit.addItem.detail.subDetail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","short":"Added items adjudication","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication:denialreason","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.adjudication","path":"ExplanationOfBenefit.adjudication","short":"Header-level adjudication","definition":"The adjudication results which are presented at the header level rather than at the line-item or add-item levels.","requirements":"Some insurers will receive line-items but provide the adjudication only at a summary or header-level.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication:denialreason","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.total","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"'360;620"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Total"}],"path":"ExplanationOfBenefit.total","short":"Adjudication totals","definition":"Categorized monetary totals for the adjudication.","comment":"Totals for amounts submitted, co-pays, benefits payable etc.","requirements":"To provide the requestor with financial totals by category for the adjudication.","min":1,"max":"*","base":{"path":"ExplanationOfBenefit.total","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":"ExplanationOfBenefit.total.id","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.extension","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.modifierExtension","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.category","path":"ExplanationOfBenefit.total.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to convey the type of total provided.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.total.amount","path":"ExplanationOfBenefit.total.amount","short":"Financial total for the category","definition":"Monetary total amount associated with the category.","requirements":"Needed to convey the total monetary amount.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.amount","min":1,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.payment","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"360;650"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payment"}],"path":"ExplanationOfBenefit.payment","short":"Payment Details","definition":"Payment details for the adjudication of the claim.","requirements":"Needed to convey references to the financial instrument that has been used if payment has been made.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment","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},{"id":"ExplanationOfBenefit.payment.id","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.extension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.modifierExtension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.type","path":"ExplanationOfBenefit.payment.type","short":"Partial or complete payment","definition":"Whether this represents partial or complete payment of the benefits payable.","requirements":"To advise the requestor when the insurer believes all payments to have been completed.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":"PaymentType"}],"strength":"example","description":"The type (partial, complete) of the payment.","valueSet":"http://hl7.org/fhir/ValueSet/ex-paymenttype"}},{"id":"ExplanationOfBenefit.payment.adjustment","path":"ExplanationOfBenefit.payment.adjustment","short":"Payment adjustment for non-claim issues","definition":"Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.","comment":"Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.","requirements":"To advise the requestor of adjustments applied to the payment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustment","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.adjustmentReason","path":"ExplanationOfBenefit.payment.adjustmentReason","short":"Explanation for the variance","definition":"Reason for the payment adjustment.","requirements":"Needed to clarify the monetary adjustment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustmentReason","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.payment.date","path":"ExplanationOfBenefit.payment.date","short":"Expected date of payment","definition":"Estimated date the payment will be issued or the actual issue date of payment.","requirements":"To advise the payee when payment can be expected.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.date","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},{"id":"ExplanationOfBenefit.payment.amount","path":"ExplanationOfBenefit.payment.amount","short":"Payable amount after adjustment","definition":"Benefits payable less any payment adjustment.","requirements":"Needed to provide the actual payment amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.identifier","path":"ExplanationOfBenefit.payment.identifier","short":"Business identifier for the payment","definition":"Issuer's unique identifier for the payment instrument.","comment":"For example: EFT number or check number.","requirements":"Enable the receiver to reconcile when payment received.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":false},{"id":"ExplanationOfBenefit.formCode","path":"ExplanationOfBenefit.formCode","short":"Printed form identifier","definition":"A code for the form to be used for printing the content.","comment":"May be needed to identify specific jurisdictional forms.","requirements":"Needed to specify the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.formCode","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":"Forms"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"The forms codes.","valueSet":"http://hl7.org/fhir/ValueSet/forms"}},{"id":"ExplanationOfBenefit.form","path":"ExplanationOfBenefit.form","short":"Printed reference or actual form","definition":"The actual form, by reference or inclusion, for printing the content or an EOB.","comment":"Needed to permit insurers to include the actual form.","requirements":"Needed to include the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.form","min":0,"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":false},{"id":"ExplanationOfBenefit.processNote","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Note"}],"path":"ExplanationOfBenefit.processNote","short":"Note concerning adjudication","definition":"A note that describes or explains adjudication results in a human readable form.","requirements":"Provides the insurer specific textual explanations associated with the processing.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.processNote","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":"ExplanationOfBenefit.processNote.id","path":"ExplanationOfBenefit.processNote.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":"ExplanationOfBenefit.processNote.modifierExtension","path":"ExplanationOfBenefit.processNote.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 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text is used.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.processNote.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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"NoteType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","description":"The presentation types of notes.","valueSet":"http://hl7.org/fhir/ValueSet/note-type|4.0.1"}},{"id":"ExplanationOfBenefit.processNote.text","path":"ExplanationOfBenefit.processNote.text","short":"Note explanatory text","definition":"The explanation or description associated with the 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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":"ExplanationOfBenefit.benefitBalance.extension","path":"ExplanationOfBenefit.benefitBalance.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":"ExplanationOfBenefit.benefitBalance.modifierExtension","path":"ExplanationOfBenefit.benefitBalance.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. 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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 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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":"ExplanationOfBenefit.benefitBalance.financial.type","path":"ExplanationOfBenefit.benefitBalance.financial.type","short":"Benefit classification","definition":"Classification of benefit being provided.","comment":"For example: deductible, visits, benefit amount.","requirements":"Needed to convey the nature of the benefit.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.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,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitType"}],"strength":"example","description":"Deductable, visits, co-pay, etc.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-type"}},{"id":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","short":"Benefits allowed","definition":"The quantity of the benefit which is permitted under the coverage.","requirements":"Needed to convey the benefits offered under the coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"string"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.benefitBalance.financial.used[x]","path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","short":"Benefits used","definition":"The quantity of the benefit which have been consumed to date.","requirements":"Needed to convey the benefits consumed to date.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit","path":"ExplanationOfBenefit"},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"inpatient-facility","display":"Inpatient Facility"}},{"id":"ExplanationOfBenefit.supportingInfo","path":"ExplanationOfBenefit.supportingInfo","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"open"}},{"id":"ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"billingnetworkcontractingstatus","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"billingnetworkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:attendingnetworkcontractingstatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"attendingnetworkcontractingstatus","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:attendingnetworkcontractingstatus.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"attendingnetworkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:attendingnetworkcontractingstatus.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:referringnetworkcontractingstatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"referringnetworkcontractingstatus","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:referringnetworkcontractingstatus.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"referringnetworkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:referringnetworkcontractingstatus.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate","path":"ExplanationOfBenefit.supportingInfo","sliceName":"clmrecvddate","min":1,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"clmrecvddate"}},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.timing[x]","path":"ExplanationOfBenefit.supportingInfo.timing[x]","min":1,"type":[{"code":"date"}]},{"id":"ExplanationOfBenefit.supportingInfo:typeofservice","path":"ExplanationOfBenefit.supportingInfo","sliceName":"typeofservice","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:typeofservice.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"typeofservice"}},{"id":"ExplanationOfBenefit.supportingInfo:typeofservice.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-typeofservice"}},{"id":"ExplanationOfBenefit.supportingInfo:tob-typeoffacility","path":"ExplanationOfBenefit.supportingInfo","sliceName":"tob-typeoffacility","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:tob-typeoffacility.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"tob-typeoffacility"}},{"id":"ExplanationOfBenefit.supportingInfo:tob-typeoffacility.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-tob-typeoffacility"}},{"id":"ExplanationOfBenefit.supportingInfo:tob-billclassification","path":"ExplanationOfBenefit.supportingInfo","sliceName":"tob-billclassification","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:tob-billclassification.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"tob-billclassification"}},{"id":"ExplanationOfBenefit.supportingInfo:tob-billclassification.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-tob-billclassification"}},{"id":"ExplanationOfBenefit.supportingInfo:tob-frequency","path":"ExplanationOfBenefit.supportingInfo","sliceName":"tob-frequency","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:tob-frequency.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"tob-frequency"}},{"id":"ExplanationOfBenefit.supportingInfo:tob-frequency.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-tob-frequency"}},{"id":"ExplanationOfBenefit.supportingInfo:admsrc","path":"ExplanationOfBenefit.supportingInfo","sliceName":"admsrc","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:admsrc.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"admsrc"}},{"id":"ExplanationOfBenefit.supportingInfo:admsrc.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/ValueSet/nubc-pointoforiginforadmissionorvisit"}},{"id":"ExplanationOfBenefit.supportingInfo:admtype","path":"ExplanationOfBenefit.supportingInfo","sliceName":"admtype","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:admtype.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"admtype"}},{"id":"ExplanationOfBenefit.supportingInfo:admtype.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/ValueSet/nubc-prioritytypeofadmissionorvisit"}},{"id":"ExplanationOfBenefit.supportingInfo:discharge-status","path":"ExplanationOfBenefit.supportingInfo","sliceName":"discharge-status","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:discharge-status.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"discharge-status"}},{"id":"ExplanationOfBenefit.supportingInfo:discharge-status.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/ValueSet/nubc-patientdischargestatus"}},{"id":"ExplanationOfBenefit.supportingInfo:ms-drg","path":"ExplanationOfBenefit.supportingInfo","sliceName":"ms-drg","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:ms-drg.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"ms-drg"}},{"id":"ExplanationOfBenefit.supportingInfo:ms-drg.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-ms-drg"}},{"id":"ExplanationOfBenefit.supportingInfo:placeofservice","path":"ExplanationOfBenefit.supportingInfo","sliceName":"placeofservice","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:placeofservice.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"placeofservice"}},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-revenue-center"}},{"id":"ExplanationOfBenefit.item.productOrService","path":"ExplanationOfBenefit.item.productOrService","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-snomedct-procedurecodes"}},{"id":"ExplanationOfBenefit.item.adjudication","path":"ExplanationOfBenefit.item.adjudication","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"closed"}},{"id":"ExplanationOfBenefit.item.adjudication.category","path":"ExplanationOfBenefit.item.adjudication.category","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationcategory"}},{"id":"ExplanationOfBenefit.item.adjudication:adjudicationamounttype","path":"ExplanationOfBenefit.item.adjudication","sliceName":"adjudicationamounttype"},{"id":"ExplanationOfBenefit.item.adjudication:adjudicationamounttype.category","path":"ExplanationOfBenefit.item.adjudication.category","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason","path":"ExplanationOfBenefit.item.adjudication","sliceName":"denialreason","max":"1"},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.category","path":"ExplanationOfBenefit.item.adjudication.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","code":"denialreason"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.reason","path":"ExplanationOfBenefit.item.adjudication.reason","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.total","path":"ExplanationOfBenefit.total","min":1}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Outpatient-Facility.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Outpatient-Facility.json new file mode 100644 index 00000000000..9a49ac2b985 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Outpatient-Facility.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-ExplanationOfBenefit-Outpatient-Facility","meta":{"versionId":"194","lastUpdated":"2019-12-15T18:02:49.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ExplanationOfBenefit 0..*CARINBBExplanationOfBenefit
\".\"\".\"\".\" type 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type
\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: outpatient-facility
\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Outpatient Facility
\".\"\".\"\".\" supportingInfo 0..*(Slice Definition)Slice: Unordered, Open by value:category
\".\"\".\"\".\"\".\" supportingInfo:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Claim Information Category Value Set (extensible)
\".\"\".\"\".\"\".\" supportingInfo:placeOfServiceCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: placeofservice
\".\"\".\"\".\"\".\" supportingInfo:patientDischargeStatusCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: discharge-status
\".\"\".\"\".\"\".\" supportingInfo:sourceInpatientAdmissionTypeCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: admtype
\".\"\".\"\".\"\".\" supportingInfo:sourceInpatientAdmissionCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: admsrc
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: NUBC Point of Origin for Admission or Visit Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:frequencyCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: tob-frequency
\".\"\".\"\".\"\".\" supportingInfo:serviceClassificationCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: tob-billclassification
\".\"\".\"\".\"\".\" supportingInfo:facilityTypeCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: tob-typeoffacility
\".\"\".\"\".\"\".\" supportingInfo:claimReceivedDate 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: clmrecvddate
\".\"\".\"\".\"\".\" supportingInfo:referringProviderNetworkStatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: referringnetworkcontractingstatus
\".\"\".\"\".\"\".\" supportingInfo:billingProviderNetworkStatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: billingnetworkcontractingstatus

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit-outpatient-facility","version":"0.1.59-DRAFT","name":"CARINBBExplanationOfBenefitOutpatientFacility","title":"CARIN Blue Button Explanation of Benefit Outpatient Facility Profile","status":"active","date":"2019-07-26T00:00:00-04:00","publisher":"CARIN Alliance","description":"This profile is built upon the CARINBBExplanationOfBenefit Profile. The profile is used for Explanation of Benefits (EOBs) based on claims submitted by clinics, hospitals, skilled nursing facilities and other institutions for outpatient services, which may include including the use of equipment and supplies, laboratory services, radiology services and other charges. Outpatient claims are submitted for services rendered at a facility that are not part of an overnight stay. The claims data is based on the institutional claim form UB-04, submission standards adopted by the Department of Health and Human Services as form CMS-1450.\n","fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"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":"ExplanationOfBenefit","baseDefinition":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit","derivation":"constraint","snapshot":{"element":[{"id":"ExplanationOfBenefit","path":"ExplanationOfBenefit","short":"Explanation of Benefit resource","definition":"This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.","alias":["EOB"],"min":0,"max":"*","base":{"path":"ExplanationOfBenefit","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"}]},{"id":"ExplanationOfBenefit.id","path":"ExplanationOfBenefit.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":1,"max":"1","base":{"path":"Resource.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":true},{"id":"ExplanationOfBenefit.meta","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.implicitRules","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.language","path":"ExplanationOfBenefit.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"ExplanationOfBenefit.text","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.contained","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.extension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.modifierExtension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.identifier","path":"ExplanationOfBenefit.identifier","short":"Business Identifier for the resource","definition":"A unique identifier assigned to this explanation of benefit.","requirements":"Allows EOBs to be distinguished and referenced.","min":1,"max":"*","base":{"path":"ExplanationOfBenefit.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"}]},{"id":"ExplanationOfBenefit.status","path":"ExplanationOfBenefit.status","short":"active | cancelled | draft | entered-in-error","definition":"The status of the resource instance.","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 the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.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":"ExplanationOfBenefitStatus"}],"strength":"required","description":"A code specifying the state of the resource instance.","valueSet":"http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"}]},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","short":"Category or discipline","definition":"The category of claim, e.g. oral, pharmacy, vision, institutional, professional.","comment":"The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.","requirements":"Claim type determine the general sets of business rules applied for information requirements and adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"outpatient-facility","display":"Outpatient Facility"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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/us/carin/ValueSet/carin-bb-claim-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.subType","path":"ExplanationOfBenefit.subType","short":"More granular claim type","definition":"A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Some jurisdictions need a finer grained claim type for routing and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.subType","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":"ClaimSubType"}],"strength":"example","description":"A more granular claim typecode.","valueSet":"http://hl7.org/fhir/ValueSet/claim-subtype"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.use","path":"ExplanationOfBenefit.use","short":"claim | preauthorization | predetermination","definition":"A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.","requirements":"This element is required to understand the nature of the request for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.use","min":1,"max":"1"},"type":[{"code":"code"}],"patternCode":"claim","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"Use"}],"strength":"required","description":"Complete, proposed, exploratory, other.","valueSet":"http://hl7.org/fhir/ValueSet/claim-use|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.patient","path":"ExplanationOfBenefit.patient","short":"The recipient of the products and services","definition":"The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.","requirements":"The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.subject"}]},{"id":"ExplanationOfBenefit.billablePeriod","path":"ExplanationOfBenefit.billablePeriod","short":"Relevant time frame for the claim","definition":"The period for which charges are being submitted.","comment":"Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.","requirements":"A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.billablePeriod","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.created","path":"ExplanationOfBenefit.created","short":"Response creation date","definition":"The date this resource was created.","comment":"This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.","requirements":"Need to record a timestamp for use by both the recipient and the issuer.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.created","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.recorded"}]},{"id":"ExplanationOfBenefit.enterer","path":"ExplanationOfBenefit.enterer","short":"Author of the claim","definition":"Individual who created the claim, predetermination or preauthorization.","requirements":"Some jurisdictions require the contact information for personnel completing claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.enterer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["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":"workflow","map":"Event.performer.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.insurer","path":"ExplanationOfBenefit.insurer","short":"Party responsible for reimbursement","definition":"The party responsible for authorization, adjudication and reimbursement.","requirements":"To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurer","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.provider","path":"ExplanationOfBenefit.provider","short":"Party responsible for the claim","definition":"The provider which is responsible for the claim, predetermination or preauthorization.","comment":"Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.source"}]},{"id":"ExplanationOfBenefit.priority","path":"ExplanationOfBenefit.priority","short":"Desired processing urgency","definition":"The provider-required urgency of processing the request. Typical values include: stat, routine deferred.","comment":"If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.","requirements":"The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.priority","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":"ProcessPriority"}],"strength":"example","description":"The timeliness with which processing is required: stat, normal, deferred.","valueSet":"http://terminology.hl7.org/CodeSystem/processpriority"},"mapping":[{"identity":"v2","map":"Request.priority"}]},{"id":"ExplanationOfBenefit.fundsReserveRequested","path":"ExplanationOfBenefit.fundsReserveRequested","short":"For whom to reserve funds","definition":"A code to indicate whether and for whom funds are to be reserved for future claims.","comment":"This field is only used for preauthorizations.","requirements":"In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.","alias":["Fund pre-allocation"],"min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserveRequested","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.fundsReserve","path":"ExplanationOfBenefit.fundsReserve","short":"Funds reserved status","definition":"A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.","comment":"Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.","requirements":"Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserve","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.related","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"RelatedClaim"}],"path":"ExplanationOfBenefit.related","short":"Prior or corollary claims","definition":"Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.","comment":"For example, for the original treatment and follow-up exams.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.related","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.related.id","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.extension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.modifierExtension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.claim","path":"ExplanationOfBenefit.related.claim","short":"Reference to the related claim","definition":"Reference to a related claim.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.related.relationship","path":"ExplanationOfBenefit.related.relationship","short":"How the reference claim is related","definition":"A code to convey how the claims are related.","comment":"For example, prior claim or umbrella.","requirements":"Some insurers need a declaration of the type of relationship.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.related.relationship","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-relatedclaimrelationship"}},{"id":"ExplanationOfBenefit.related.reference","path":"ExplanationOfBenefit.related.reference","short":"File or case reference","definition":"An alternate organizational reference to the case or file to which this particular claim pertains.","comment":"For example, Property/Casualty insurer claim number or Workers Compensation case number.","requirements":"In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.reference","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},{"id":"ExplanationOfBenefit.prescription","path":"ExplanationOfBenefit.prescription","short":"Prescription authorizing services or products","definition":"Prescription to support the dispensing of pharmacy, device or vision products.","requirements":"Required to authorize the dispensing of controlled substances and devices.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.prescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/VisionPrescription"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.originalPrescription","path":"ExplanationOfBenefit.originalPrescription","short":"Original prescription if superceded by fulfiller","definition":"Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.","comment":"For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.","requirements":"Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.originalPrescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payee","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payee"}],"path":"ExplanationOfBenefit.payee","short":"Recipient of benefits payable","definition":"The party to be reimbursed for cost of the products and services according to the terms of the policy.","comment":"Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.","requirements":"The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payee","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.payee.id","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.extension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.modifierExtension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.type","path":"ExplanationOfBenefit.payee.type","short":"Category of recipient","definition":"Type of Party to be reimbursed: Subscriber, provider, other.","requirements":"Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.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":"PayeeType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"A code for the party to be reimbursed.","valueSet":"http://hl7.org/fhir/ValueSet/payeetype"}},{"id":"ExplanationOfBenefit.payee.party","path":"ExplanationOfBenefit.payee.party","short":"Recipient reference","definition":"Reference to the individual or organization to whom any payment will be made.","comment":"Not required if the payee is 'subscriber' or 'provider'.","requirements":"Need to provide demographics if the payee is not 'subscriber' nor 'provider'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.party","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-practitionerrole","http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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},{"id":"ExplanationOfBenefit.referral","path":"ExplanationOfBenefit.referral","short":"Treatment Referral","definition":"A reference to a referral resource.","comment":"The referral resource which lists the date, practitioner, reason and other supporting information.","requirements":"Some insurers require proof of referral to pay for services or to pay specialist rates for services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.referral","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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.cause"}]},{"id":"ExplanationOfBenefit.facility","path":"ExplanationOfBenefit.facility","short":"Servicing Facility","definition":"Facility where the services were provided.","requirements":"Insurance adjudication can be dependant on where services were delivered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.facility","min":0,"max":"1"},"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":false,"mapping":[{"identity":"workflow","map":"Event.performer.location"},{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.claim","path":"ExplanationOfBenefit.claim","short":"Claim reference","definition":"The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.","requirements":"To provide a link to the original adjudication request.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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]"}]},{"id":"ExplanationOfBenefit.claimResponse","path":"ExplanationOfBenefit.claimResponse","short":"Claim response reference","definition":"The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.","requirements":"To provide a link to the original adjudication response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claimResponse","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.outcome","path":"ExplanationOfBenefit.outcome","short":"queued | complete | error | partial","definition":"The outcome of the claim, predetermination, or preauthorization processing.","comment":"The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).","requirements":"To advise the requestor of an overall processing outcome.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.outcome","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":"RemittanceOutcome"}],"strength":"required","description":"The result of the claim processing.","valueSet":"http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1"}},{"id":"ExplanationOfBenefit.disposition","path":"ExplanationOfBenefit.disposition","short":"Disposition Message","definition":"A human readable description of the status of the adjudication.","requirements":"Provided for user display.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.disposition","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":"ExplanationOfBenefit.preAuthRef","path":"ExplanationOfBenefit.preAuthRef","short":"Preauthorization reference","definition":"Reference from the Insurer which is used in later communications which refers to this adjudication.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRef","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},{"id":"ExplanationOfBenefit.preAuthRefPeriod","path":"ExplanationOfBenefit.preAuthRefPeriod","short":"Preauthorization in-effect period","definition":"The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRefPeriod","min":0,"max":"*"},"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},{"id":"ExplanationOfBenefit.careTeam","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"CareTeam"}],"path":"ExplanationOfBenefit.careTeam","short":"Care Team members","definition":"The members of the team who provided the products and services.","requirements":"Common to identify the responsible and supporting practitioners.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.careTeam","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.id","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.extension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.modifierExtension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.sequence","path":"ExplanationOfBenefit.careTeam.sequence","short":"Order of care team","definition":"A number to uniquely identify care team entries.","requirements":"Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.careTeam.provider","path":"ExplanationOfBenefit.careTeam.provider","short":"Practitioner or organization","definition":"Member of the team who provided the product or service.","requirements":"Often a regulatory requirement to specify the responsible provider.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.actor"}]},{"id":"ExplanationOfBenefit.careTeam.responsible","path":"ExplanationOfBenefit.careTeam.responsible","short":"Indicator of the lead practitioner","definition":"The party who is billing and/or responsible for the claimed products or services.","comment":"Responsible might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the lead or responsible individual.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.responsible","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.role","path":"ExplanationOfBenefit.careTeam.role","short":"Function within the team","definition":"The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.","comment":"Role might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the roles performed by each member.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.role","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claimcareteamrole"}},{"id":"ExplanationOfBenefit.careTeam.qualification","path":"ExplanationOfBenefit.careTeam.qualification","short":"Practitioner credential or specialization","definition":"The qualification of the practitioner which is applicable for this service.","requirements":"Need to specify which qualification a provider is delivering the product or service under.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.qualification","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":"ProviderQualification"}],"strength":"example","description":"Provider professional 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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":"ExplanationOfBenefit.supportingInfo.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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. 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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":"ExplanationOfBenefit.supportingInfo.sequence","path":"ExplanationOfBenefit.supportingInfo.sequence","short":"Information instance identifier","definition":"A number to uniquely identify supporting information entries.","requirements":"Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.supportingInfo.category","path":"ExplanationOfBenefit.supportingInfo.category","short":"Classification of the supplied information","definition":"The general class of the information supplied: information; exception; accident, employment; onset, etc.","comment":"This may contain a category for the local bill type codes.","requirements":"Required to group or associate information items with common characteristics. For example: admission information or prior treatments.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory"}},{"id":"ExplanationOfBenefit.supportingInfo.code","path":"ExplanationOfBenefit.supportingInfo.code","short":"Type of information","definition":"System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Required to identify the kind of additional information.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"InformationCode"}],"strength":"example","description":"The valuset used for additional information codes.","valueSet":"http://hl7.org/fhir/ValueSet/claim-exception"}},{"id":"ExplanationOfBenefit.supportingInfo.timing[x]","path":"ExplanationOfBenefit.supportingInfo.timing[x]","short":"When it occurred","definition":"The date when or period to which this information refers.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.timing[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo.value[x]","path":"ExplanationOfBenefit.supportingInfo.value[x]","short":"Data to be provided","definition":"Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.","comment":"Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.supportingInfo:placeOfServiceCode","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","sliceName":"placeOfServiceCode","short":"Supporting information","definition":"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.","comment":"Often there are multiple jurisdiction specific valuesets which are required.","requirements":"Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo:placeOfServiceCode.id","path":"ExplanationOfBenefit.supportingInfo.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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The use of extensions 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":"ExplanationOfBenefit.supportingInfo:placeOfServiceCode.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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. 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For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo:referringProviderNetworkStatus.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","sliceName":"billingProviderNetworkStatus","short":"Supporting information","definition":"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.","comment":"Often there are multiple jurisdiction specific valuesets which are required.","requirements":"Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.id","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.extension","path":"ExplanationOfBenefit.supportingInfo.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. 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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":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.sequence","path":"ExplanationOfBenefit.supportingInfo.sequence","short":"Information instance identifier","definition":"A number to uniquely identify supporting information entries.","requirements":"Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.category","path":"ExplanationOfBenefit.supportingInfo.category","short":"Classification of the supplied information","definition":"The general class of the information supplied: information; exception; accident, employment; onset, etc.","comment":"This may contain a category for the local bill type codes.","requirements":"Required to group or associate information items with common characteristics. 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For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.diagnosis","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Diagnosis"}],"path":"ExplanationOfBenefit.diagnosis","short":"Pertinent diagnosis information","definition":"Information about diagnoses relevant to the claim items.","requirements":"Required for the adjudication by provided context for the services and product listed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.diagnosis","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.diagnosis.id","path":"ExplanationOfBenefit.diagnosis.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":"ExplanationOfBenefit.diagnosis.modifierExtension","path":"ExplanationOfBenefit.diagnosis.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. 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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 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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":"ICD10"}],"strength":"example","description":"ICD10 Diagnostic codes.","valueSet":"http://hl7.org/fhir/ValueSet/icd-10"}},{"id":"ExplanationOfBenefit.diagnosis.type","path":"ExplanationOfBenefit.diagnosis.type","short":"Timing or nature of the diagnosis","definition":"When the condition was observed or the relative ranking.","comment":"For example: admitting, primary, secondary, discharge.","requirements":"Often required to capture a particular diagnosis, for example: primary or discharge.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.type","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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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":"DiagnosisOnAdmission"}],"strength":"example","description":"Present on admission.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"}},{"id":"ExplanationOfBenefit.diagnosis.packageCode","path":"ExplanationOfBenefit.diagnosis.packageCode","short":"Package billing code","definition":"A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.","comment":"For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.","requirements":"Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.packageCode","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":"DiagnosisRelatedGroup"}],"strength":"example","description":"The DRG codes associated with the diagnosis.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"}},{"id":"ExplanationOfBenefit.procedure","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Procedure"}],"path":"ExplanationOfBenefit.procedure","short":"Clinical procedures performed","definition":"Procedures performed on the patient relevant to the billing items with the claim.","requirements":"The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.id","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.extension","path":"ExplanationOfBenefit.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 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":"ExplanationOfBenefit.procedure.modifierExtension","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.sequence","path":"ExplanationOfBenefit.procedure.sequence","short":"Procedure instance identifier","definition":"A number to uniquely identify procedure entries.","requirements":"Necessary to provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.procedure.type","path":"ExplanationOfBenefit.procedure.type","short":"Category of Procedure","definition":"When the condition was observed or the relative ranking.","requirements":"Often required to capture a particular diagnosis, for example: primary or discharge.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureType"}],"strength":"example","description":"Example procedure type codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-procedure-type"}},{"id":"ExplanationOfBenefit.procedure.date","path":"ExplanationOfBenefit.procedure.date","short":"When the procedure was performed","definition":"Date and optionally time the procedure was performed.","requirements":"Required for auditing purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.procedure[x]","path":"ExplanationOfBenefit.procedure.procedure[x]","short":"Specific clinical procedure","definition":"The code or reference to a Procedure resource which identifies the clinical intervention performed.","requirements":"This identifies the actual clinical procedure.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.procedure[x]","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":"ICD10_Procedures"}],"strength":"example","description":"ICD10 Procedure codes.","valueSet":"http://hl7.org/fhir/ValueSet/icd-10-procedures"}},{"id":"ExplanationOfBenefit.procedure.udi","path":"ExplanationOfBenefit.procedure.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.precedence","path":"ExplanationOfBenefit.precedence","short":"Precedence (primary, secondary, etc.)","definition":"This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.","requirements":"Needed to coordinate between multiple EOBs for the same suite of services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.precedence","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":false},{"id":"ExplanationOfBenefit.insurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","slicing":{"discriminator":[{"type":"value","path":"focal"}],"rules":"closed"},"short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":1,"max":"2","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":true,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.insurance:primaryinsurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","sliceName":"primaryinsurance","short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":false,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.accident","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Accident"}],"path":"ExplanationOfBenefit.accident","short":"Details of the event","definition":"Details of a accident which resulted in injuries which required the products and services listed in the claim.","requirements":"When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident","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},{"id":"ExplanationOfBenefit.accident.id","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.extension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.modifierExtension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.date","path":"ExplanationOfBenefit.accident.date","short":"When the incident occurred","definition":"Date of an accident event related to the products and services contained in the claim.","comment":"The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.","requirements":"Required for audit purposes and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.date","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},{"id":"ExplanationOfBenefit.accident.type","path":"ExplanationOfBenefit.accident.type","short":"The nature of the accident","definition":"The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.","requirements":"Coverage may be dependant on the type of accident.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.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":"AccidentType"}],"strength":"extensible","description":"Type of accident: work place, auto, etc.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"}},{"id":"ExplanationOfBenefit.accident.location[x]","path":"ExplanationOfBenefit.accident.location[x]","short":"Where the event occurred","definition":"The physical location of the accident event.","requirements":"Required for audit purposes and determination of applicable insurance liability.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.location[x]","min":0,"max":"1"},"type":[{"code":"Address"},{"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":false},{"id":"ExplanationOfBenefit.item","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Item"}],"path":"ExplanationOfBenefit.item","short":"Product or service provided","definition":"A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.","requirements":"The items to be processed for adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.sequence","path":"ExplanationOfBenefit.item.sequence","short":"Item instance identifier","definition":"A number to uniquely identify item entries.","requirements":"Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.careTeamSequence","path":"ExplanationOfBenefit.item.careTeamSequence","short":"Applicable care team members","definition":"Care team members related to this service or product.","requirements":"Need to identify the individuals and their roles in the provision of the product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.careTeamSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.diagnosisSequence","path":"ExplanationOfBenefit.item.diagnosisSequence","short":"Applicable diagnoses","definition":"Diagnoses applicable for this service or product.","requirements":"Need to related the product or service to the associated diagnoses.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.diagnosisSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.procedureSequence","path":"ExplanationOfBenefit.item.procedureSequence","short":"Applicable procedures","definition":"Procedures applicable for this service or product.","requirements":"Need to provide any listed specific procedures to support the product or service being claimed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.procedureSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.informationSequence","path":"ExplanationOfBenefit.item.informationSequence","short":"Applicable exception and supporting information","definition":"Exceptions, special conditions and supporting information applicable for this service or product.","requirements":"Need to reference the supporting information items that relate directly to this product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.informationSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.category","path":"ExplanationOfBenefit.item.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.productOrService","path":"ExplanationOfBenefit.item.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.item.modifier","path":"ExplanationOfBenefit.item.modifier","short":"Product or service billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.programCode","path":"ExplanationOfBenefit.item.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.serviced[x]","path":"ExplanationOfBenefit.item.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.item.location[x]","path":"ExplanationOfBenefit.item.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.location[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Address"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServicePlace"}],"strength":"example","description":"Place where the service is rendered.","valueSet":"http://hl7.org/fhir/ValueSet/service-place"},"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.item.quantity","path":"ExplanationOfBenefit.item.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.unitPrice","path":"ExplanationOfBenefit.item.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.factor","path":"ExplanationOfBenefit.item.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.factor","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":false},{"id":"ExplanationOfBenefit.item.net","path":"ExplanationOfBenefit.item.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.udi","path":"ExplanationOfBenefit.item.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.bodySite","path":"ExplanationOfBenefit.item.bodySite","short":"Anatomical location","definition":"Physical service site on the patient (limb, tooth, etc.).","comment":"For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.","requirements":"Allows insurer to validate specific procedures.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.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":"OralSites"}],"strength":"example","description":"The code for the teeth, quadrant, sextant and arch.","valueSet":"http://hl7.org/fhir/ValueSet/tooth"}},{"id":"ExplanationOfBenefit.item.subSite","path":"ExplanationOfBenefit.item.subSite","short":"Anatomical sub-location","definition":"A region or surface of the bodySite, e.g. limb region or tooth surface(s).","requirements":"Allows insurer to validate specific procedures.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.subSite","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":"Surface"}],"strength":"example","description":"The code for the tooth surface and surface combinations.","valueSet":"http://hl7.org/fhir/ValueSet/surface"}},{"id":"ExplanationOfBenefit.item.encounter","path":"ExplanationOfBenefit.item.encounter","short":"Encounters related to this billed item","definition":"A billed item may include goods or services provided in multiple encounters.","requirements":"Used in some jurisdictions to link clinical events to claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.encounter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.noteNumber","path":"ExplanationOfBenefit.item.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.adjudication","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Adjudication"}],"path":"ExplanationOfBenefit.item.adjudication","short":"Adjudication details","definition":"If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.","requirements":"The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.adjudication","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":"ExplanationOfBenefit.item.adjudication.id","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.extension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.modifierExtension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.category","path":"ExplanationOfBenefit.item.adjudication.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to enable understanding of the context of the other information in the adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.category","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":"Adjudication"}],"strength":"example","description":"The adjudication codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication"}},{"id":"ExplanationOfBenefit.item.adjudication.reason","path":"ExplanationOfBenefit.item.adjudication.reason","short":"Explanation of adjudication outcome","definition":"A code supporting the understanding of the adjudication result and explaining variance from expected amount.","comment":"For example, may indicate that the funds for this benefit type have been exhausted.","requirements":"To support understanding of variance from adjudication expectations.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.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":"AdjudicationReason"}],"strength":"example","description":"Adjudication reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication-reason"}},{"id":"ExplanationOfBenefit.item.adjudication.amount","path":"ExplanationOfBenefit.item.adjudication.amount","short":"Monetary amount","definition":"Monetary amount associated with the category.","comment":"For example, amount submitted, eligible amount, co-payment, and benefit payable.","requirements":"Most adjuciation categories convey a monetary amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.adjudication.value","path":"ExplanationOfBenefit.item.adjudication.value","short":"Non-monitary value","definition":"A non-monetary value associated with the category. Mutually exclusive to the amount element above.","comment":"For example: eligible percentage or co-payment percentage.","requirements":"Some adjudication categories convey a percentage or a fixed value.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.value","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":false},{"id":"ExplanationOfBenefit.item.detail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Detail"}],"path":"ExplanationOfBenefit.item.detail","short":"Additional items","definition":"Second-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail","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":"ExplanationOfBenefit.item.detail.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.sequence","path":"ExplanationOfBenefit.item.detail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.revenue","path":"ExplanationOfBenefit.item.detail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.category","path":"ExplanationOfBenefit.item.detail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.productOrService","path":"ExplanationOfBenefit.item.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.item.detail.modifier","path":"ExplanationOfBenefit.item.detail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.detail.programCode","path":"ExplanationOfBenefit.item.detail.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.quantity","path":"ExplanationOfBenefit.item.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the 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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":"ExplanationOfBenefit.item.detail.subDetail.extension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.modifierExtension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.sequence","path":"ExplanationOfBenefit.item.detail.subDetail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.revenue","path":"ExplanationOfBenefit.item.detail.subDetail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.category","path":"ExplanationOfBenefit.item.detail.subDetail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.productOrService","path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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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":"ExplanationOfBenefit.addItem.modifierExtension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.itemSequence","path":"ExplanationOfBenefit.addItem.itemSequence","short":"Item sequence number","definition":"Claim items which this service line is intended to replace.","requirements":"Provides references to the claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.itemSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detailSequence","path":"ExplanationOfBenefit.addItem.detailSequence","short":"Detail sequence number","definition":"The sequence number of the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim details within the claim item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.subDetailSequence","path":"ExplanationOfBenefit.addItem.subDetailSequence","short":"Subdetail sequence number","definition":"The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim sub-details within the claim detail.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.subDetailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.provider","path":"ExplanationOfBenefit.addItem.provider","short":"Authorized providers","definition":"The providers who are authorized for the services rendered to the patient.","requirements":"Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.provider","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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}]},{"id":"ExplanationOfBenefit.addItem.productOrService","path":"ExplanationOfBenefit.addItem.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.modifier","path":"ExplanationOfBenefit.addItem.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.programCode","path":"ExplanationOfBenefit.addItem.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.addItem.serviced[x]","path":"ExplanationOfBenefit.addItem.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.addItem.location[x]","path":"ExplanationOfBenefit.addItem.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.location[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Address"},{"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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServicePlace"}],"strength":"example","description":"Place where the service is rendered.","valueSet":"http://hl7.org/fhir/ValueSet/service-place"},"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.addItem.quantity","path":"ExplanationOfBenefit.addItem.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.unitPrice","path":"ExplanationOfBenefit.addItem.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.factor","path":"ExplanationOfBenefit.addItem.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.factor","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":false},{"id":"ExplanationOfBenefit.addItem.net","path":"ExplanationOfBenefit.addItem.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.bodySite","path":"ExplanationOfBenefit.addItem.bodySite","short":"Anatomical location","definition":"Physical service site on the patient (limb, tooth, etc.).","comment":"For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.","requirements":"Allows insurer to validate specific procedures.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.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":"OralSites"}],"strength":"example","description":"The code for the teeth, quadrant, sextant and arch.","valueSet":"http://hl7.org/fhir/ValueSet/tooth"}},{"id":"ExplanationOfBenefit.addItem.subSite","path":"ExplanationOfBenefit.addItem.subSite","short":"Anatomical sub-location","definition":"A region or surface of the bodySite, e.g. limb region or tooth surface(s).","requirements":"Allows insurer to validate specific procedures.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.subSite","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":"Surface"}],"strength":"example","description":"The code for the tooth surface and surface combinations.","valueSet":"http://hl7.org/fhir/ValueSet/surface"}},{"id":"ExplanationOfBenefit.addItem.noteNumber","path":"ExplanationOfBenefit.addItem.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.adjudication","path":"ExplanationOfBenefit.addItem.adjudication","short":"Added items adjudication","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"740;600"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"AddedItemDetail"}],"path":"ExplanationOfBenefit.addItem.detail","short":"Insurer added line items","definition":"The second-tier service adjudications for payor added services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail","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":"ExplanationOfBenefit.addItem.detail.id","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.detail.extension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.detail.modifierExtension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.detail.productOrService","path":"ExplanationOfBenefit.addItem.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.modifier","path":"ExplanationOfBenefit.addItem.detail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.quantity","path":"ExplanationOfBenefit.addItem.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.factor","path":"ExplanationOfBenefit.addItem.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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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":"ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension","path":"ExplanationOfBenefit.addItem.detail.subDetail.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. 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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":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). 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Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","short":"Added items adjudication","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.adjudication","path":"ExplanationOfBenefit.adjudication","short":"Header-level adjudication","definition":"The adjudication results which are presented at the header level rather than at the line-item or add-item levels.","requirements":"Some insurers will receive line-items but provide the adjudication only at a summary or header-level.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.total","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"'360;620"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Total"}],"path":"ExplanationOfBenefit.total","short":"Adjudication totals","definition":"Categorized monetary totals for the adjudication.","comment":"Totals for amounts submitted, co-pays, benefits payable etc.","requirements":"To provide the requestor with financial totals by category for the adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.total","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":"ExplanationOfBenefit.total.id","path":"ExplanationOfBenefit.total.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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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":"ExplanationOfBenefit.total.category","path":"ExplanationOfBenefit.total.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to convey the type of total provided.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.total.amount","path":"ExplanationOfBenefit.total.amount","short":"Financial total for the category","definition":"Monetary total amount associated with the category.","requirements":"Needed to convey the total monetary amount.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.amount","min":1,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.payment","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"360;650"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payment"}],"path":"ExplanationOfBenefit.payment","short":"Payment Details","definition":"Payment details for the adjudication of the claim.","requirements":"Needed to convey references to the financial instrument that has been used if payment has been made.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment","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},{"id":"ExplanationOfBenefit.payment.id","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.extension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.modifierExtension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.type","path":"ExplanationOfBenefit.payment.type","short":"Partial or complete payment","definition":"Whether this represents partial or complete payment of the benefits payable.","requirements":"To advise the requestor when the insurer believes all payments to have been completed.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":"PaymentType"}],"strength":"example","description":"The type (partial, complete) of the payment.","valueSet":"http://hl7.org/fhir/ValueSet/ex-paymenttype"}},{"id":"ExplanationOfBenefit.payment.adjustment","path":"ExplanationOfBenefit.payment.adjustment","short":"Payment adjustment for non-claim issues","definition":"Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.","comment":"Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.","requirements":"To advise the requestor of adjustments applied to the payment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustment","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.adjustmentReason","path":"ExplanationOfBenefit.payment.adjustmentReason","short":"Explanation for the variance","definition":"Reason for the payment adjustment.","requirements":"Needed to clarify the monetary adjustment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustmentReason","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.payment.date","path":"ExplanationOfBenefit.payment.date","short":"Expected date of payment","definition":"Estimated date the payment will be issued or the actual issue date of payment.","requirements":"To advise the payee when payment can be expected.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.date","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},{"id":"ExplanationOfBenefit.payment.amount","path":"ExplanationOfBenefit.payment.amount","short":"Payable amount after adjustment","definition":"Benefits payable less any payment adjustment.","requirements":"Needed to provide the actual payment amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.identifier","path":"ExplanationOfBenefit.payment.identifier","short":"Business identifier for the payment","definition":"Issuer's unique identifier for the payment instrument.","comment":"For example: EFT number or check number.","requirements":"Enable the receiver to reconcile when payment received.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":false},{"id":"ExplanationOfBenefit.formCode","path":"ExplanationOfBenefit.formCode","short":"Printed form identifier","definition":"A code for the form to be used for printing the content.","comment":"May be needed to identify specific jurisdictional forms.","requirements":"Needed to specify the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.formCode","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":"Forms"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"The forms codes.","valueSet":"http://hl7.org/fhir/ValueSet/forms"}},{"id":"ExplanationOfBenefit.form","path":"ExplanationOfBenefit.form","short":"Printed reference or actual form","definition":"The actual form, by reference or inclusion, for printing the content or an EOB.","comment":"Needed to permit insurers to include the actual form.","requirements":"Needed to include the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.form","min":0,"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":false},{"id":"ExplanationOfBenefit.processNote","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Note"}],"path":"ExplanationOfBenefit.processNote","short":"Note concerning adjudication","definition":"A note that describes or explains adjudication results in a human readable form.","requirements":"Provides the insurer specific textual explanations associated with the processing.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.processNote","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":"ExplanationOfBenefit.processNote.id","path":"ExplanationOfBenefit.processNote.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":"ExplanationOfBenefit.processNote.modifierExtension","path":"ExplanationOfBenefit.processNote.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. 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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":"ExplanationOfBenefit.processNote.number","path":"ExplanationOfBenefit.processNote.number","short":"Note instance identifier","definition":"A number to uniquely identify a note entry.","requirements":"Necessary to provide a mechanism to link from adjudications.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.processNote.number","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":false},{"id":"ExplanationOfBenefit.processNote.type","path":"ExplanationOfBenefit.processNote.type","short":"display | print | printoper","definition":"The business purpose of the note text.","requirements":"To convey the expectation for when the 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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":"ExplanationOfBenefit.benefitBalance.extension","path":"ExplanationOfBenefit.benefitBalance.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":"ExplanationOfBenefit.benefitBalance.modifierExtension","path":"ExplanationOfBenefit.benefitBalance.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":"ExplanationOfBenefit.benefitBalance.category","path":"ExplanationOfBenefit.benefitBalance.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed to convey the category of service or product for which eligibility is sought.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.category","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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.benefitBalance.excluded","path":"ExplanationOfBenefit.benefitBalance.excluded","short":"Excluded from the plan","definition":"True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.","requirements":"Needed to identify items that are specifically excluded from the coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.excluded","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},{"id":"ExplanationOfBenefit.benefitBalance.name","path":"ExplanationOfBenefit.benefitBalance.name","short":"Short name for the benefit","definition":"A short name or tag for the benefit.","comment":"For example: MED01, or DENT2.","requirements":"Required to align with other plan names.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.name","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":"ExplanationOfBenefit.benefitBalance.description","path":"ExplanationOfBenefit.benefitBalance.description","short":"Description of the benefit or services covered","definition":"A richer description of the benefit or services covered.","comment":"For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.","requirements":"Needed for human readable reference.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.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},{"id":"ExplanationOfBenefit.benefitBalance.network","path":"ExplanationOfBenefit.benefitBalance.network","short":"In or out of network","definition":"Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.","requirements":"Needed as in or out of network providers are treated differently under the coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.network","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":"BenefitNetwork"}],"strength":"example","description":"Code to classify in or out of network services.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-network"}},{"id":"ExplanationOfBenefit.benefitBalance.unit","path":"ExplanationOfBenefit.benefitBalance.unit","short":"Individual or family","definition":"Indicates if the benefits apply to an individual or to the family.","requirements":"Needed for the understanding of the benefits.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.unit","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":"BenefitUnit"}],"strength":"example","description":"Unit covered/serviced - individual or family.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-unit"}},{"id":"ExplanationOfBenefit.benefitBalance.term","path":"ExplanationOfBenefit.benefitBalance.term","short":"Annual or lifetime","definition":"The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.","requirements":"Needed for the understanding of the benefits.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.term","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":"BenefitTerm"}],"strength":"example","description":"Coverage unit - annual, lifetime.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-term"}},{"id":"ExplanationOfBenefit.benefitBalance.financial","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Benefit"}],"path":"ExplanationOfBenefit.benefitBalance.financial","short":"Benefit Summary","definition":"Benefits Used to date.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.benefitBalance.financial","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":"ExplanationOfBenefit.benefitBalance.financial.id","path":"ExplanationOfBenefit.benefitBalance.financial.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":"ExplanationOfBenefit.benefitBalance.financial.extension","path":"ExplanationOfBenefit.benefitBalance.financial.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":"ExplanationOfBenefit.benefitBalance.financial.modifierExtension","path":"ExplanationOfBenefit.benefitBalance.financial.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":"ExplanationOfBenefit.benefitBalance.financial.type","path":"ExplanationOfBenefit.benefitBalance.financial.type","short":"Benefit classification","definition":"Classification of benefit being provided.","comment":"For example: deductible, visits, benefit amount.","requirements":"Needed to convey the nature of the benefit.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.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,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitType"}],"strength":"example","description":"Deductable, visits, co-pay, etc.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-type"}},{"id":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","short":"Benefits allowed","definition":"The quantity of the benefit which is permitted under the coverage.","requirements":"Needed to convey the benefits offered under the coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"string"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.benefitBalance.financial.used[x]","path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","short":"Benefits used","definition":"The quantity of the benefit which have been consumed to date.","requirements":"Needed to convey the benefits consumed to date.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit","path":"ExplanationOfBenefit"},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"outpatient-facility","display":"Outpatient Facility"}},{"id":"ExplanationOfBenefit.supportingInfo","path":"ExplanationOfBenefit.supportingInfo","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"open"}},{"id":"ExplanationOfBenefit.supportingInfo.category","path":"ExplanationOfBenefit.supportingInfo.category","binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory"}},{"id":"ExplanationOfBenefit.supportingInfo:placeOfServiceCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"placeOfServiceCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:placeOfServiceCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"placeofservice"}]}},{"id":"ExplanationOfBenefit.supportingInfo:patientDischargeStatusCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"patientDischargeStatusCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:patientDischargeStatusCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"discharge-status"}]}},{"id":"ExplanationOfBenefit.supportingInfo:sourceInpatientAdmissionTypeCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"sourceInpatientAdmissionTypeCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:sourceInpatientAdmissionTypeCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"admtype"}]}},{"id":"ExplanationOfBenefit.supportingInfo:sourceInpatientAdmissionCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"sourceInpatientAdmissionCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:sourceInpatientAdmissionCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"admsrc"}]}},{"id":"ExplanationOfBenefit.supportingInfo:sourceInpatientAdmissionCode.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/ValueSet/nubc-pointoforiginforadmissionorvisit"}},{"id":"ExplanationOfBenefit.supportingInfo:frequencyCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"frequencyCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:frequencyCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"tob-frequency"}]}},{"id":"ExplanationOfBenefit.supportingInfo:serviceClassificationCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"serviceClassificationCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:serviceClassificationCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"tob-billclassification"}]}},{"id":"ExplanationOfBenefit.supportingInfo:facilityTypeCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"facilityTypeCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:facilityTypeCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"tob-typeoffacility"}]}},{"id":"ExplanationOfBenefit.supportingInfo:claimReceivedDate","path":"ExplanationOfBenefit.supportingInfo","sliceName":"claimReceivedDate","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:claimReceivedDate.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"clmrecvddate"}]}},{"id":"ExplanationOfBenefit.supportingInfo:referringProviderNetworkStatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"referringProviderNetworkStatus","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:referringProviderNetworkStatus.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"referringnetworkcontractingstatus"}]}},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"billingProviderNetworkStatus","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"billingnetworkcontractingstatus"}]}}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Pharmacy.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Pharmacy.json new file mode 100644 index 00000000000..192b4f39510 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Pharmacy.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-ExplanationOfBenefit-Pharmacy","meta":{"versionId":"43","lastUpdated":"2019-12-17T17:00:54.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ExplanationOfBenefit 0..*CARINBBExplanationOfBenefit
\".\"\".\"\".\" type 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type
\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: pharmacy
\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Pharmacy
\".\"\".\"\".\" supportingInfo 0..*(Slice Definition)Slice: Unordered, Open by value:category
\".\"\".\"\".\"\".\" supportingInfo:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Claim Information Category Value Set (extensible)
\".\"\".\"\".\"\".\" supportingInfo:brandGenericCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: brandgenericcode
\".\"\".\"\".\"\".\" supportingInfo:rxOriginCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: rxorigincode
\".\"\".\"\".\"\".\" supportingInfo:refillNum 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: refillnum
\".\"\".\"\".\"\".\" supportingInfo:dawCode 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: dawcode
\".\"\".\"\".\"\".\" supportingInfo:claimReceivedDate 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: clmrecvddate
\".\"\".\"\".\"\".\" supportingInfo:daysSupply 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: dayssupply
\".\"\".\"\".\"\".\" supportingInfo:billingProviderNetworkStatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: billingnetworkcontractingstatus
\".\"\".\"\".\" item
\".\"\".\"\".\"\".\" revenue 0..0

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit-pharmacy","version":"0.1.59-DRAFT","name":"CARINBBExplanationOfBenefitPharmacy","title":"CARIN Blue Button Explanation of Benefit Pharmacy Profile","status":"active","date":"2019-07-26T00:00:00-04:00","publisher":"CARIN Alliance","description":"This profile is built upon the CARINBBExplanationOfBenefit Profile. The profile is used for Explanation of Benefits (EOBs) based on claims submitted by retail pharmacies. The claims data is based on submission standards adopted by the Department of Health and Human Services defined by NCPDP (National Council for Prescription Drug Program)\n","fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"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":"ExplanationOfBenefit","baseDefinition":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit","derivation":"constraint","snapshot":{"element":[{"id":"ExplanationOfBenefit","path":"ExplanationOfBenefit","short":"Explanation of Benefit resource","definition":"This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.","alias":["EOB"],"min":0,"max":"*","base":{"path":"ExplanationOfBenefit","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"}]},{"id":"ExplanationOfBenefit.id","path":"ExplanationOfBenefit.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":1,"max":"1","base":{"path":"Resource.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":true},{"id":"ExplanationOfBenefit.meta","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.implicitRules","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.language","path":"ExplanationOfBenefit.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"ExplanationOfBenefit.text","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.contained","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.extension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.modifierExtension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.identifier","path":"ExplanationOfBenefit.identifier","short":"Business Identifier for the resource","definition":"A unique identifier assigned to this explanation of benefit.","requirements":"Allows EOBs to be distinguished and referenced.","min":1,"max":"*","base":{"path":"ExplanationOfBenefit.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"}]},{"id":"ExplanationOfBenefit.status","path":"ExplanationOfBenefit.status","short":"active | cancelled | draft | entered-in-error","definition":"The status of the resource instance.","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 the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.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":"ExplanationOfBenefitStatus"}],"strength":"required","description":"A code specifying the state of the resource instance.","valueSet":"http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"}]},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","short":"Category or discipline","definition":"The category of claim, e.g. oral, pharmacy, vision, institutional, professional.","comment":"The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.","requirements":"Claim type determine the general sets of business rules applied for information requirements and adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"pharmacy","display":"Pharmacy"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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/us/carin/ValueSet/carin-bb-claim-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.subType","path":"ExplanationOfBenefit.subType","short":"More granular claim type","definition":"A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Some jurisdictions need a finer grained claim type for routing and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.subType","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":"ClaimSubType"}],"strength":"example","description":"A more granular claim typecode.","valueSet":"http://hl7.org/fhir/ValueSet/claim-subtype"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.use","path":"ExplanationOfBenefit.use","short":"claim | preauthorization | predetermination","definition":"A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.","requirements":"This element is required to understand the nature of the request for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.use","min":1,"max":"1"},"type":[{"code":"code"}],"patternCode":"claim","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"Use"}],"strength":"required","description":"Complete, proposed, exploratory, other.","valueSet":"http://hl7.org/fhir/ValueSet/claim-use|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.patient","path":"ExplanationOfBenefit.patient","short":"The recipient of the products and services","definition":"The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.","requirements":"The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.subject"}]},{"id":"ExplanationOfBenefit.billablePeriod","path":"ExplanationOfBenefit.billablePeriod","short":"Relevant time frame for the claim","definition":"The period for which charges are being submitted.","comment":"Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.","requirements":"A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.billablePeriod","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.created","path":"ExplanationOfBenefit.created","short":"Response creation date","definition":"The date this resource was created.","comment":"This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.","requirements":"Need to record a timestamp for use by both the recipient and the issuer.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.created","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.recorded"}]},{"id":"ExplanationOfBenefit.enterer","path":"ExplanationOfBenefit.enterer","short":"Author of the claim","definition":"Individual who created the claim, predetermination or preauthorization.","requirements":"Some jurisdictions require the contact information for personnel completing claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.enterer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["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":"workflow","map":"Event.performer.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.insurer","path":"ExplanationOfBenefit.insurer","short":"Party responsible for reimbursement","definition":"The party responsible for authorization, adjudication and reimbursement.","requirements":"To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurer","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.provider","path":"ExplanationOfBenefit.provider","short":"Party responsible for the claim","definition":"The provider which is responsible for the claim, predetermination or preauthorization.","comment":"Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.source"}]},{"id":"ExplanationOfBenefit.priority","path":"ExplanationOfBenefit.priority","short":"Desired processing urgency","definition":"The provider-required urgency of processing the request. Typical values include: stat, routine deferred.","comment":"If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.","requirements":"The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.priority","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":"ProcessPriority"}],"strength":"example","description":"The timeliness with which processing is required: stat, normal, deferred.","valueSet":"http://terminology.hl7.org/CodeSystem/processpriority"},"mapping":[{"identity":"v2","map":"Request.priority"}]},{"id":"ExplanationOfBenefit.fundsReserveRequested","path":"ExplanationOfBenefit.fundsReserveRequested","short":"For whom to reserve funds","definition":"A code to indicate whether and for whom funds are to be reserved for future claims.","comment":"This field is only used for preauthorizations.","requirements":"In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.","alias":["Fund pre-allocation"],"min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserveRequested","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.fundsReserve","path":"ExplanationOfBenefit.fundsReserve","short":"Funds reserved status","definition":"A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.","comment":"Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.","requirements":"Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserve","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.related","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"RelatedClaim"}],"path":"ExplanationOfBenefit.related","short":"Prior or corollary claims","definition":"Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.","comment":"For example, for the original treatment and follow-up exams.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.related","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.related.id","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.extension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.modifierExtension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.claim","path":"ExplanationOfBenefit.related.claim","short":"Reference to the related claim","definition":"Reference to a related claim.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.related.relationship","path":"ExplanationOfBenefit.related.relationship","short":"How the reference claim is related","definition":"A code to convey how the claims are related.","comment":"For example, prior claim or umbrella.","requirements":"Some insurers need a declaration of the type of relationship.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.related.relationship","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-relatedclaimrelationship"}},{"id":"ExplanationOfBenefit.related.reference","path":"ExplanationOfBenefit.related.reference","short":"File or case reference","definition":"An alternate organizational reference to the case or file to which this particular claim pertains.","comment":"For example, Property/Casualty insurer claim number or Workers Compensation case number.","requirements":"In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.reference","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},{"id":"ExplanationOfBenefit.prescription","path":"ExplanationOfBenefit.prescription","short":"Prescription authorizing services or products","definition":"Prescription to support the dispensing of pharmacy, device or vision products.","requirements":"Required to authorize the dispensing of controlled substances and devices.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.prescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/VisionPrescription"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.originalPrescription","path":"ExplanationOfBenefit.originalPrescription","short":"Original prescription if superceded by fulfiller","definition":"Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.","comment":"For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.","requirements":"Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.originalPrescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payee","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payee"}],"path":"ExplanationOfBenefit.payee","short":"Recipient of benefits payable","definition":"The party to be reimbursed for cost of the products and services according to the terms of the policy.","comment":"Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.","requirements":"The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payee","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.payee.id","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.extension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.modifierExtension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.type","path":"ExplanationOfBenefit.payee.type","short":"Category of recipient","definition":"Type of Party to be reimbursed: Subscriber, provider, other.","requirements":"Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.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":"PayeeType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"A code for the party to be reimbursed.","valueSet":"http://hl7.org/fhir/ValueSet/payeetype"}},{"id":"ExplanationOfBenefit.payee.party","path":"ExplanationOfBenefit.payee.party","short":"Recipient reference","definition":"Reference to the individual or organization to whom any payment will be made.","comment":"Not required if the payee is 'subscriber' or 'provider'.","requirements":"Need to provide demographics if the payee is not 'subscriber' nor 'provider'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.party","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-practitionerrole","http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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},{"id":"ExplanationOfBenefit.referral","path":"ExplanationOfBenefit.referral","short":"Treatment Referral","definition":"A reference to a referral resource.","comment":"The referral resource which lists the date, practitioner, reason and other supporting information.","requirements":"Some insurers require proof of referral to pay for services or to pay specialist rates for services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.referral","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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.cause"}]},{"id":"ExplanationOfBenefit.facility","path":"ExplanationOfBenefit.facility","short":"Servicing Facility","definition":"Facility where the services were provided.","requirements":"Insurance adjudication can be dependant on where services were delivered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.facility","min":0,"max":"1"},"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":false,"mapping":[{"identity":"workflow","map":"Event.performer.location"},{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.claim","path":"ExplanationOfBenefit.claim","short":"Claim reference","definition":"The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.","requirements":"To provide a link to the original adjudication request.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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]"}]},{"id":"ExplanationOfBenefit.claimResponse","path":"ExplanationOfBenefit.claimResponse","short":"Claim response reference","definition":"The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.","requirements":"To provide a link to the original adjudication response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claimResponse","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.outcome","path":"ExplanationOfBenefit.outcome","short":"queued | complete | error | partial","definition":"The outcome of the claim, predetermination, or preauthorization processing.","comment":"The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).","requirements":"To advise the requestor of an overall processing outcome.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.outcome","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":"RemittanceOutcome"}],"strength":"required","description":"The result of the claim processing.","valueSet":"http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1"}},{"id":"ExplanationOfBenefit.disposition","path":"ExplanationOfBenefit.disposition","short":"Disposition Message","definition":"A human readable description of the status of the adjudication.","requirements":"Provided for user display.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.disposition","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":"ExplanationOfBenefit.preAuthRef","path":"ExplanationOfBenefit.preAuthRef","short":"Preauthorization reference","definition":"Reference from the Insurer which is used in later communications which refers to this adjudication.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRef","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},{"id":"ExplanationOfBenefit.preAuthRefPeriod","path":"ExplanationOfBenefit.preAuthRefPeriod","short":"Preauthorization in-effect period","definition":"The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRefPeriod","min":0,"max":"*"},"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},{"id":"ExplanationOfBenefit.careTeam","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"CareTeam"}],"path":"ExplanationOfBenefit.careTeam","short":"Care Team members","definition":"The members of the team who provided the products and services.","requirements":"Common to identify the responsible and supporting practitioners.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.careTeam","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.id","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.extension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.modifierExtension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.sequence","path":"ExplanationOfBenefit.careTeam.sequence","short":"Order of care team","definition":"A number to uniquely identify care team entries.","requirements":"Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.careTeam.provider","path":"ExplanationOfBenefit.careTeam.provider","short":"Practitioner or organization","definition":"Member of the team who provided the product or service.","requirements":"Often a regulatory requirement to specify the responsible provider.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.actor"}]},{"id":"ExplanationOfBenefit.careTeam.responsible","path":"ExplanationOfBenefit.careTeam.responsible","short":"Indicator of the lead practitioner","definition":"The party who is billing and/or responsible for the claimed products or services.","comment":"Responsible might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the lead or responsible individual.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.responsible","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.role","path":"ExplanationOfBenefit.careTeam.role","short":"Function within the team","definition":"The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.","comment":"Role might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the roles performed by each member.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.role","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claimcareteamrole"}},{"id":"ExplanationOfBenefit.careTeam.qualification","path":"ExplanationOfBenefit.careTeam.qualification","short":"Practitioner credential or specialization","definition":"The qualification of the practitioner which is applicable for this service.","requirements":"Need to specify which qualification a provider is delivering the product or service under.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.qualification","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":"ProviderQualification"}],"strength":"example","description":"Provider professional qualifications.","valueSet":"http://hl7.org/fhir/ValueSet/provider-qualification"}},{"id":"ExplanationOfBenefit.supportingInfo","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"open"},"short":"Supporting information","definition":"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.","comment":"Often there are multiple jurisdiction specific valuesets which are required.","requirements":"Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.supportingInfo","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo.id","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.extension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.sequence","path":"ExplanationOfBenefit.supportingInfo.sequence","short":"Information instance identifier","definition":"A number to uniquely identify supporting information entries.","requirements":"Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.supportingInfo.category","path":"ExplanationOfBenefit.supportingInfo.category","short":"Classification of the supplied information","definition":"The general class of the information supplied: information; exception; accident, employment; onset, etc.","comment":"This may contain a category for the local bill type codes.","requirements":"Required to group or associate information items with common characteristics. For example: admission information or prior treatments.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory"}},{"id":"ExplanationOfBenefit.supportingInfo.code","path":"ExplanationOfBenefit.supportingInfo.code","short":"Type of information","definition":"System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Required to identify the kind of additional information.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"InformationCode"}],"strength":"example","description":"The valuset used for additional information codes.","valueSet":"http://hl7.org/fhir/ValueSet/claim-exception"}},{"id":"ExplanationOfBenefit.supportingInfo.timing[x]","path":"ExplanationOfBenefit.supportingInfo.timing[x]","short":"When it occurred","definition":"The date when or period to which this information refers.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.timing[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo.value[x]","path":"ExplanationOfBenefit.supportingInfo.value[x]","short":"Data to be provided","definition":"Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.","comment":"Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.supportingInfo:brandGenericCode","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","sliceName":"brandGenericCode","short":"Supporting information","definition":"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.","comment":"Often there are multiple jurisdiction specific valuesets which are required.","requirements":"Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo:brandGenericCode.id","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:brandGenericCode.extension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:brandGenericCode.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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. 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For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.diagnosis","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Diagnosis"}],"path":"ExplanationOfBenefit.diagnosis","short":"Pertinent diagnosis information","definition":"Information about diagnoses relevant to the claim items.","requirements":"Required for the adjudication by provided context for the services and product listed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.diagnosis","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.diagnosis.id","path":"ExplanationOfBenefit.diagnosis.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":"ExplanationOfBenefit.diagnosis.modifierExtension","path":"ExplanationOfBenefit.diagnosis.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. 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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 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One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":1,"max":"2","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":true,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.insurance:primaryinsurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","sliceName":"primaryinsurance","short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":false,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.accident","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Accident"}],"path":"ExplanationOfBenefit.accident","short":"Details of the event","definition":"Details of a accident which resulted in injuries which required the products and services listed in the claim.","requirements":"When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident","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},{"id":"ExplanationOfBenefit.accident.id","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.extension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.modifierExtension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.date","path":"ExplanationOfBenefit.accident.date","short":"When the incident occurred","definition":"Date of an accident event related to the products and services contained in the claim.","comment":"The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.","requirements":"Required for audit purposes and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.date","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},{"id":"ExplanationOfBenefit.accident.type","path":"ExplanationOfBenefit.accident.type","short":"The nature of the accident","definition":"The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.","requirements":"Coverage may be dependant on the type of accident.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.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":"AccidentType"}],"strength":"extensible","description":"Type of accident: work place, auto, etc.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"}},{"id":"ExplanationOfBenefit.accident.location[x]","path":"ExplanationOfBenefit.accident.location[x]","short":"Where the event occurred","definition":"The physical location of the accident event.","requirements":"Required for audit purposes and determination of applicable insurance liability.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.location[x]","min":0,"max":"1"},"type":[{"code":"Address"},{"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":false},{"id":"ExplanationOfBenefit.item","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Item"}],"path":"ExplanationOfBenefit.item","short":"Product or service provided","definition":"A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.","requirements":"The items to be processed for adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.sequence","path":"ExplanationOfBenefit.item.sequence","short":"Item instance identifier","definition":"A number to uniquely identify item entries.","requirements":"Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.careTeamSequence","path":"ExplanationOfBenefit.item.careTeamSequence","short":"Applicable care team members","definition":"Care team members related to this service or product.","requirements":"Need to identify the individuals and their roles in the provision of the product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.careTeamSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.diagnosisSequence","path":"ExplanationOfBenefit.item.diagnosisSequence","short":"Applicable diagnoses","definition":"Diagnoses applicable for this service or product.","requirements":"Need to related the product or service to the associated diagnoses.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.diagnosisSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.procedureSequence","path":"ExplanationOfBenefit.item.procedureSequence","short":"Applicable procedures","definition":"Procedures applicable for this service or product.","requirements":"Need to provide any listed specific procedures to support the product or service being claimed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.procedureSequence","min":0,"max":"*"},"type":[{"code":"positiveInt"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"0","base":{"path":"ExplanationOfBenefit.item.revenue","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() > 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purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.productOrService","path":"ExplanationOfBenefit.item.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim 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If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.item.modifier","path":"ExplanationOfBenefit.item.modifier","short":"Product or service billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.programCode","path":"ExplanationOfBenefit.item.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.serviced[x]","path":"ExplanationOfBenefit.item.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.item.location[x]","path":"ExplanationOfBenefit.item.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.location[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Address"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServicePlace"}],"strength":"example","description":"Place where the service is rendered.","valueSet":"http://hl7.org/fhir/ValueSet/service-place"},"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.item.quantity","path":"ExplanationOfBenefit.item.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.unitPrice","path":"ExplanationOfBenefit.item.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.factor","path":"ExplanationOfBenefit.item.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.factor","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":false},{"id":"ExplanationOfBenefit.item.net","path":"ExplanationOfBenefit.item.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.udi","path":"ExplanationOfBenefit.item.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.bodySite","path":"ExplanationOfBenefit.item.bodySite","short":"Anatomical location","definition":"Physical service site on the patient (limb, tooth, etc.).","comment":"For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.","requirements":"Allows insurer to validate specific 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procedures.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.subSite","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":"Surface"}],"strength":"example","description":"The code for the tooth surface and surface combinations.","valueSet":"http://hl7.org/fhir/ValueSet/surface"}},{"id":"ExplanationOfBenefit.item.encounter","path":"ExplanationOfBenefit.item.encounter","short":"Encounters related to this billed item","definition":"A billed item may include goods or services provided in multiple encounters.","requirements":"Used in some jurisdictions to link clinical events to claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.encounter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.noteNumber","path":"ExplanationOfBenefit.item.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line 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If this item is a simple product or service then this is the result of the adjudication of this item.","requirements":"The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.adjudication","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":"ExplanationOfBenefit.item.adjudication.id","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.extension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.modifierExtension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.category","path":"ExplanationOfBenefit.item.adjudication.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to enable understanding of the context of the other information in the adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.category","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":"Adjudication"}],"strength":"example","description":"The adjudication codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication"}},{"id":"ExplanationOfBenefit.item.adjudication.reason","path":"ExplanationOfBenefit.item.adjudication.reason","short":"Explanation of adjudication outcome","definition":"A code supporting the understanding of the adjudication result and explaining variance from expected amount.","comment":"For example, may indicate that the funds for this benefit type have been exhausted.","requirements":"To support understanding of variance from adjudication expectations.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.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":"AdjudicationReason"}],"strength":"example","description":"Adjudication reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication-reason"}},{"id":"ExplanationOfBenefit.item.adjudication.amount","path":"ExplanationOfBenefit.item.adjudication.amount","short":"Monetary amount","definition":"Monetary amount associated with the category.","comment":"For example, amount submitted, eligible amount, co-payment, and benefit payable.","requirements":"Most adjuciation categories convey a monetary amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.adjudication.value","path":"ExplanationOfBenefit.item.adjudication.value","short":"Non-monitary value","definition":"A non-monetary value associated with the category. Mutually exclusive to the amount element above.","comment":"For example: eligible percentage or co-payment percentage.","requirements":"Some adjudication categories convey a percentage or a fixed value.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.value","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":false},{"id":"ExplanationOfBenefit.item.detail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Detail"}],"path":"ExplanationOfBenefit.item.detail","short":"Additional items","definition":"Second-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail","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":"ExplanationOfBenefit.item.detail.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.sequence","path":"ExplanationOfBenefit.item.detail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.revenue","path":"ExplanationOfBenefit.item.detail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.category","path":"ExplanationOfBenefit.item.detail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.productOrService","path":"ExplanationOfBenefit.item.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.detail.programCode","path":"ExplanationOfBenefit.item.detail.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.quantity","path":"ExplanationOfBenefit.item.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.unitPrice","path":"ExplanationOfBenefit.item.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.factor","path":"ExplanationOfBenefit.item.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.factor","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":false},{"id":"ExplanationOfBenefit.item.detail.net","path":"ExplanationOfBenefit.item.detail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.udi","path":"ExplanationOfBenefit.item.detail.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.detail.noteNumber","path":"ExplanationOfBenefit.item.detail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.detail.adjudication","path":"ExplanationOfBenefit.item.detail.adjudication","short":"Detail level adjudication details","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SubDetail"}],"path":"ExplanationOfBenefit.item.detail.subDetail","short":"Additional items","definition":"Third-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail","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":"ExplanationOfBenefit.item.detail.subDetail.id","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.extension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.modifierExtension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.sequence","path":"ExplanationOfBenefit.item.detail.subDetail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.revenue","path":"ExplanationOfBenefit.item.detail.subDetail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.category","path":"ExplanationOfBenefit.item.detail.subDetail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.productOrService","path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.quantity","path":"ExplanationOfBenefit.item.detail.subDetail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","path":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.factor","path":"ExplanationOfBenefit.item.detail.subDetail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.factor","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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.net","path":"ExplanationOfBenefit.item.detail.subDetail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.udi","path":"ExplanationOfBenefit.item.detail.subDetail.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.adjudication","path":"ExplanationOfBenefit.item.detail.subDetail.adjudication","short":"Subdetail level adjudication details","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"740;600"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"AddedItem"}],"path":"ExplanationOfBenefit.addItem","short":"Insurer added line items","definition":"The first-tier service adjudications for payor added product or service lines.","requirements":"Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem","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":"ExplanationOfBenefit.addItem.id","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.extension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.modifierExtension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.itemSequence","path":"ExplanationOfBenefit.addItem.itemSequence","short":"Item sequence number","definition":"Claim items which this service line is intended to replace.","requirements":"Provides references to the claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.itemSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detailSequence","path":"ExplanationOfBenefit.addItem.detailSequence","short":"Detail sequence number","definition":"The sequence number of the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim details within the claim item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.subDetailSequence","path":"ExplanationOfBenefit.addItem.subDetailSequence","short":"Subdetail sequence number","definition":"The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim sub-details within the claim detail.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.subDetailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.provider","path":"ExplanationOfBenefit.addItem.provider","short":"Authorized providers","definition":"The providers who are authorized for the services rendered to the patient.","requirements":"Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.provider","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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}]},{"id":"ExplanationOfBenefit.addItem.productOrService","path":"ExplanationOfBenefit.addItem.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.addItem.serviced[x]","path":"ExplanationOfBenefit.addItem.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.addItem.location[x]","path":"ExplanationOfBenefit.addItem.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit 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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":"ExplanationOfBenefit.addItem.detail.modifierExtension","path":"ExplanationOfBenefit.addItem.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. 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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":"ExplanationOfBenefit.addItem.detail.productOrService","path":"ExplanationOfBenefit.addItem.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.modifier","path":"ExplanationOfBenefit.addItem.detail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.quantity","path":"ExplanationOfBenefit.addItem.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.factor","path":"ExplanationOfBenefit.addItem.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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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":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.factor","path":"ExplanationOfBenefit.addItem.detail.subDetail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.factor","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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.net","path":"ExplanationOfBenefit.addItem.detail.subDetail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","short":"Added items adjudication","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.adjudication","path":"ExplanationOfBenefit.adjudication","short":"Header-level adjudication","definition":"The adjudication results which are presented at the header level rather than at the line-item or add-item levels.","requirements":"Some insurers will receive line-items but provide the adjudication only at a summary or header-level.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.total","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"'360;620"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Total"}],"path":"ExplanationOfBenefit.total","short":"Adjudication totals","definition":"Categorized monetary totals for the adjudication.","comment":"Totals for amounts submitted, co-pays, benefits payable etc.","requirements":"To provide the requestor with financial totals by category for the adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.total","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":"ExplanationOfBenefit.total.id","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.extension","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.modifierExtension","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.category","path":"ExplanationOfBenefit.total.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to convey the type of total provided.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.total.amount","path":"ExplanationOfBenefit.total.amount","short":"Financial total for the category","definition":"Monetary total amount associated with the category.","requirements":"Needed to convey the total monetary amount.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.amount","min":1,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.payment","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"360;650"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payment"}],"path":"ExplanationOfBenefit.payment","short":"Payment Details","definition":"Payment details for the adjudication of the claim.","requirements":"Needed to convey references to the financial instrument that has been used if payment has been made.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment","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},{"id":"ExplanationOfBenefit.payment.id","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.extension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.modifierExtension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.type","path":"ExplanationOfBenefit.payment.type","short":"Partial or complete payment","definition":"Whether this represents partial or complete payment of the benefits payable.","requirements":"To advise the requestor when the insurer believes all payments to have been completed.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":"PaymentType"}],"strength":"example","description":"The type (partial, complete) of the payment.","valueSet":"http://hl7.org/fhir/ValueSet/ex-paymenttype"}},{"id":"ExplanationOfBenefit.payment.adjustment","path":"ExplanationOfBenefit.payment.adjustment","short":"Payment adjustment for non-claim issues","definition":"Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.","comment":"Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.","requirements":"To advise the requestor of adjustments applied to the payment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustment","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.adjustmentReason","path":"ExplanationOfBenefit.payment.adjustmentReason","short":"Explanation for the variance","definition":"Reason for the payment adjustment.","requirements":"Needed to clarify the monetary adjustment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustmentReason","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.payment.date","path":"ExplanationOfBenefit.payment.date","short":"Expected date of payment","definition":"Estimated date the payment will be issued or the actual issue date of payment.","requirements":"To advise the payee when payment can be expected.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.date","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},{"id":"ExplanationOfBenefit.payment.amount","path":"ExplanationOfBenefit.payment.amount","short":"Payable amount after adjustment","definition":"Benefits payable less any payment adjustment.","requirements":"Needed to provide the actual payment amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.identifier","path":"ExplanationOfBenefit.payment.identifier","short":"Business identifier for the payment","definition":"Issuer's unique identifier for the payment instrument.","comment":"For example: EFT number or check number.","requirements":"Enable the receiver to reconcile when payment received.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":false},{"id":"ExplanationOfBenefit.formCode","path":"ExplanationOfBenefit.formCode","short":"Printed form identifier","definition":"A code for the form to be used for printing the content.","comment":"May be needed to identify specific jurisdictional forms.","requirements":"Needed to specify the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.formCode","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":"Forms"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"The forms codes.","valueSet":"http://hl7.org/fhir/ValueSet/forms"}},{"id":"ExplanationOfBenefit.form","path":"ExplanationOfBenefit.form","short":"Printed reference or actual form","definition":"The actual form, by reference or inclusion, for printing the content or an EOB.","comment":"Needed to permit insurers to include the actual form.","requirements":"Needed to include the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.form","min":0,"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":false},{"id":"ExplanationOfBenefit.processNote","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Note"}],"path":"ExplanationOfBenefit.processNote","short":"Note concerning adjudication","definition":"A note that describes or explains adjudication results in a human readable form.","requirements":"Provides the insurer specific textual explanations associated with the 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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":"ExplanationOfBenefit.processNote.modifierExtension","path":"ExplanationOfBenefit.processNote.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. 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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 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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. 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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 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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":"ExplanationOfBenefit.benefitBalance.financial.type","path":"ExplanationOfBenefit.benefitBalance.financial.type","short":"Benefit classification","definition":"Classification of benefit being provided.","comment":"For example: deductible, visits, benefit amount.","requirements":"Needed to convey the nature of the benefit.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.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,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitType"}],"strength":"example","description":"Deductable, visits, co-pay, etc.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-type"}},{"id":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","short":"Benefits allowed","definition":"The quantity of the benefit which is permitted under the coverage.","requirements":"Needed to convey the benefits offered under the coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"string"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.benefitBalance.financial.used[x]","path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","short":"Benefits used","definition":"The quantity of the benefit which have been consumed to date.","requirements":"Needed to convey the benefits consumed to date.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit","path":"ExplanationOfBenefit"},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"pharmacy","display":"Pharmacy"}},{"id":"ExplanationOfBenefit.supportingInfo","path":"ExplanationOfBenefit.supportingInfo","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"open"}},{"id":"ExplanationOfBenefit.supportingInfo.category","path":"ExplanationOfBenefit.supportingInfo.category","binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory"}},{"id":"ExplanationOfBenefit.supportingInfo:brandGenericCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"brandGenericCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:brandGenericCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"brandgenericcode"}]}},{"id":"ExplanationOfBenefit.supportingInfo:rxOriginCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"rxOriginCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:rxOriginCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"rxorigincode"}]}},{"id":"ExplanationOfBenefit.supportingInfo:refillNum","path":"ExplanationOfBenefit.supportingInfo","sliceName":"refillNum","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:refillNum.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"refillnum"}]}},{"id":"ExplanationOfBenefit.supportingInfo:dawCode","path":"ExplanationOfBenefit.supportingInfo","sliceName":"dawCode","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:dawCode.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"dawcode"}]}},{"id":"ExplanationOfBenefit.supportingInfo:claimReceivedDate","path":"ExplanationOfBenefit.supportingInfo","sliceName":"claimReceivedDate","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:claimReceivedDate.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"clmrecvddate"}]}},{"id":"ExplanationOfBenefit.supportingInfo:daysSupply","path":"ExplanationOfBenefit.supportingInfo","sliceName":"daysSupply","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:daysSupply.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"dayssupply"}]}},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"billingProviderNetworkStatus","min":0,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:billingProviderNetworkStatus.category","path":"ExplanationOfBenefit.supportingInfo.category","patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"billingnetworkcontractingstatus"}]}},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","max":"0"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Professional-NonClinician.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Professional-NonClinician.json new file mode 100644 index 00000000000..a7b801627b9 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit-Professional-NonClinician.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-ExplanationOfBenefit-Professional-NonClinician","meta":{"versionId":"12","lastUpdated":"2019-12-15T18:03:44.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ExplanationOfBenefit 0..*CARINBBExplanationOfBenefit
\".\"\".\"\".\" type 1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type
\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: professional-nonclinician
\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Professional or Non-Clinician
\".\"\".\"\".\" supportingInfo 0..*(Slice Definition)Slice: Unordered, Open by value:category
\".\"\".\"\".\"\".\" supportingInfo:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Claim Information Category Value Set (extensible)
\".\"\".\"\".\"\".\" supportingInfo:billingnetworkcontractingstatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (billingnetworkcontractingstatus)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: billingnetworkcontractingstatus
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Network Contracting Status Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:referringnetworkcontractingstatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (referringnetworkcontractingstatus)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: referringnetworkcontractingstatus
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Network Contracting Status Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:performingnetworkcontractingstatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (performingnetworkcontractingstatus)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: performingnetworkcontractingstatus
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Network Contracting Status Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:sitenetworkcontractingstatus 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (sitenetworkcontractingstatus)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: sitenetworkcontractingstatus
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptBinding: CARIN Blue Button Network Contracting Status Value Set (required)
\".\"\".\"\".\"\".\" supportingInfo:clmrecvddate 1..1BackboneElement
\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (clmrecvddate)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: clmrecvddate
\".\"\".\"\".\"\".\"\".\" timing[x] 1..1date
\".\"\".\"\".\" item
\".\"\".\"\".\"\".\" revenue 0..0
\".\"\".\"\".\"\".\" category 0..1CodeableConceptBinding: CARIN Blue Button Type Of Service Value Set (required)
\".\"\".\"\".\"\".\" productOrService 1..1CodeableConceptBinding: CARIN Blue Button CPT/HCPCS Procedure Codes Value Set (required)
\".\"\".\"\".\"\".\" modifier 0..*CodeableConceptBinding: CARIN Blue Button HCPCS Modifier Codes Value Set (required)
\".\"\".\"\".\"\".\" location[x] 0..1CodeableConceptBinding: CARIN Blue Button Place Of Service Codes For Professional Claims Value Set (required)
\".\"\".\"\".\"\".\" adjudication 0..*(Slice Definition)Slice: Unordered, Closed by value:category
\".\"\".\"\".\"\".\"\".\" adjudication:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Claim Adjudication Category Value Set (required)
\".\"\".\"\".\"\".\"\".\" adjudication:adjudicationamounttype 0..*BackboneElement
\".\"\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Adjudication Amount Category Value Set (required)
\".\"\".\"\".\"\".\"\".\" adjudication:denialreason 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\"\".\" category 1..1CodeableConceptFixed Value: As shown (payment denial reason)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: denialreason
\".\"\".\"\".\"\".\"\".\"\".\" reason 1..1CodeableConceptBinding: CARIN Blue Button Adjudication Denial Reason Value Set (required)
\".\"\".\"\".\" adjudication:inoutnetwork 1..1BackboneElement
\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Adjudication Benefit Payment Status Category Value Set (required)
\".\"\".\"\".\" total 1..*BackboneElement

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit-professional-nonclinician","version":"0.1.59-DRAFT","name":"CARINBBExplanationOfBenefitProfessionalNonClinician","title":"CARIN Blue Button Explanation of Benefit Professional or Non-Clinician Profile","status":"active","date":"2019-07-26T00:00:00-04:00","publisher":"CARIN Alliance","description":"This profile is built upon the CARINBBExplanationOfBenefit Profile. The profile is used for Explanation of Benefits (EOBs) based on claims submitted by physicians, suppliers and other non-institutional providers for professional services. These services may be rendered in inpatient or outpatient, including office locations. The claims data is based on the professional claim form 1500, submission standards adopted by the Department of Health and Human Services as form CMS-1500. \n\n","fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"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":"ExplanationOfBenefit","baseDefinition":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit","derivation":"constraint","snapshot":{"element":[{"id":"ExplanationOfBenefit","path":"ExplanationOfBenefit","short":"Explanation of Benefit resource","definition":"This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.","alias":["EOB"],"min":0,"max":"*","base":{"path":"ExplanationOfBenefit","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"}]},{"id":"ExplanationOfBenefit.id","path":"ExplanationOfBenefit.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":1,"max":"1","base":{"path":"Resource.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":true},{"id":"ExplanationOfBenefit.meta","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.implicitRules","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.language","path":"ExplanationOfBenefit.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"ExplanationOfBenefit.text","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.contained","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.extension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.modifierExtension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.identifier","path":"ExplanationOfBenefit.identifier","short":"Business Identifier for the resource","definition":"A unique identifier assigned to this explanation of benefit.","requirements":"Allows EOBs to be distinguished and referenced.","min":1,"max":"*","base":{"path":"ExplanationOfBenefit.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"}]},{"id":"ExplanationOfBenefit.status","path":"ExplanationOfBenefit.status","short":"active | cancelled | draft | entered-in-error","definition":"The status of the resource instance.","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 the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.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":"ExplanationOfBenefitStatus"}],"strength":"required","description":"A code specifying the state of the resource instance.","valueSet":"http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"}]},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","short":"Category or discipline","definition":"The category of claim, e.g. oral, pharmacy, vision, institutional, professional.","comment":"The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.","requirements":"Claim type determine the general sets of business rules applied for information requirements and adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.type","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"professional-nonclinician","display":"Professional or Non-Clinician"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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/us/carin/ValueSet/carin-bb-claim-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.subType","path":"ExplanationOfBenefit.subType","short":"More granular claim type","definition":"A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Some jurisdictions need a finer grained claim type for routing and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.subType","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":"ClaimSubType"}],"strength":"example","description":"A more granular claim typecode.","valueSet":"http://hl7.org/fhir/ValueSet/claim-subtype"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.use","path":"ExplanationOfBenefit.use","short":"claim | preauthorization | predetermination","definition":"A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.","requirements":"This element is required to understand the nature of the request for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.use","min":1,"max":"1"},"type":[{"code":"code"}],"patternCode":"claim","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"Use"}],"strength":"required","description":"Complete, proposed, exploratory, other.","valueSet":"http://hl7.org/fhir/ValueSet/claim-use|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.patient","path":"ExplanationOfBenefit.patient","short":"The recipient of the products and services","definition":"The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.","requirements":"The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.subject"}]},{"id":"ExplanationOfBenefit.billablePeriod","path":"ExplanationOfBenefit.billablePeriod","short":"Relevant time frame for the claim","definition":"The period for which charges are being submitted.","comment":"Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.","requirements":"A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.billablePeriod","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.created","path":"ExplanationOfBenefit.created","short":"Response creation date","definition":"The date this resource was created.","comment":"This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.","requirements":"Need to record a timestamp for use by both the recipient and the issuer.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.created","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.recorded"}]},{"id":"ExplanationOfBenefit.enterer","path":"ExplanationOfBenefit.enterer","short":"Author of the claim","definition":"Individual who created the claim, predetermination or preauthorization.","requirements":"Some jurisdictions require the contact information for personnel completing claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.enterer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["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":"workflow","map":"Event.performer.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.insurer","path":"ExplanationOfBenefit.insurer","short":"Party responsible for reimbursement","definition":"The party responsible for authorization, adjudication and reimbursement.","requirements":"To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurer","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.provider","path":"ExplanationOfBenefit.provider","short":"Party responsible for the claim","definition":"The provider which is responsible for the claim, predetermination or preauthorization.","comment":"Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.source"}]},{"id":"ExplanationOfBenefit.priority","path":"ExplanationOfBenefit.priority","short":"Desired processing urgency","definition":"The provider-required urgency of processing the request. Typical values include: stat, routine deferred.","comment":"If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.","requirements":"The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.priority","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":"ProcessPriority"}],"strength":"example","description":"The timeliness with which processing is required: stat, normal, deferred.","valueSet":"http://terminology.hl7.org/CodeSystem/processpriority"},"mapping":[{"identity":"v2","map":"Request.priority"}]},{"id":"ExplanationOfBenefit.fundsReserveRequested","path":"ExplanationOfBenefit.fundsReserveRequested","short":"For whom to reserve funds","definition":"A code to indicate whether and for whom funds are to be reserved for future claims.","comment":"This field is only used for preauthorizations.","requirements":"In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.","alias":["Fund pre-allocation"],"min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserveRequested","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.fundsReserve","path":"ExplanationOfBenefit.fundsReserve","short":"Funds reserved status","definition":"A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.","comment":"Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.","requirements":"Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserve","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.related","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"RelatedClaim"}],"path":"ExplanationOfBenefit.related","short":"Prior or corollary claims","definition":"Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.","comment":"For example, for the original treatment and follow-up exams.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.related","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.related.id","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.extension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.modifierExtension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.claim","path":"ExplanationOfBenefit.related.claim","short":"Reference to the related claim","definition":"Reference to a related claim.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.related.relationship","path":"ExplanationOfBenefit.related.relationship","short":"How the reference claim is related","definition":"A code to convey how the claims are related.","comment":"For example, prior claim or umbrella.","requirements":"Some insurers need a declaration of the type of relationship.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.related.relationship","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-relatedclaimrelationship"}},{"id":"ExplanationOfBenefit.related.reference","path":"ExplanationOfBenefit.related.reference","short":"File or case reference","definition":"An alternate organizational reference to the case or file to which this particular claim pertains.","comment":"For example, Property/Casualty insurer claim number or Workers Compensation case number.","requirements":"In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.reference","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},{"id":"ExplanationOfBenefit.prescription","path":"ExplanationOfBenefit.prescription","short":"Prescription authorizing services or products","definition":"Prescription to support the dispensing of pharmacy, device or vision products.","requirements":"Required to authorize the dispensing of controlled substances and devices.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.prescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/VisionPrescription"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.originalPrescription","path":"ExplanationOfBenefit.originalPrescription","short":"Original prescription if superceded by fulfiller","definition":"Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.","comment":"For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.","requirements":"Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.originalPrescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payee","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payee"}],"path":"ExplanationOfBenefit.payee","short":"Recipient of benefits payable","definition":"The party to be reimbursed for cost of the products and services according to the terms of the policy.","comment":"Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.","requirements":"The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payee","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.payee.id","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.extension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.modifierExtension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.type","path":"ExplanationOfBenefit.payee.type","short":"Category of recipient","definition":"Type of Party to be reimbursed: Subscriber, provider, other.","requirements":"Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.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":"PayeeType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"A code for the party to be reimbursed.","valueSet":"http://hl7.org/fhir/ValueSet/payeetype"}},{"id":"ExplanationOfBenefit.payee.party","path":"ExplanationOfBenefit.payee.party","short":"Recipient reference","definition":"Reference to the individual or organization to whom any payment will be made.","comment":"Not required if the payee is 'subscriber' or 'provider'.","requirements":"Need to provide demographics if the payee is not 'subscriber' nor 'provider'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.party","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-practitionerrole","http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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},{"id":"ExplanationOfBenefit.referral","path":"ExplanationOfBenefit.referral","short":"Treatment Referral","definition":"A reference to a referral resource.","comment":"The referral resource which lists the date, practitioner, reason and other supporting information.","requirements":"Some insurers require proof of referral to pay for services or to pay specialist rates for services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.referral","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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.cause"}]},{"id":"ExplanationOfBenefit.facility","path":"ExplanationOfBenefit.facility","short":"Servicing Facility","definition":"Facility where the services were provided.","requirements":"Insurance adjudication can be dependant on where services were delivered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.facility","min":0,"max":"1"},"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":false,"mapping":[{"identity":"workflow","map":"Event.performer.location"},{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.claim","path":"ExplanationOfBenefit.claim","short":"Claim reference","definition":"The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.","requirements":"To provide a link to the original adjudication request.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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]"}]},{"id":"ExplanationOfBenefit.claimResponse","path":"ExplanationOfBenefit.claimResponse","short":"Claim response reference","definition":"The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.","requirements":"To provide a link to the original adjudication response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claimResponse","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.outcome","path":"ExplanationOfBenefit.outcome","short":"queued | complete | error | partial","definition":"The outcome of the claim, predetermination, or preauthorization processing.","comment":"The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).","requirements":"To advise the requestor of an overall processing outcome.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.outcome","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":"RemittanceOutcome"}],"strength":"required","description":"The result of the claim processing.","valueSet":"http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1"}},{"id":"ExplanationOfBenefit.disposition","path":"ExplanationOfBenefit.disposition","short":"Disposition Message","definition":"A human readable description of the status of the adjudication.","requirements":"Provided for user display.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.disposition","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":"ExplanationOfBenefit.preAuthRef","path":"ExplanationOfBenefit.preAuthRef","short":"Preauthorization reference","definition":"Reference from the Insurer which is used in later communications which refers to this adjudication.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRef","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},{"id":"ExplanationOfBenefit.preAuthRefPeriod","path":"ExplanationOfBenefit.preAuthRefPeriod","short":"Preauthorization in-effect period","definition":"The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRefPeriod","min":0,"max":"*"},"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},{"id":"ExplanationOfBenefit.careTeam","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"CareTeam"}],"path":"ExplanationOfBenefit.careTeam","short":"Care Team members","definition":"The members of the team who provided the products and services.","requirements":"Common to identify the responsible and supporting practitioners.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.careTeam","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.id","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.extension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.modifierExtension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.sequence","path":"ExplanationOfBenefit.careTeam.sequence","short":"Order of care team","definition":"A number to uniquely identify care team entries.","requirements":"Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.careTeam.provider","path":"ExplanationOfBenefit.careTeam.provider","short":"Practitioner or organization","definition":"Member of the team who provided the product or service.","requirements":"Often a regulatory requirement to specify the responsible provider.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.actor"}]},{"id":"ExplanationOfBenefit.careTeam.responsible","path":"ExplanationOfBenefit.careTeam.responsible","short":"Indicator of the lead practitioner","definition":"The party who is billing and/or responsible for the claimed products or services.","comment":"Responsible might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the lead or responsible individual.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.responsible","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.role","path":"ExplanationOfBenefit.careTeam.role","short":"Function within the team","definition":"The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.","comment":"Role might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the roles performed by each member.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.role","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claimcareteamrole"}},{"id":"ExplanationOfBenefit.careTeam.qualification","path":"ExplanationOfBenefit.careTeam.qualification","short":"Practitioner credential or specialization","definition":"The qualification of the practitioner which is applicable for this service.","requirements":"Need to specify which qualification a provider is delivering the product or service under.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.qualification","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":"ProviderQualification"}],"strength":"example","description":"Provider professional qualifications.","valueSet":"http://hl7.org/fhir/ValueSet/provider-qualification"}},{"id":"ExplanationOfBenefit.supportingInfo","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"open"},"short":"Supporting information","definition":"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.","comment":"Often there are multiple jurisdiction specific valuesets which are required.","requirements":"Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.supportingInfo","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo.id","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.extension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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. 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For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo:sitenetworkcontractingstatus.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","sliceName":"clmrecvddate","short":"Supporting information","definition":"Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.","comment":"Often there are multiple jurisdiction specific valuesets which are required.","requirements":"Typically these information codes are required to support the services rendered or the adjudication of the services rendered.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.id","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:clmrecvddate.extension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:clmrecvddate.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo:clmrecvddate.sequence","path":"ExplanationOfBenefit.supportingInfo.sequence","short":"Information instance identifier","definition":"A number to uniquely identify supporting information entries.","requirements":"Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.category","path":"ExplanationOfBenefit.supportingInfo.category","short":"Classification of the supplied information","definition":"The general class of the information supplied: information; exception; accident, employment; onset, etc.","comment":"This may contain a category for the local bill type codes.","requirements":"Required to group or associate information items with common characteristics. For example: admission information or prior treatments.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.category","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"clmrecvddate"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory"}},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.code","path":"ExplanationOfBenefit.supportingInfo.code","short":"Type of information","definition":"System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Required to identify the kind of additional information.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"InformationCode"}],"strength":"example","description":"The valuset used for additional information codes.","valueSet":"http://hl7.org/fhir/ValueSet/claim-exception"}},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.timing[x]","path":"ExplanationOfBenefit.supportingInfo.timing[x]","short":"When it occurred","definition":"The date when or period to which this information refers.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.timing[x]","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.value[x]","path":"ExplanationOfBenefit.supportingInfo.value[x]","short":"Data to be provided","definition":"Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.","comment":"Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.diagnosis","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Diagnosis"}],"path":"ExplanationOfBenefit.diagnosis","short":"Pertinent diagnosis information","definition":"Information about diagnoses relevant to the claim items.","requirements":"Required for the adjudication by provided context for the services and product listed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.diagnosis","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.diagnosis.id","path":"ExplanationOfBenefit.diagnosis.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":"ExplanationOfBenefit.diagnosis.modifierExtension","path":"ExplanationOfBenefit.diagnosis.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. 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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 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id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.diagnosis.diagnosis[x]","path":"ExplanationOfBenefit.diagnosis.diagnosis[x]","short":"Nature of illness or problem","definition":"The nature of illness or problem in a coded form or as a reference to an external defined Condition.","requirements":"Provides health context for the evaluation of the products and/or services.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.diagnosis[x]","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":"ICD10"}],"strength":"example","description":"ICD10 Diagnostic codes.","valueSet":"http://hl7.org/fhir/ValueSet/icd-10"}},{"id":"ExplanationOfBenefit.diagnosis.type","path":"ExplanationOfBenefit.diagnosis.type","short":"Timing or nature of the diagnosis","definition":"When the condition was observed or the relative ranking.","comment":"For example: admitting, primary, secondary, discharge.","requirements":"Often required to capture a particular diagnosis, for example: primary or discharge.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.type","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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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":"DiagnosisOnAdmission"}],"strength":"example","description":"Present on admission.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"}},{"id":"ExplanationOfBenefit.diagnosis.packageCode","path":"ExplanationOfBenefit.diagnosis.packageCode","short":"Package billing code","definition":"A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.","comment":"For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.","requirements":"Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.packageCode","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":"DiagnosisRelatedGroup"}],"strength":"example","description":"The DRG codes associated with the diagnosis.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"}},{"id":"ExplanationOfBenefit.procedure","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Procedure"}],"path":"ExplanationOfBenefit.procedure","short":"Clinical procedures performed","definition":"Procedures performed on the patient relevant to the billing items with the claim.","requirements":"The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.id","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.extension","path":"ExplanationOfBenefit.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 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":"ExplanationOfBenefit.procedure.modifierExtension","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.sequence","path":"ExplanationOfBenefit.procedure.sequence","short":"Procedure instance identifier","definition":"A number to uniquely identify procedure entries.","requirements":"Necessary to provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.procedure.type","path":"ExplanationOfBenefit.procedure.type","short":"Category of Procedure","definition":"When the condition was observed or the relative ranking.","requirements":"Often required to capture a particular diagnosis, for example: primary or discharge.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureType"}],"strength":"example","description":"Example procedure type codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-procedure-type"}},{"id":"ExplanationOfBenefit.procedure.date","path":"ExplanationOfBenefit.procedure.date","short":"When the procedure was performed","definition":"Date and optionally time the procedure was performed.","requirements":"Required for auditing purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.procedure[x]","path":"ExplanationOfBenefit.procedure.procedure[x]","short":"Specific clinical procedure","definition":"The code or reference to a Procedure resource which identifies the clinical intervention performed.","requirements":"This identifies the actual clinical procedure.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.procedure[x]","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":"ICD10_Procedures"}],"strength":"example","description":"ICD10 Procedure codes.","valueSet":"http://hl7.org/fhir/ValueSet/icd-10-procedures"}},{"id":"ExplanationOfBenefit.procedure.udi","path":"ExplanationOfBenefit.procedure.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.precedence","path":"ExplanationOfBenefit.precedence","short":"Precedence (primary, secondary, etc.)","definition":"This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.","requirements":"Needed to coordinate between multiple EOBs for the same suite of services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.precedence","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":false},{"id":"ExplanationOfBenefit.insurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","slicing":{"discriminator":[{"type":"value","path":"focal"}],"rules":"closed"},"short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":1,"max":"2","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":true,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.insurance:primaryinsurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","sliceName":"primaryinsurance","short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":false,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.accident","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Accident"}],"path":"ExplanationOfBenefit.accident","short":"Details of the event","definition":"Details of a accident which resulted in injuries which required the products and services listed in the claim.","requirements":"When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident","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},{"id":"ExplanationOfBenefit.accident.id","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.extension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.modifierExtension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.date","path":"ExplanationOfBenefit.accident.date","short":"When the incident occurred","definition":"Date of an accident event related to the products and services contained in the claim.","comment":"The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.","requirements":"Required for audit purposes and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.date","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},{"id":"ExplanationOfBenefit.accident.type","path":"ExplanationOfBenefit.accident.type","short":"The nature of the accident","definition":"The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.","requirements":"Coverage may be dependant on the type of accident.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.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":"AccidentType"}],"strength":"extensible","description":"Type of accident: work place, auto, etc.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"}},{"id":"ExplanationOfBenefit.accident.location[x]","path":"ExplanationOfBenefit.accident.location[x]","short":"Where the event occurred","definition":"The physical location of the accident event.","requirements":"Required for audit purposes and determination of applicable insurance liability.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.location[x]","min":0,"max":"1"},"type":[{"code":"Address"},{"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":false},{"id":"ExplanationOfBenefit.item","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Item"}],"path":"ExplanationOfBenefit.item","short":"Product or service provided","definition":"A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.","requirements":"The items to be processed for adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.sequence","path":"ExplanationOfBenefit.item.sequence","short":"Item instance identifier","definition":"A number to uniquely identify item entries.","requirements":"Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.careTeamSequence","path":"ExplanationOfBenefit.item.careTeamSequence","short":"Applicable care team members","definition":"Care team members related to this service or product.","requirements":"Need to identify the individuals and their roles in the provision of the product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.careTeamSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.diagnosisSequence","path":"ExplanationOfBenefit.item.diagnosisSequence","short":"Applicable diagnoses","definition":"Diagnoses applicable for this service or product.","requirements":"Need to related the product or service to the associated diagnoses.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.diagnosisSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.procedureSequence","path":"ExplanationOfBenefit.item.procedureSequence","short":"Applicable procedures","definition":"Procedures applicable for this service or product.","requirements":"Need to provide any listed specific procedures to support the product or service being claimed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.procedureSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.informationSequence","path":"ExplanationOfBenefit.item.informationSequence","short":"Applicable exception and supporting information","definition":"Exceptions, special conditions and supporting information applicable for this service or product.","requirements":"Need to reference the supporting information items that relate directly to this product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.informationSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"0","base":{"path":"ExplanationOfBenefit.item.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.category","path":"ExplanationOfBenefit.item.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-typeofservice"}},{"id":"ExplanationOfBenefit.item.productOrService","path":"ExplanationOfBenefit.item.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.productOrService","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":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-cpt-hcpcs-procedurecodes"}},{"id":"ExplanationOfBenefit.item.modifier","path":"ExplanationOfBenefit.item.modifier","short":"Product or service billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.modifier","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":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-hcpcs-modifiercodes"}},{"id":"ExplanationOfBenefit.item.programCode","path":"ExplanationOfBenefit.item.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.serviced[x]","path":"ExplanationOfBenefit.item.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.item.location[x]","path":"ExplanationOfBenefit.item.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.location[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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-placeofservice"},"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.item.quantity","path":"ExplanationOfBenefit.item.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.unitPrice","path":"ExplanationOfBenefit.item.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.factor","path":"ExplanationOfBenefit.item.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.udi","path":"ExplanationOfBenefit.item.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product 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events to claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.encounter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.noteNumber","path":"ExplanationOfBenefit.item.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line 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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. 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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. 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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":"ExplanationOfBenefit.item.adjudication:denialreason.modifierExtension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication:denialreason.category","path":"ExplanationOfBenefit.item.adjudication.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to enable understanding of the context of the other information in the adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.category","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","code":"denialreason"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","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":"Adjudication"}],"strength":"example","description":"The adjudication codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.reason","path":"ExplanationOfBenefit.item.adjudication.reason","short":"Explanation of adjudication outcome","definition":"A code supporting the understanding of the adjudication result and explaining variance from expected amount.","comment":"For example, may indicate that the funds for this benefit type have been exhausted.","requirements":"To support understanding of variance from adjudication expectations.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.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":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.amount","path":"ExplanationOfBenefit.item.adjudication.amount","short":"Monetary amount","definition":"Monetary amount associated with the category.","comment":"For example, amount submitted, eligible amount, co-payment, and benefit payable.","requirements":"Most adjuciation categories convey a monetary amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.adjudication:denialreason.value","path":"ExplanationOfBenefit.item.adjudication.value","short":"Non-monitary value","definition":"A non-monetary value associated with the category. Mutually exclusive to the amount element above.","comment":"For example: eligible percentage or co-payment percentage.","requirements":"Some adjudication categories convey a percentage or a fixed value.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.value","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":false},{"id":"ExplanationOfBenefit.item.detail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Detail"}],"path":"ExplanationOfBenefit.item.detail","short":"Additional items","definition":"Second-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail","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":"ExplanationOfBenefit.item.detail.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.sequence","path":"ExplanationOfBenefit.item.detail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.revenue","path":"ExplanationOfBenefit.item.detail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.category","path":"ExplanationOfBenefit.item.detail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.productOrService","path":"ExplanationOfBenefit.item.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.detail.programCode","path":"ExplanationOfBenefit.item.detail.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.quantity","path":"ExplanationOfBenefit.item.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.unitPrice","path":"ExplanationOfBenefit.item.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.factor","path":"ExplanationOfBenefit.item.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.factor","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":false},{"id":"ExplanationOfBenefit.item.detail.net","path":"ExplanationOfBenefit.item.detail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.udi","path":"ExplanationOfBenefit.item.detail.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.detail.noteNumber","path":"ExplanationOfBenefit.item.detail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.detail.adjudication","path":"ExplanationOfBenefit.item.detail.adjudication","short":"Detail level adjudication details","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication:denialreason","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SubDetail"}],"path":"ExplanationOfBenefit.item.detail.subDetail","short":"Additional items","definition":"Third-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail","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":"ExplanationOfBenefit.item.detail.subDetail.id","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.extension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.modifierExtension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.sequence","path":"ExplanationOfBenefit.item.detail.subDetail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.revenue","path":"ExplanationOfBenefit.item.detail.subDetail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.category","path":"ExplanationOfBenefit.item.detail.subDetail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.productOrService","path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.modifier","path":"ExplanationOfBenefit.item.detail.subDetail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.programCode","path":"ExplanationOfBenefit.item.detail.subDetail.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.quantity","path":"ExplanationOfBenefit.item.detail.subDetail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","path":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.factor","path":"ExplanationOfBenefit.item.detail.subDetail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.factor","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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.net","path":"ExplanationOfBenefit.item.detail.subDetail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.subDetail.udi","path":"ExplanationOfBenefit.item.detail.subDetail.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.adjudication","path":"ExplanationOfBenefit.item.detail.subDetail.adjudication","short":"Subdetail level adjudication details","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication:denialreason","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"740;600"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"AddedItem"}],"path":"ExplanationOfBenefit.addItem","short":"Insurer added line items","definition":"The first-tier service adjudications for payor added product or service lines.","requirements":"Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem","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":"ExplanationOfBenefit.addItem.id","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.extension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.modifierExtension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.itemSequence","path":"ExplanationOfBenefit.addItem.itemSequence","short":"Item sequence number","definition":"Claim items which this service line is intended to replace.","requirements":"Provides references to the claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.itemSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detailSequence","path":"ExplanationOfBenefit.addItem.detailSequence","short":"Detail sequence number","definition":"The sequence number of the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim details within the claim item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.subDetailSequence","path":"ExplanationOfBenefit.addItem.subDetailSequence","short":"Subdetail sequence number","definition":"The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim sub-details within the claim detail.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.subDetailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.provider","path":"ExplanationOfBenefit.addItem.provider","short":"Authorized providers","definition":"The providers who are authorized for the services rendered to the patient.","requirements":"Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.provider","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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}]},{"id":"ExplanationOfBenefit.addItem.productOrService","path":"ExplanationOfBenefit.addItem.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.addItem.serviced[x]","path":"ExplanationOfBenefit.addItem.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine 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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":"ExplanationOfBenefit.addItem.detail.modifierExtension","path":"ExplanationOfBenefit.addItem.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. 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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":"ExplanationOfBenefit.addItem.detail.productOrService","path":"ExplanationOfBenefit.addItem.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.modifier","path":"ExplanationOfBenefit.addItem.detail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.quantity","path":"ExplanationOfBenefit.addItem.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.factor","path":"ExplanationOfBenefit.addItem.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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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":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.factor","path":"ExplanationOfBenefit.addItem.detail.subDetail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.factor","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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.net","path":"ExplanationOfBenefit.addItem.detail.subDetail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","short":"Added items adjudication","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication:denialreason","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.adjudication:inoutnetwork","path":"ExplanationOfBenefit.adjudication","sliceName":"inoutnetwork","short":"Header-level adjudication","definition":"The adjudication results which are presented at the header level rather than at the line-item or add-item levels.","requirements":"Some insurers will receive line-items but provide the adjudication only at a summary or header-level.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.adjudication","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":"ExplanationOfBenefit.adjudication:inoutnetwork.id","path":"ExplanationOfBenefit.adjudication.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":"ExplanationOfBenefit.adjudication:inoutnetwork.extension","path":"ExplanationOfBenefit.adjudication.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":"ExplanationOfBenefit.adjudication:inoutnetwork.modifierExtension","path":"ExplanationOfBenefit.adjudication.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":"ExplanationOfBenefit.adjudication:inoutnetwork.category","path":"ExplanationOfBenefit.adjudication.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to enable understanding of the context of the other information in the adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.category","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":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationbenefitpaymentstatuscategory"}},{"id":"ExplanationOfBenefit.adjudication:inoutnetwork.reason","path":"ExplanationOfBenefit.adjudication.reason","short":"Explanation of adjudication outcome","definition":"A code supporting the understanding of the adjudication result and explaining variance from expected amount.","comment":"For example, may indicate that the funds for this benefit type have been exhausted.","requirements":"To support understanding of variance from adjudication expectations.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.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":"AdjudicationReason"}],"strength":"example","description":"Adjudication reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication-reason"}},{"id":"ExplanationOfBenefit.adjudication:inoutnetwork.amount","path":"ExplanationOfBenefit.adjudication.amount","short":"Monetary amount","definition":"Monetary amount associated with the category.","comment":"For example, amount submitted, eligible amount, co-payment, and benefit payable.","requirements":"Most adjuciation categories convey a monetary amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.adjudication:inoutnetwork.value","path":"ExplanationOfBenefit.adjudication.value","short":"Non-monitary value","definition":"A non-monetary value associated with the category. Mutually exclusive to the amount element above.","comment":"For example: eligible percentage or co-payment percentage.","requirements":"Some adjudication categories convey a percentage or a fixed value.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.value","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":false},{"id":"ExplanationOfBenefit.total","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"'360;620"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Total"}],"path":"ExplanationOfBenefit.total","short":"Adjudication totals","definition":"Categorized monetary totals for the adjudication.","comment":"Totals for amounts submitted, co-pays, benefits payable etc.","requirements":"To provide the requestor with financial totals by category for the adjudication.","min":1,"max":"*","base":{"path":"ExplanationOfBenefit.total","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":"ExplanationOfBenefit.total.id","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.extension","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.modifierExtension","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.category","path":"ExplanationOfBenefit.total.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to convey the type of total provided.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.total.amount","path":"ExplanationOfBenefit.total.amount","short":"Financial total for the category","definition":"Monetary total amount associated with the category.","requirements":"Needed to convey the total monetary amount.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.amount","min":1,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.payment","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"360;650"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payment"}],"path":"ExplanationOfBenefit.payment","short":"Payment Details","definition":"Payment details for the adjudication of the claim.","requirements":"Needed to convey references to the financial instrument that has been used if payment has been made.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment","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},{"id":"ExplanationOfBenefit.payment.id","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.extension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.modifierExtension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.type","path":"ExplanationOfBenefit.payment.type","short":"Partial or complete payment","definition":"Whether this represents partial or complete payment of the benefits payable.","requirements":"To advise the requestor when the insurer believes all payments to have been completed.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":"PaymentType"}],"strength":"example","description":"The type (partial, complete) of the payment.","valueSet":"http://hl7.org/fhir/ValueSet/ex-paymenttype"}},{"id":"ExplanationOfBenefit.payment.adjustment","path":"ExplanationOfBenefit.payment.adjustment","short":"Payment adjustment for non-claim issues","definition":"Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.","comment":"Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.","requirements":"To advise the requestor of adjustments applied to the payment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustment","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.adjustmentReason","path":"ExplanationOfBenefit.payment.adjustmentReason","short":"Explanation for the variance","definition":"Reason for the payment adjustment.","requirements":"Needed to clarify the monetary adjustment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustmentReason","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.payment.date","path":"ExplanationOfBenefit.payment.date","short":"Expected date of payment","definition":"Estimated date the payment will be issued or the actual issue date of payment.","requirements":"To advise the payee when payment can be expected.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.date","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},{"id":"ExplanationOfBenefit.payment.amount","path":"ExplanationOfBenefit.payment.amount","short":"Payable amount after adjustment","definition":"Benefits payable less any payment adjustment.","requirements":"Needed to provide the actual payment amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.identifier","path":"ExplanationOfBenefit.payment.identifier","short":"Business identifier for the payment","definition":"Issuer's unique identifier for the payment instrument.","comment":"For example: EFT number or check number.","requirements":"Enable the receiver to reconcile when payment received.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":false},{"id":"ExplanationOfBenefit.formCode","path":"ExplanationOfBenefit.formCode","short":"Printed form identifier","definition":"A code for the form to be used for printing the content.","comment":"May be needed to identify specific jurisdictional forms.","requirements":"Needed to specify the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.formCode","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":"Forms"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"The forms codes.","valueSet":"http://hl7.org/fhir/ValueSet/forms"}},{"id":"ExplanationOfBenefit.form","path":"ExplanationOfBenefit.form","short":"Printed reference or actual form","definition":"The actual form, by reference or inclusion, for printing the content or an EOB.","comment":"Needed to permit insurers to include the actual form.","requirements":"Needed to include the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.form","min":0,"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":false},{"id":"ExplanationOfBenefit.processNote","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Note"}],"path":"ExplanationOfBenefit.processNote","short":"Note concerning adjudication","definition":"A note that describes or explains adjudication results in a human readable form.","requirements":"Provides the insurer specific textual explanations associated with the processing.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.processNote","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":"ExplanationOfBenefit.processNote.id","path":"ExplanationOfBenefit.processNote.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":"ExplanationOfBenefit.processNote.extension","path":"ExplanationOfBenefit.processNote.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":"ExplanationOfBenefit.processNote.modifierExtension","path":"ExplanationOfBenefit.processNote.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":"ExplanationOfBenefit.processNote.number","path":"ExplanationOfBenefit.processNote.number","short":"Note instance identifier","definition":"A number to uniquely identify a note entry.","requirements":"Necessary to provide a mechanism to link from adjudications.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.processNote.number","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":false},{"id":"ExplanationOfBenefit.processNote.type","path":"ExplanationOfBenefit.processNote.type","short":"display | print | printoper","definition":"The business purpose of the note text.","requirements":"To convey the expectation for when the text is used.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.processNote.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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"NoteType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","description":"The presentation types of notes.","valueSet":"http://hl7.org/fhir/ValueSet/note-type|4.0.1"}},{"id":"ExplanationOfBenefit.processNote.text","path":"ExplanationOfBenefit.processNote.text","short":"Note explanatory text","definition":"The explanation or description associated with the processing.","requirements":"Required to provide human readable explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.processNote.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},{"id":"ExplanationOfBenefit.processNote.language","path":"ExplanationOfBenefit.processNote.language","short":"Language of the text","definition":"A code to define the language used in the text of the note.","comment":"Only required if the language is different from the resource language.","requirements":"Note text may vary from the resource defined language.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.processNote.language","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-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"ExplanationOfBenefit.benefitPeriod","path":"ExplanationOfBenefit.benefitPeriod","short":"When the benefits are applicable","definition":"The term of the benefits documented in this response.","comment":"Not applicable when use=claim.","requirements":"Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitPeriod","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},{"id":"ExplanationOfBenefit.benefitBalance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"BenefitBalance"}],"path":"ExplanationOfBenefit.benefitBalance","short":"Balance by Benefit Category","definition":"Balance by Benefit Category.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.benefitBalance","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":"ExplanationOfBenefit.benefitBalance.id","path":"ExplanationOfBenefit.benefitBalance.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":"ExplanationOfBenefit.benefitBalance.extension","path":"ExplanationOfBenefit.benefitBalance.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":"ExplanationOfBenefit.benefitBalance.modifierExtension","path":"ExplanationOfBenefit.benefitBalance.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":"ExplanationOfBenefit.benefitBalance.category","path":"ExplanationOfBenefit.benefitBalance.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed to convey the category of service or product for which eligibility is sought.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.category","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() > 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coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.excluded","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},{"id":"ExplanationOfBenefit.benefitBalance.name","path":"ExplanationOfBenefit.benefitBalance.name","short":"Short name for the benefit","definition":"A short name or tag for the benefit.","comment":"For example: MED01, or DENT2.","requirements":"Required to align with other plan names.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.name","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":"ExplanationOfBenefit.benefitBalance.description","path":"ExplanationOfBenefit.benefitBalance.description","short":"Description of the benefit or services covered","definition":"A richer description of the benefit or services covered.","comment":"For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.","requirements":"Needed for human readable reference.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.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},{"id":"ExplanationOfBenefit.benefitBalance.network","path":"ExplanationOfBenefit.benefitBalance.network","short":"In or out of network","definition":"Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.","requirements":"Needed as in or out of network providers are treated differently under the coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.network","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":"BenefitNetwork"}],"strength":"example","description":"Code to classify in or out of network services.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-network"}},{"id":"ExplanationOfBenefit.benefitBalance.unit","path":"ExplanationOfBenefit.benefitBalance.unit","short":"Individual or family","definition":"Indicates if the benefits apply to an individual or to the family.","requirements":"Needed for the understanding of the benefits.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.unit","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":"BenefitUnit"}],"strength":"example","description":"Unit covered/serviced - individual or family.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-unit"}},{"id":"ExplanationOfBenefit.benefitBalance.term","path":"ExplanationOfBenefit.benefitBalance.term","short":"Annual or lifetime","definition":"The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.","requirements":"Needed for the understanding of the benefits.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.term","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":"BenefitTerm"}],"strength":"example","description":"Coverage unit - annual, lifetime.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-term"}},{"id":"ExplanationOfBenefit.benefitBalance.financial","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Benefit"}],"path":"ExplanationOfBenefit.benefitBalance.financial","short":"Benefit Summary","definition":"Benefits Used to date.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.benefitBalance.financial","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":"ExplanationOfBenefit.benefitBalance.financial.id","path":"ExplanationOfBenefit.benefitBalance.financial.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":"ExplanationOfBenefit.benefitBalance.financial.extension","path":"ExplanationOfBenefit.benefitBalance.financial.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":"ExplanationOfBenefit.benefitBalance.financial.modifierExtension","path":"ExplanationOfBenefit.benefitBalance.financial.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":"ExplanationOfBenefit.benefitBalance.financial.type","path":"ExplanationOfBenefit.benefitBalance.financial.type","short":"Benefit classification","definition":"Classification of benefit being provided.","comment":"For example: deductible, visits, benefit amount.","requirements":"Needed to convey the nature of the benefit.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.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,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitType"}],"strength":"example","description":"Deductable, visits, co-pay, etc.","valueSet":"http://hl7.org/fhir/ValueSet/benefit-type"}},{"id":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","short":"Benefits allowed","definition":"The quantity of the benefit which is permitted under the coverage.","requirements":"Needed to convey the benefits offered under the coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.allowed[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"string"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.benefitBalance.financial.used[x]","path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","short":"Benefits used","definition":"The quantity of the benefit which have been consumed to date.","requirements":"Needed to convey the benefits consumed to date.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.financial.used[x]","min":0,"max":"1"},"type":[{"code":"unsignedInt"},{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit","path":"ExplanationOfBenefit"},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","patternCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","code":"professional-nonclinician","display":"Professional or Non-Clinician"}},{"id":"ExplanationOfBenefit.supportingInfo","path":"ExplanationOfBenefit.supportingInfo","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"open"}},{"id":"ExplanationOfBenefit.supportingInfo.category","path":"ExplanationOfBenefit.supportingInfo.category","binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory"}},{"id":"ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"billingnetworkcontractingstatus","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"billingnetworkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:billingnetworkcontractingstatus.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:referringnetworkcontractingstatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"referringnetworkcontractingstatus","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:referringnetworkcontractingstatus.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"referringnetworkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:referringnetworkcontractingstatus.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:performingnetworkcontractingstatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"performingnetworkcontractingstatus","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:performingnetworkcontractingstatus.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"performingnetworkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:performingnetworkcontractingstatus.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:sitenetworkcontractingstatus","path":"ExplanationOfBenefit.supportingInfo","sliceName":"sitenetworkcontractingstatus","max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:sitenetworkcontractingstatus.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"sitenetworkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:sitenetworkcontractingstatus.code","path":"ExplanationOfBenefit.supportingInfo.code","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus"}},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate","path":"ExplanationOfBenefit.supportingInfo","sliceName":"clmrecvddate","min":1,"max":"1"},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.category","path":"ExplanationOfBenefit.supportingInfo.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","code":"clmrecvddate"}},{"id":"ExplanationOfBenefit.supportingInfo:clmrecvddate.timing[x]","path":"ExplanationOfBenefit.supportingInfo.timing[x]","min":1,"type":[{"code":"date"}]},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","max":"0"},{"id":"ExplanationOfBenefit.item.category","path":"ExplanationOfBenefit.item.category","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-typeofservice"}},{"id":"ExplanationOfBenefit.item.productOrService","path":"ExplanationOfBenefit.item.productOrService","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-cpt-hcpcs-procedurecodes"}},{"id":"ExplanationOfBenefit.item.modifier","path":"ExplanationOfBenefit.item.modifier","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-hcpcs-modifiercodes"}},{"id":"ExplanationOfBenefit.item.location[x]","path":"ExplanationOfBenefit.item.location[x]","type":[{"code":"CodeableConcept"}],"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-placeofservice"}},{"id":"ExplanationOfBenefit.item.adjudication","path":"ExplanationOfBenefit.item.adjudication","slicing":{"discriminator":[{"type":"value","path":"category"}],"rules":"closed"}},{"id":"ExplanationOfBenefit.item.adjudication.category","path":"ExplanationOfBenefit.item.adjudication.category","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationcategory"}},{"id":"ExplanationOfBenefit.item.adjudication:adjudicationamounttype","path":"ExplanationOfBenefit.item.adjudication","sliceName":"adjudicationamounttype"},{"id":"ExplanationOfBenefit.item.adjudication:adjudicationamounttype.category","path":"ExplanationOfBenefit.item.adjudication.category","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason","path":"ExplanationOfBenefit.item.adjudication","sliceName":"denialreason","max":"1"},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.category","path":"ExplanationOfBenefit.item.adjudication.category","fixedCoding":{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","code":"denialreason"}},{"id":"ExplanationOfBenefit.item.adjudication:denialreason.reason","path":"ExplanationOfBenefit.item.adjudication.reason","min":1,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.adjudication:inoutnetwork","path":"ExplanationOfBenefit.adjudication","sliceName":"inoutnetwork","min":1,"max":"1"},{"id":"ExplanationOfBenefit.adjudication:inoutnetwork.category","path":"ExplanationOfBenefit.adjudication.category","binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationbenefitpaymentstatuscategory"}},{"id":"ExplanationOfBenefit.total","path":"ExplanationOfBenefit.total","min":1}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit.json new file mode 100644 index 00000000000..cc16bda381d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-ExplanationOfBenefit.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-ExplanationOfBenefit","meta":{"versionId":"31","lastUpdated":"2019-12-15T09:08:28.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ExplanationOfBenefit 0..*ExplanationOfBenefit
\".\"\".\"\".\" id 1..1string
\".\"\".\"\".\" identifier S1..*Identifier
\".\"\".\"\".\" type 1..1CodeableConceptBinding: CARIN Blue Button Claim Type Value Set (extensible)
\".\"\".\"\".\" use 1..1codeRequired Pattern: claim
\".\"\".\"\".\" patient 1..1Reference(CARIN Blue Button Patient Profile)
\".\"\".\"\".\" billablePeriod S0..1Period
\".\"\".\"\".\" insurer 1..1Reference(CARIN Blue Button Organization Profile)
\".\"\".\"\".\" provider 1..1Reference(CARIN Blue Button Organization Profile)
\".\"\".\"\".\" related S0..*BackboneElement
\".\"\".\"\".\"\".\" relationship 1..1CodeableConceptBinding: CARIN Blue Button Related Claim Relationship Value Set (extensible)
\".\"\".\"\".\" payee S0..1BackboneElement
\".\"\".\"\".\"\".\" type 1..1CodeableConcept
\".\"\".\"\".\"\".\" party 1..1Reference(CARIN Blue Button Practitioner Role Profile | CARIN Blue Button Patient Profile)
\".\"\".\"\".\" careTeam S0..*BackboneElement
\".\"\".\"\".\"\".\" provider 1..1Reference(CARIN Blue Button Practitioner Role Profile)
\".\"\".\"\".\"\".\" responsible S0..1boolean
\".\"\".\"\".\"\".\" role 1..1CodeableConceptBinding: CARIN Blue Button Claim Care Team Role Value Set (extensible)
\".\"\".\"\".\" supportingInfo S0..*BackboneElement
\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Claim Information Category Value Set (extensible)
\".\"\".\"\".\"\".\" code S0..1CodeableConcept
\".\"\".\"\".\"\".\" timing[x] S0..1date, Period
\".\"\".\"\".\"\".\" value[x] S0..1boolean, string, Quantity, Attachment, Reference(Resource)
\".\"\".\"\".\" diagnosis S0..*BackboneElement
\".\"\".\"\".\"\".\" diagnosis[x] 1..1CodeableConcept
\".\"\".\"\".\"\".\" type 1..1CodeableConceptBinding: CARIN Blue Button Diagnosis Type Value Set (extensible)
\".\"\".\"\".\"\".\" onAdmission S0..1CodeableConcept
\".\"\".\"\".\" procedure S0..*BackboneElement
\".\"\".\"\".\"\".\" type S0..*CodeableConcept
\".\"\".\"\".\"\".\" date S0..1dateTime
\".\"\".\"\".\"\".\" procedure[x] 1..1CodeableConcept
\".\"\".\"\".\" insurance 1..2(Slice Definition)Slice: Unordered, Closed by value:focal
\".\"\".\"\".\"\".\" insurance:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" focal 1..1booleanFixed Value: true
\".\"\".\"\".\"\".\"\".\" coverage 1..1Reference(CARIN Blue Button Coverage Profile)
\".\"\".\"\".\"\".\" insurance:primaryinsurance 0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" focal 1..1booleanFixed Value: false
\".\"\".\"\".\" item S0..*BackboneElement
\".\"\".\"\".\"\".\" careTeamSequence S0..*positiveInt
\".\"\".\"\".\"\".\" diagnosisSequence S0..*positiveInt
\".\"\".\"\".\"\".\" procedureSequence S0..*positiveInt
\".\"\".\"\".\"\".\" informationSequence S0..*positiveInt
\".\"\".\"\".\"\".\" category S0..1CodeableConcept
\".\"\".\"\".\"\".\" modifier S0..*CodeableConcept
\".\"\".\"\".\"\".\" serviced[x] S0..1date, Period
\".\"\".\"\".\"\".\" location[x] S0..1CodeableConcept, Address, Reference(Location)
\".\"\".\"\".\"\".\" quantity S0..1SimpleQuantity
\".\"\".\"\".\"\".\" net S0..1Money
\".\"\".\"\".\" total
\".\"\".\"\".\"\".\" category 1..1CodeableConceptBinding: CARIN Blue Button Adjudication Amount Category Value Set (extensible)
\".\"\".\"\".\" payment
\".\"\".\"\".\"\".\" adjustmentReason 0..1CodeableConceptBinding: CARIN Blue Button Adjudication Denial Reason Value Set (extensible)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-explanationofbenefit","version":"0.1.59-DRAFT","name":"CARINBBExplanationOfBenefit","title":"CARIN Blue Button Explanation of Benefit Profile","status":"active","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","description":"This profile is built upon the ExplanationOfBenefit Resource. It includes constraints that are common to the more specific EOB profiles defined in this IG. Each of the more specific EOB profiles builds upon this profile. MustSupport implementer guidance is included in this base profile (e.g. profile flags). The more specific EOB profiles therefore inherit MustSupport guidance from this base profile.\n\n","fhirVersion":"4.0.1","mapping":[{"identity":"workflow","uri":"http://hl7.org/fhir/workflow","name":"Workflow Pattern"},{"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":"ExplanationOfBenefit","baseDefinition":"http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit","derivation":"constraint","snapshot":{"element":[{"id":"ExplanationOfBenefit","path":"ExplanationOfBenefit","short":"Explanation of Benefit resource","definition":"This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.","alias":["EOB"],"min":0,"max":"*","base":{"path":"ExplanationOfBenefit","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"}]},{"id":"ExplanationOfBenefit.id","path":"ExplanationOfBenefit.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":1,"max":"1","base":{"path":"Resource.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":true},{"id":"ExplanationOfBenefit.meta","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.implicitRules","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.language","path":"ExplanationOfBenefit.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"ExplanationOfBenefit.text","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.contained","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.extension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.modifierExtension","path":"ExplanationOfBenefit.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":"ExplanationOfBenefit.identifier","path":"ExplanationOfBenefit.identifier","short":"Business Identifier for the resource","definition":"A unique identifier assigned to this explanation of benefit.","requirements":"Allows EOBs to be distinguished and referenced.","min":1,"max":"*","base":{"path":"ExplanationOfBenefit.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"}]},{"id":"ExplanationOfBenefit.status","path":"ExplanationOfBenefit.status","short":"active | cancelled | draft | entered-in-error","definition":"The status of the resource instance.","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 the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.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":"ExplanationOfBenefitStatus"}],"strength":"required","description":"A code specifying the state of the resource instance.","valueSet":"http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"}]},{"id":"ExplanationOfBenefit.type","path":"ExplanationOfBenefit.type","short":"Category or discipline","definition":"The category of claim, e.g. oral, pharmacy, vision, institutional, professional.","comment":"The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.","requirements":"Claim type determine the general sets of business rules applied for information requirements and adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claim-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.subType","path":"ExplanationOfBenefit.subType","short":"More granular claim type","definition":"A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Some jurisdictions need a finer grained claim type for routing and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.subType","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":"ClaimSubType"}],"strength":"example","description":"A more granular claim typecode.","valueSet":"http://hl7.org/fhir/ValueSet/claim-subtype"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.use","path":"ExplanationOfBenefit.use","short":"claim | preauthorization | predetermination","definition":"A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.","requirements":"This element is required to understand the nature of the request for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.use","min":1,"max":"1"},"type":[{"code":"code"}],"patternCode":"claim","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"Use"}],"strength":"required","description":"Complete, proposed, exploratory, other.","valueSet":"http://hl7.org/fhir/ValueSet/claim-use|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"ExplanationOfBenefit.patient","path":"ExplanationOfBenefit.patient","short":"The recipient of the products and services","definition":"The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.","requirements":"The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.subject"}]},{"id":"ExplanationOfBenefit.billablePeriod","path":"ExplanationOfBenefit.billablePeriod","short":"Relevant time frame for the claim","definition":"The period for which charges are being submitted.","comment":"Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.","requirements":"A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.billablePeriod","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.created","path":"ExplanationOfBenefit.created","short":"Response creation date","definition":"The date this resource was created.","comment":"This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.","requirements":"Need to record a timestamp for use by both the recipient and the issuer.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.created","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.recorded"}]},{"id":"ExplanationOfBenefit.enterer","path":"ExplanationOfBenefit.enterer","short":"Author of the claim","definition":"Individual who created the claim, predetermination or preauthorization.","requirements":"Some jurisdictions require the contact information for personnel completing claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.enterer","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["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":"workflow","map":"Event.performer.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.insurer","path":"ExplanationOfBenefit.insurer","short":"Party responsible for reimbursement","definition":"The party responsible for authorization, adjudication and reimbursement.","requirements":"To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurer","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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.agent"},{"identity":"w5","map":"FiveWs.author"}]},{"id":"ExplanationOfBenefit.provider","path":"ExplanationOfBenefit.provider","short":"Party responsible for the claim","definition":"The provider which is responsible for the claim, predetermination or preauthorization.","comment":"Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.source"}]},{"id":"ExplanationOfBenefit.priority","path":"ExplanationOfBenefit.priority","short":"Desired processing urgency","definition":"The provider-required urgency of processing the request. Typical values include: stat, routine deferred.","comment":"If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.","requirements":"The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.priority","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":"ProcessPriority"}],"strength":"example","description":"The timeliness with which processing is required: stat, normal, deferred.","valueSet":"http://terminology.hl7.org/CodeSystem/processpriority"},"mapping":[{"identity":"v2","map":"Request.priority"}]},{"id":"ExplanationOfBenefit.fundsReserveRequested","path":"ExplanationOfBenefit.fundsReserveRequested","short":"For whom to reserve funds","definition":"A code to indicate whether and for whom funds are to be reserved for future claims.","comment":"This field is only used for preauthorizations.","requirements":"In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.","alias":["Fund pre-allocation"],"min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserveRequested","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.fundsReserve","path":"ExplanationOfBenefit.fundsReserve","short":"Funds reserved status","definition":"A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.","comment":"Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.","requirements":"Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.fundsReserve","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":"FundsReserve"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"For whom funds are to be reserved: (Patient, Provider, None).","valueSet":"http://hl7.org/fhir/ValueSet/fundsreserve"}},{"id":"ExplanationOfBenefit.related","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"RelatedClaim"}],"path":"ExplanationOfBenefit.related","short":"Prior or corollary claims","definition":"Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.","comment":"For example, for the original treatment and follow-up exams.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.related","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.related.id","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.extension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.modifierExtension","path":"ExplanationOfBenefit.related.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":"ExplanationOfBenefit.related.claim","path":"ExplanationOfBenefit.related.claim","short":"Reference to the related claim","definition":"Reference to a related claim.","requirements":"For workplace or other accidents it is common to relate separate claims arising from the same event.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.related.relationship","path":"ExplanationOfBenefit.related.relationship","short":"How the reference claim is related","definition":"A code to convey how the claims are related.","comment":"For example, prior claim or umbrella.","requirements":"Some insurers need a declaration of the type of relationship.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.related.relationship","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-relatedclaimrelationship"}},{"id":"ExplanationOfBenefit.related.reference","path":"ExplanationOfBenefit.related.reference","short":"File or case reference","definition":"An alternate organizational reference to the case or file to which this particular claim pertains.","comment":"For example, Property/Casualty insurer claim number or Workers Compensation case number.","requirements":"In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.related.reference","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},{"id":"ExplanationOfBenefit.prescription","path":"ExplanationOfBenefit.prescription","short":"Prescription authorizing services or products","definition":"Prescription to support the dispensing of pharmacy, device or vision products.","requirements":"Required to authorize the dispensing of controlled substances and devices.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.prescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/VisionPrescription"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.originalPrescription","path":"ExplanationOfBenefit.originalPrescription","short":"Original prescription if superceded by fulfiller","definition":"Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.","comment":"For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.","requirements":"Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.originalPrescription","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payee","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payee"}],"path":"ExplanationOfBenefit.payee","short":"Recipient of benefits payable","definition":"The party to be reimbursed for cost of the products and services according to the terms of the policy.","comment":"Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.","requirements":"The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payee","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.payee.id","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.extension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.modifierExtension","path":"ExplanationOfBenefit.payee.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":"ExplanationOfBenefit.payee.type","path":"ExplanationOfBenefit.payee.type","short":"Category of recipient","definition":"Type of Party to be reimbursed: Subscriber, provider, other.","requirements":"Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.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":"PayeeType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"A code for the party to be reimbursed.","valueSet":"http://hl7.org/fhir/ValueSet/payeetype"}},{"id":"ExplanationOfBenefit.payee.party","path":"ExplanationOfBenefit.payee.party","short":"Recipient reference","definition":"Reference to the individual or organization to whom any payment will be made.","comment":"Not required if the payee is 'subscriber' or 'provider'.","requirements":"Need to provide demographics if the payee is not 'subscriber' nor 'provider'.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.payee.party","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-practitionerrole","http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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},{"id":"ExplanationOfBenefit.referral","path":"ExplanationOfBenefit.referral","short":"Treatment Referral","definition":"A reference to a referral resource.","comment":"The referral resource which lists the date, practitioner, reason and other supporting information.","requirements":"Some insurers require proof of referral to pay for services or to pay specialist rates for services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.referral","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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.cause"}]},{"id":"ExplanationOfBenefit.facility","path":"ExplanationOfBenefit.facility","short":"Servicing Facility","definition":"Facility where the services were provided.","requirements":"Insurance adjudication can be dependant on where services were delivered.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.facility","min":0,"max":"1"},"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":false,"mapping":[{"identity":"workflow","map":"Event.performer.location"},{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.claim","path":"ExplanationOfBenefit.claim","short":"Claim reference","definition":"The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.","requirements":"To provide a link to the original adjudication request.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claim","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Claim"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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]"}]},{"id":"ExplanationOfBenefit.claimResponse","path":"ExplanationOfBenefit.claimResponse","short":"Claim response reference","definition":"The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.","requirements":"To provide a link to the original adjudication response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.claimResponse","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.outcome","path":"ExplanationOfBenefit.outcome","short":"queued | complete | error | partial","definition":"The outcome of the claim, predetermination, or preauthorization processing.","comment":"The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).","requirements":"To advise the requestor of an overall processing outcome.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.outcome","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":"RemittanceOutcome"}],"strength":"required","description":"The result of the claim processing.","valueSet":"http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1"}},{"id":"ExplanationOfBenefit.disposition","path":"ExplanationOfBenefit.disposition","short":"Disposition Message","definition":"A human readable description of the status of the adjudication.","requirements":"Provided for user display.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.disposition","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":"ExplanationOfBenefit.preAuthRef","path":"ExplanationOfBenefit.preAuthRef","short":"Preauthorization reference","definition":"Reference from the Insurer which is used in later communications which refers to this adjudication.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRef","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},{"id":"ExplanationOfBenefit.preAuthRefPeriod","path":"ExplanationOfBenefit.preAuthRefPeriod","short":"Preauthorization in-effect period","definition":"The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.","comment":"This value is only present on preauthorization adjudications.","requirements":"On subsequent claims, the insurer may require the provider to quote this value.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.preAuthRefPeriod","min":0,"max":"*"},"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},{"id":"ExplanationOfBenefit.careTeam","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"CareTeam"}],"path":"ExplanationOfBenefit.careTeam","short":"Care Team members","definition":"The members of the team who provided the products and services.","requirements":"Common to identify the responsible and supporting practitioners.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.careTeam","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.id","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.extension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.modifierExtension","path":"ExplanationOfBenefit.careTeam.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":"ExplanationOfBenefit.careTeam.sequence","path":"ExplanationOfBenefit.careTeam.sequence","short":"Order of care team","definition":"A number to uniquely identify care team entries.","requirements":"Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.careTeam.provider","path":"ExplanationOfBenefit.careTeam.provider","short":"Practitioner or organization","definition":"Member of the team who provided the product or service.","requirements":"Often a regulatory requirement to specify the responsible provider.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.provider","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"w5","map":"FiveWs.actor"}]},{"id":"ExplanationOfBenefit.careTeam.responsible","path":"ExplanationOfBenefit.careTeam.responsible","short":"Indicator of the lead practitioner","definition":"The party who is billing and/or responsible for the claimed products or services.","comment":"Responsible might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the lead or responsible individual.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.responsible","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.careTeam.role","path":"ExplanationOfBenefit.careTeam.role","short":"Function within the team","definition":"The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.","comment":"Role might not be required when there is only a single provider listed.","requirements":"When multiple parties are present it is required to distinguish the roles performed by each member.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.role","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claimcareteamrole"}},{"id":"ExplanationOfBenefit.careTeam.qualification","path":"ExplanationOfBenefit.careTeam.qualification","short":"Practitioner credential or specialization","definition":"The qualification of the practitioner which is applicable for this service.","requirements":"Need to specify which qualification a provider is delivering the product or service under.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.careTeam.qualification","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":"ProviderQualification"}],"strength":"example","description":"Provider professional qualifications.","valueSet":"http://hl7.org/fhir/ValueSet/provider-qualification"}},{"id":"ExplanationOfBenefit.supportingInfo","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"SupportingInformation"}],"path":"ExplanationOfBenefit.supportingInfo","short":"Supporting 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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":"ExplanationOfBenefit.supportingInfo.extension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.modifierExtension","path":"ExplanationOfBenefit.supportingInfo.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":"ExplanationOfBenefit.supportingInfo.sequence","path":"ExplanationOfBenefit.supportingInfo.sequence","short":"Information instance identifier","definition":"A number to uniquely identify supporting information entries.","requirements":"Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.supportingInfo.category","path":"ExplanationOfBenefit.supportingInfo.category","short":"Classification of the supplied information","definition":"The general class of the information supplied: information; exception; accident, employment; onset, etc.","comment":"This may contain a category for the local bill type codes.","requirements":"Required to group or associate information items with common characteristics. For example: admission information or prior treatments.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory"}},{"id":"ExplanationOfBenefit.supportingInfo.code","path":"ExplanationOfBenefit.supportingInfo.code","short":"Type of information","definition":"System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.","comment":"This may contain the local bill type codes such as the US UB-04 bill type code.","requirements":"Required to identify the kind of additional information.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"InformationCode"}],"strength":"example","description":"The valuset used for additional information codes.","valueSet":"http://hl7.org/fhir/ValueSet/claim-exception"}},{"id":"ExplanationOfBenefit.supportingInfo.timing[x]","path":"ExplanationOfBenefit.supportingInfo.timing[x]","short":"When it occurred","definition":"The date when or period to which this information refers.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.timing[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.supportingInfo.value[x]","path":"ExplanationOfBenefit.supportingInfo.value[x]","short":"Data to be provided","definition":"Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.","comment":"Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.","requirements":"To convey the data content to be provided when the information is more than a simple code or period.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.value[x]","min":0,"max":"1"},"type":[{"code":"boolean"},{"code":"string"},{"code":"Quantity"},{"code":"Attachment"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.supportingInfo.reason","path":"ExplanationOfBenefit.supportingInfo.reason","short":"Explanation for the information","definition":"Provides the reason in the situation where a reason code is required in addition to the content.","comment":"For example: the reason for the additional stay, or why a tooth is missing.","requirements":"Needed when the supporting information has both a date and amount/value and requires explanation.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.supportingInfo.reason","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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MissingReason"}],"strength":"example","description":"Reason codes for the missing teeth.","valueSet":"http://hl7.org/fhir/ValueSet/missing-tooth-reason"}},{"id":"ExplanationOfBenefit.diagnosis","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Diagnosis"}],"path":"ExplanationOfBenefit.diagnosis","short":"Pertinent diagnosis information","definition":"Information about diagnoses relevant to the claim items.","requirements":"Required for the adjudication by provided context for the services and product listed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.diagnosis","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.diagnosis.id","path":"ExplanationOfBenefit.diagnosis.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":"ExplanationOfBenefit.diagnosis.extension","path":"ExplanationOfBenefit.diagnosis.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":"ExplanationOfBenefit.diagnosis.modifierExtension","path":"ExplanationOfBenefit.diagnosis.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. 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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":"ExplanationOfBenefit.diagnosis.sequence","path":"ExplanationOfBenefit.diagnosis.sequence","short":"Diagnosis instance identifier","definition":"A number to uniquely identify diagnosis entries.","comment":"Diagnosis are presented in list order to their expected importance: primary, secondary, etc.","requirements":"Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.diagnosis.diagnosis[x]","path":"ExplanationOfBenefit.diagnosis.diagnosis[x]","short":"Nature of illness or problem","definition":"The nature of illness or problem in a coded form or as a reference to an external defined Condition.","requirements":"Provides health context for the evaluation of the products and/or services.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.diagnosis[x]","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":"ICD10"}],"strength":"example","description":"ICD10 Diagnostic codes.","valueSet":"http://hl7.org/fhir/ValueSet/icd-10"}},{"id":"ExplanationOfBenefit.diagnosis.type","path":"ExplanationOfBenefit.diagnosis.type","short":"Timing or nature of the diagnosis","definition":"When the condition was observed or the relative ranking.","comment":"For example: admitting, primary, secondary, discharge.","requirements":"Often required to capture a particular diagnosis, for example: primary or discharge.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.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":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-diagnosistype"}},{"id":"ExplanationOfBenefit.diagnosis.onAdmission","path":"ExplanationOfBenefit.diagnosis.onAdmission","short":"Present on admission","definition":"Indication of whether the diagnosis was present on admission to a facility.","requirements":"Many systems need to understand for adjudication if the diagnosis was present a time of admission.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.onAdmission","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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DiagnosisOnAdmission"}],"strength":"example","description":"Present on admission.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"}},{"id":"ExplanationOfBenefit.diagnosis.packageCode","path":"ExplanationOfBenefit.diagnosis.packageCode","short":"Package billing code","definition":"A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.","comment":"For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.","requirements":"Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.diagnosis.packageCode","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":"DiagnosisRelatedGroup"}],"strength":"example","description":"The DRG codes associated with the diagnosis.","valueSet":"http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"}},{"id":"ExplanationOfBenefit.procedure","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Procedure"}],"path":"ExplanationOfBenefit.procedure","short":"Clinical procedures performed","definition":"Procedures performed on the patient relevant to the billing items with the claim.","requirements":"The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.id","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.extension","path":"ExplanationOfBenefit.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 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":"ExplanationOfBenefit.procedure.modifierExtension","path":"ExplanationOfBenefit.procedure.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":"ExplanationOfBenefit.procedure.sequence","path":"ExplanationOfBenefit.procedure.sequence","short":"Procedure instance identifier","definition":"A number to uniquely identify procedure entries.","requirements":"Necessary to provide a mechanism to link to claim details.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.procedure.type","path":"ExplanationOfBenefit.procedure.type","short":"Category of Procedure","definition":"When the condition was observed or the relative ranking.","requirements":"Often required to capture a particular diagnosis, for example: primary or discharge.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureType"}],"strength":"example","description":"Example procedure type codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-procedure-type"}},{"id":"ExplanationOfBenefit.procedure.date","path":"ExplanationOfBenefit.procedure.date","short":"When the procedure was performed","definition":"Date and optionally time the procedure was performed.","requirements":"Required for auditing purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.procedure.procedure[x]","path":"ExplanationOfBenefit.procedure.procedure[x]","short":"Specific clinical procedure","definition":"The code or reference to a Procedure resource which identifies the clinical intervention performed.","requirements":"This identifies the actual clinical procedure.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.procedure.procedure[x]","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":"ICD10_Procedures"}],"strength":"example","description":"ICD10 Procedure codes.","valueSet":"http://hl7.org/fhir/ValueSet/icd-10-procedures"}},{"id":"ExplanationOfBenefit.procedure.udi","path":"ExplanationOfBenefit.procedure.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.procedure.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.precedence","path":"ExplanationOfBenefit.precedence","short":"Precedence (primary, secondary, etc.)","definition":"This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.","requirements":"Needed to coordinate between multiple EOBs for the same suite of services.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.precedence","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":false},{"id":"ExplanationOfBenefit.insurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","slicing":{"discriminator":[{"type":"value","path":"focal"}],"rules":"closed"},"short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":1,"max":"2","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":true,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.insurance:primaryinsurance","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Insurance"}],"path":"ExplanationOfBenefit.insurance","sliceName":"primaryinsurance","short":"Patient insurance information","definition":"Financial instruments for reimbursement for the health care products and services specified on the claim.","comment":"All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.","requirements":"At least one insurer is required for a claim to be a claim.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.insurance","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":"v2","map":"Coverage"}]},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.id","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.extension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.modifierExtension","path":"ExplanationOfBenefit.insurance.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":"ExplanationOfBenefit.insurance:primaryinsurance.focal","path":"ExplanationOfBenefit.insurance.focal","short":"Coverage to be used for adjudication","definition":"A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.","comment":"A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.","requirements":"To identify which coverage in the list is being used to adjudicate this claim.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.focal","min":1,"max":"1"},"type":[{"code":"boolean"}],"fixedBoolean":false,"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.coverage","path":"ExplanationOfBenefit.insurance.coverage","short":"Insurance information","definition":"Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.","requirements":"Required to allow the adjudicator to locate the correct policy and history within their information system.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.insurance.coverage","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.preAuthRef","path":"ExplanationOfBenefit.insurance.preAuthRef","short":"Prior authorization reference number","definition":"Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.","comment":"This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.","requirements":"Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.insurance.preAuthRef","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},{"id":"ExplanationOfBenefit.accident","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Accident"}],"path":"ExplanationOfBenefit.accident","short":"Details of the event","definition":"Details of a accident which resulted in injuries which required the products and services listed in the claim.","requirements":"When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident","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},{"id":"ExplanationOfBenefit.accident.id","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.extension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.modifierExtension","path":"ExplanationOfBenefit.accident.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":"ExplanationOfBenefit.accident.date","path":"ExplanationOfBenefit.accident.date","short":"When the incident occurred","definition":"Date of an accident event related to the products and services contained in the claim.","comment":"The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.","requirements":"Required for audit purposes and adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.date","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},{"id":"ExplanationOfBenefit.accident.type","path":"ExplanationOfBenefit.accident.type","short":"The nature of the accident","definition":"The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.","requirements":"Coverage may be dependant on the type of accident.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.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":"AccidentType"}],"strength":"extensible","description":"Type of accident: work place, auto, etc.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"}},{"id":"ExplanationOfBenefit.accident.location[x]","path":"ExplanationOfBenefit.accident.location[x]","short":"Where the event occurred","definition":"The physical location of the accident event.","requirements":"Required for audit purposes and determination of applicable insurance liability.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.accident.location[x]","min":0,"max":"1"},"type":[{"code":"Address"},{"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":false},{"id":"ExplanationOfBenefit.item","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Item"}],"path":"ExplanationOfBenefit.item","short":"Product or service provided","definition":"A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.","requirements":"The items to be processed for adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item","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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.id","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.extension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.sequence","path":"ExplanationOfBenefit.item.sequence","short":"Item instance identifier","definition":"A number to uniquely identify item entries.","requirements":"Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.careTeamSequence","path":"ExplanationOfBenefit.item.careTeamSequence","short":"Applicable care team members","definition":"Care team members related to this service or product.","requirements":"Need to identify the individuals and their roles in the provision of the product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.careTeamSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.diagnosisSequence","path":"ExplanationOfBenefit.item.diagnosisSequence","short":"Applicable diagnoses","definition":"Diagnoses applicable for this service or product.","requirements":"Need to related the product or service to the associated diagnoses.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.diagnosisSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.procedureSequence","path":"ExplanationOfBenefit.item.procedureSequence","short":"Applicable procedures","definition":"Procedures applicable for this service or product.","requirements":"Need to provide any listed specific procedures to support the product or service being claimed.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.procedureSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.informationSequence","path":"ExplanationOfBenefit.item.informationSequence","short":"Applicable exception and supporting information","definition":"Exceptions, special conditions and supporting information applicable for this service or product.","requirements":"Need to reference the supporting information items that relate directly to this product or service.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.informationSequence","min":0,"max":"*"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"ExplanationOfBenefit.item.revenue","path":"ExplanationOfBenefit.item.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.category","path":"ExplanationOfBenefit.item.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.productOrService","path":"ExplanationOfBenefit.item.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.item.modifier","path":"ExplanationOfBenefit.item.modifier","short":"Product or service billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.programCode","path":"ExplanationOfBenefit.item.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.serviced[x]","path":"ExplanationOfBenefit.item.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.item.location[x]","path":"ExplanationOfBenefit.item.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.location[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Address"},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServicePlace"}],"strength":"example","description":"Place where the service is rendered.","valueSet":"http://hl7.org/fhir/ValueSet/service-place"},"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.item.quantity","path":"ExplanationOfBenefit.item.quantity","short":"Count of products or 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to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.factor","path":"ExplanationOfBenefit.item.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.factor","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":false},{"id":"ExplanationOfBenefit.item.net","path":"ExplanationOfBenefit.item.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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},{"id":"ExplanationOfBenefit.item.udi","path":"ExplanationOfBenefit.item.udi","short":"Unique device identifier","definition":"Unique Device Identifiers associated with this line item.","requirements":"The UDI code allows the insurer to obtain device level information on the product supplied.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.udi","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["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":false},{"id":"ExplanationOfBenefit.item.bodySite","path":"ExplanationOfBenefit.item.bodySite","short":"Anatomical location","definition":"Physical service site on the patient (limb, tooth, etc.).","comment":"For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.","requirements":"Allows insurer to validate specific 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procedures.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.subSite","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":"Surface"}],"strength":"example","description":"The code for the tooth surface and surface combinations.","valueSet":"http://hl7.org/fhir/ValueSet/surface"}},{"id":"ExplanationOfBenefit.item.encounter","path":"ExplanationOfBenefit.item.encounter","short":"Encounters related to this billed item","definition":"A billed item may include goods or services provided in multiple encounters.","requirements":"Used in some jurisdictions to link clinical events to claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.encounter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.noteNumber","path":"ExplanationOfBenefit.item.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.item.adjudication","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Adjudication"}],"path":"ExplanationOfBenefit.item.adjudication","short":"Adjudication details","definition":"If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.","requirements":"The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.adjudication","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":"ExplanationOfBenefit.item.adjudication.id","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.extension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.modifierExtension","path":"ExplanationOfBenefit.item.adjudication.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":"ExplanationOfBenefit.item.adjudication.category","path":"ExplanationOfBenefit.item.adjudication.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to enable understanding of the context of the other information in the adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.category","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":"Adjudication"}],"strength":"example","description":"The adjudication codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication"}},{"id":"ExplanationOfBenefit.item.adjudication.reason","path":"ExplanationOfBenefit.item.adjudication.reason","short":"Explanation of adjudication outcome","definition":"A code supporting the understanding of the adjudication result and explaining variance from expected amount.","comment":"For example, may indicate that the funds for this benefit type have been exhausted.","requirements":"To support understanding of variance from adjudication expectations.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.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":"AdjudicationReason"}],"strength":"example","description":"Adjudication reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/adjudication-reason"}},{"id":"ExplanationOfBenefit.item.adjudication.amount","path":"ExplanationOfBenefit.item.adjudication.amount","short":"Monetary amount","definition":"Monetary amount associated with the category.","comment":"For example, amount submitted, eligible amount, co-payment, and benefit payable.","requirements":"Most adjuciation categories convey a monetary amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.adjudication.value","path":"ExplanationOfBenefit.item.adjudication.value","short":"Non-monitary value","definition":"A non-monetary value associated with the category. Mutually exclusive to the amount element above.","comment":"For example: eligible percentage or co-payment percentage.","requirements":"Some adjudication categories convey a percentage or a fixed value.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.adjudication.value","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":false},{"id":"ExplanationOfBenefit.item.detail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Detail"}],"path":"ExplanationOfBenefit.item.detail","short":"Additional items","definition":"Second-tier of goods and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail","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":"ExplanationOfBenefit.item.detail.id","path":"ExplanationOfBenefit.item.detail.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":"ExplanationOfBenefit.item.detail.modifierExtension","path":"ExplanationOfBenefit.item.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":"ExplanationOfBenefit.item.detail.sequence","path":"ExplanationOfBenefit.item.detail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.revenue","path":"ExplanationOfBenefit.item.detail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.category","path":"ExplanationOfBenefit.item.detail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.productOrService","path":"ExplanationOfBenefit.item.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.item.detail.programCode","path":"ExplanationOfBenefit.item.detail.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.item.detail.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.item.detail.quantity","path":"ExplanationOfBenefit.item.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.unitPrice","path":"ExplanationOfBenefit.item.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.item.detail.factor","path":"ExplanationOfBenefit.item.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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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":"ExplanationOfBenefit.item.detail.subDetail.extension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.modifierExtension","path":"ExplanationOfBenefit.item.detail.subDetail.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":"ExplanationOfBenefit.item.detail.subDetail.sequence","path":"ExplanationOfBenefit.item.detail.subDetail.sequence","short":"Product or service provided","definition":"A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.","requirements":"The items to be processed for adjudication.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.sequence","min":1,"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":false},{"id":"ExplanationOfBenefit.item.detail.subDetail.revenue","path":"ExplanationOfBenefit.item.detail.subDetail.revenue","short":"Revenue or cost center code","definition":"The type of revenue or cost center providing the product and/or service.","requirements":"Needed in the processing of institutional claims.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.revenue","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":"RevenueCenter"}],"strength":"example","description":"Codes for the revenue or cost centers supplying the service and/or products.","valueSet":"http://hl7.org/fhir/ValueSet/ex-revenue-center"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.category","path":"ExplanationOfBenefit.item.detail.subDetail.category","short":"Benefit classification","definition":"Code to identify the general type of benefits under which products and services are provided.","comment":"Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.","requirements":"Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.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":"BenefitCategory"}],"strength":"example","description":"Benefit categories such as: oral, medical, vision, oral-basic etc.","valueSet":"http://hl7.org/fhir/ValueSet/ex-benefitcategory"}},{"id":"ExplanationOfBenefit.item.detail.subDetail.productOrService","path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.item.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product 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The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem","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":"ExplanationOfBenefit.addItem.id","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.extension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.modifierExtension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.itemSequence","path":"ExplanationOfBenefit.addItem.itemSequence","short":"Item sequence number","definition":"Claim items which this service line is intended to replace.","requirements":"Provides references to the claim items.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.itemSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detailSequence","path":"ExplanationOfBenefit.addItem.detailSequence","short":"Detail sequence number","definition":"The sequence number of the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim details within the claim item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.subDetailSequence","path":"ExplanationOfBenefit.addItem.subDetailSequence","short":"Subdetail sequence number","definition":"The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.","requirements":"Provides references to the claim sub-details within the claim detail.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.subDetailSequence","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.provider","path":"ExplanationOfBenefit.addItem.provider","short":"Authorized providers","definition":"The providers who are authorized for the services rendered to the patient.","requirements":"Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.provider","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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}]},{"id":"ExplanationOfBenefit.addItem.productOrService","path":"ExplanationOfBenefit.addItem.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.modifier","path":"ExplanationOfBenefit.addItem.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.programCode","path":"ExplanationOfBenefit.addItem.programCode","short":"Program the product or service is provided under","definition":"Identifies the program under which this may be recovered.","comment":"For example: Neonatal program, child dental program or drug users recovery program.","requirements":"Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.programCode","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":"ProgramCode"}],"strength":"example","description":"Program specific reason codes.","valueSet":"http://hl7.org/fhir/ValueSet/ex-program-code"}},{"id":"ExplanationOfBenefit.addItem.serviced[x]","path":"ExplanationOfBenefit.addItem.serviced[x]","short":"Date or dates of service or product delivery","definition":"The date or dates when the service or product was supplied, performed or completed.","requirements":"Needed to determine whether the service or product was provided during the term of the insurance coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.serviced[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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":"w5","map":"FiveWs.done[x]"}]},{"id":"ExplanationOfBenefit.addItem.location[x]","path":"ExplanationOfBenefit.addItem.location[x]","short":"Place of service or where product was supplied","definition":"Where the product or service was provided.","requirements":"The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.location[x]","min":0,"max":"1"},"type":[{"code":"CodeableConcept"},{"code":"Address"},{"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":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServicePlace"}],"strength":"example","description":"Place where the service is rendered.","valueSet":"http://hl7.org/fhir/ValueSet/service-place"},"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}]},{"id":"ExplanationOfBenefit.addItem.quantity","path":"ExplanationOfBenefit.addItem.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.unitPrice","path":"ExplanationOfBenefit.addItem.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.factor","path":"ExplanationOfBenefit.addItem.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.factor","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":false},{"id":"ExplanationOfBenefit.addItem.net","path":"ExplanationOfBenefit.addItem.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.bodySite","path":"ExplanationOfBenefit.addItem.bodySite","short":"Anatomical location","definition":"Physical service site on the patient (limb, tooth, etc.).","comment":"For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.","requirements":"Allows insurer to validate specific procedures.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.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":"OralSites"}],"strength":"example","description":"The code for the teeth, quadrant, sextant and arch.","valueSet":"http://hl7.org/fhir/ValueSet/tooth"}},{"id":"ExplanationOfBenefit.addItem.subSite","path":"ExplanationOfBenefit.addItem.subSite","short":"Anatomical sub-location","definition":"A region or surface of the bodySite, e.g. limb region or tooth surface(s).","requirements":"Allows insurer to validate specific procedures.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.subSite","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":"Surface"}],"strength":"example","description":"The code for the tooth surface and surface combinations.","valueSet":"http://hl7.org/fhir/ValueSet/surface"}},{"id":"ExplanationOfBenefit.addItem.noteNumber","path":"ExplanationOfBenefit.addItem.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.adjudication","path":"ExplanationOfBenefit.addItem.adjudication","short":"Added items adjudication","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"740;600"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"AddedItemDetail"}],"path":"ExplanationOfBenefit.addItem.detail","short":"Insurer added line items","definition":"The second-tier service adjudications for payor added services.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail","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":"ExplanationOfBenefit.addItem.detail.id","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.detail.extension","path":"ExplanationOfBenefit.addItem.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":"ExplanationOfBenefit.addItem.detail.modifierExtension","path":"ExplanationOfBenefit.addItem.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. 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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":"ExplanationOfBenefit.addItem.detail.productOrService","path":"ExplanationOfBenefit.addItem.detail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.modifier","path":"ExplanationOfBenefit.addItem.detail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.quantity","path":"ExplanationOfBenefit.addItem.detail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.factor","path":"ExplanationOfBenefit.addItem.detail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.","comment":"To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).","requirements":"When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.factor","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":false},{"id":"ExplanationOfBenefit.addItem.detail.net","path":"ExplanationOfBenefit.addItem.detail.net","short":"Total item cost","definition":"The quantity times the unit price for an additional service or product or charge.","comment":"For example, the formula: quantity * unitPrice * factor = net. 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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":"ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension","path":"ExplanationOfBenefit.addItem.detail.subDetail.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. 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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":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","short":"Billing, service, product, or drug code","definition":"When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.","comment":"If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.","requirements":"Necessary to state what was provided or done.","alias":["Drug Code","Bill Code","Service Code"],"min":1,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.productOrService","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":"ServiceProduct"}],"strength":"example","description":"Allowable service and product codes.","valueSet":"http://hl7.org/fhir/ValueSet/service-uscls"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","short":"Service/Product billing modifiers","definition":"Item typification or modifiers codes to convey additional context for the product or service.","comment":"For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.","requirements":"To support inclusion of the item for adjudication or to charge an elevated fee.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.modifier","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":"Modifiers"}],"strength":"example","description":"Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.","valueSet":"http://hl7.org/fhir/ValueSet/claim-modifiers"}},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","short":"Count of products or services","definition":"The number of repetitions of a service or product.","requirements":"Required when the product or service code does not convey the quantity provided.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.quantity","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","short":"Fee, charge or cost per item","definition":"If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.","requirements":"The amount charged to the patient by the provider for a single unit.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.unitPrice","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.factor","path":"ExplanationOfBenefit.addItem.detail.subDetail.factor","short":"Price scaling factor","definition":"A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. 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Quantity and factor are assumed to be 1 if not supplied.","requirements":"Provides the total amount claimed for the group (if a grouper) or the line item.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.net","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","short":"Applicable note numbers","definition":"The numbers associated with notes below which apply to the adjudication of this item.","requirements":"Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.noteNumber","min":0,"max":"*"},"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":false},{"id":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","short":"Added items adjudication","definition":"The adjudication results.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.addItem.detail.subDetail.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.adjudication","path":"ExplanationOfBenefit.adjudication","short":"Header-level adjudication","definition":"The adjudication results which are presented at the header level rather than at the line-item or add-item levels.","requirements":"Some insurers will receive line-items but provide the adjudication only at a summary or header-level.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.adjudication","min":0,"max":"*"},"contentReference":"#ExplanationOfBenefit.item.adjudication","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.total","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"'360;620"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Total"}],"path":"ExplanationOfBenefit.total","short":"Adjudication totals","definition":"Categorized monetary totals for the adjudication.","comment":"Totals for amounts submitted, co-pays, benefits payable etc.","requirements":"To provide the requestor with financial totals by category for the adjudication.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.total","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":"ExplanationOfBenefit.total.id","path":"ExplanationOfBenefit.total.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":"ExplanationOfBenefit.total.modifierExtension","path":"ExplanationOfBenefit.total.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. 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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":"ExplanationOfBenefit.total.category","path":"ExplanationOfBenefit.total.category","short":"Type of adjudication information","definition":"A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.","comment":"For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.","requirements":"Needed to convey the type of total provided.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.category","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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.total.amount","path":"ExplanationOfBenefit.total.amount","short":"Financial total for the category","definition":"Monetary total amount associated with the category.","requirements":"Needed to convey the total monetary amount.","min":1,"max":"1","base":{"path":"ExplanationOfBenefit.total.amount","min":1,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"isModifier":false,"isSummary":true},{"id":"ExplanationOfBenefit.payment","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint","valueString":"360;650"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Payment"}],"path":"ExplanationOfBenefit.payment","short":"Payment Details","definition":"Payment details for the adjudication of the claim.","requirements":"Needed to convey references to the financial instrument that has been used if payment has been made.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment","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},{"id":"ExplanationOfBenefit.payment.id","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.extension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.modifierExtension","path":"ExplanationOfBenefit.payment.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":"ExplanationOfBenefit.payment.type","path":"ExplanationOfBenefit.payment.type","short":"Partial or complete payment","definition":"Whether this represents partial or complete payment of the benefits payable.","requirements":"To advise the requestor when the insurer believes all payments to have been completed.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":"PaymentType"}],"strength":"example","description":"The type (partial, complete) of the payment.","valueSet":"http://hl7.org/fhir/ValueSet/ex-paymenttype"}},{"id":"ExplanationOfBenefit.payment.adjustment","path":"ExplanationOfBenefit.payment.adjustment","short":"Payment adjustment for non-claim issues","definition":"Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.","comment":"Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.","requirements":"To advise the requestor of adjustments applied to the payment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustment","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.adjustmentReason","path":"ExplanationOfBenefit.payment.adjustmentReason","short":"Explanation for the variance","definition":"Reason for the payment adjustment.","requirements":"Needed to clarify the monetary adjustment.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.adjustmentReason","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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}},{"id":"ExplanationOfBenefit.payment.date","path":"ExplanationOfBenefit.payment.date","short":"Expected date of payment","definition":"Estimated date the payment will be issued or the actual issue date of payment.","requirements":"To advise the payee when payment can be expected.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.date","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},{"id":"ExplanationOfBenefit.payment.amount","path":"ExplanationOfBenefit.payment.amount","short":"Payable amount after adjustment","definition":"Benefits payable less any payment adjustment.","requirements":"Needed to provide the actual payment amount.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.amount","min":0,"max":"1"},"type":[{"code":"Money"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"ExplanationOfBenefit.payment.identifier","path":"ExplanationOfBenefit.payment.identifier","short":"Business identifier for the payment","definition":"Issuer's unique identifier for the payment instrument.","comment":"For example: EFT number or check number.","requirements":"Enable the receiver to reconcile when payment received.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.payment.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":false},{"id":"ExplanationOfBenefit.formCode","path":"ExplanationOfBenefit.formCode","short":"Printed form identifier","definition":"A code for the form to be used for printing the content.","comment":"May be needed to identify specific jurisdictional forms.","requirements":"Needed to specify the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.formCode","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":"Forms"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","description":"The forms codes.","valueSet":"http://hl7.org/fhir/ValueSet/forms"}},{"id":"ExplanationOfBenefit.form","path":"ExplanationOfBenefit.form","short":"Printed reference or actual form","definition":"The actual form, by reference or inclusion, for printing the content or an EOB.","comment":"Needed to permit insurers to include the actual form.","requirements":"Needed to include the specific form used for producing output for this response.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.form","min":0,"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":false},{"id":"ExplanationOfBenefit.processNote","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Note"}],"path":"ExplanationOfBenefit.processNote","short":"Note concerning adjudication","definition":"A note that describes or explains adjudication results in a human readable form.","requirements":"Provides the insurer specific textual explanations associated with the processing.","min":0,"max":"*","base":{"path":"ExplanationOfBenefit.processNote","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":"ExplanationOfBenefit.processNote.id","path":"ExplanationOfBenefit.processNote.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":"ExplanationOfBenefit.processNote.modifierExtension","path":"ExplanationOfBenefit.processNote.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. 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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":"ExplanationOfBenefit.processNote.number","path":"ExplanationOfBenefit.processNote.number","short":"Note instance identifier","definition":"A number to uniquely identify a note entry.","requirements":"Necessary to provide a mechanism to link from adjudications.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.processNote.number","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":false},{"id":"ExplanationOfBenefit.processNote.type","path":"ExplanationOfBenefit.processNote.type","short":"display | print | printoper","definition":"The business purpose of the note text.","requirements":"To convey the expectation for when the 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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":"ExplanationOfBenefit.benefitBalance.extension","path":"ExplanationOfBenefit.benefitBalance.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":"ExplanationOfBenefit.benefitBalance.modifierExtension","path":"ExplanationOfBenefit.benefitBalance.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. 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coverage.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.excluded","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},{"id":"ExplanationOfBenefit.benefitBalance.name","path":"ExplanationOfBenefit.benefitBalance.name","short":"Short name for the benefit","definition":"A short name or tag for the benefit.","comment":"For example: MED01, or DENT2.","requirements":"Required to align with other plan names.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.name","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":"ExplanationOfBenefit.benefitBalance.description","path":"ExplanationOfBenefit.benefitBalance.description","short":"Description of the benefit or services covered","definition":"A richer description of the benefit or services covered.","comment":"For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.","requirements":"Needed for human readable reference.","min":0,"max":"1","base":{"path":"ExplanationOfBenefit.benefitBalance.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() > 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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":"ExplanationOfBenefit.benefitBalance.financial.extension","path":"ExplanationOfBenefit.benefitBalance.financial.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":"ExplanationOfBenefit.benefitBalance.financial.modifierExtension","path":"ExplanationOfBenefit.benefitBalance.financial.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. 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/hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage"]}]},{"id":"ExplanationOfBenefit.insurance:primaryinsurance","path":"ExplanationOfBenefit.insurance","sliceName":"primaryinsurance","min":0,"max":"1"},{"id":"ExplanationOfBenefit.insurance:primaryinsurance.focal","path":"ExplanationOfBenefit.insurance.focal","fixedBoolean":false},{"id":"ExplanationOfBenefit.item","path":"ExplanationOfBenefit.item","mustSupport":true},{"id":"ExplanationOfBenefit.item.careTeamSequence","path":"ExplanationOfBenefit.item.careTeamSequence","mustSupport":true},{"id":"ExplanationOfBenefit.item.diagnosisSequence","path":"ExplanationOfBenefit.item.diagnosisSequence","mustSupport":true},{"id":"ExplanationOfBenefit.item.procedureSequence","path":"ExplanationOfBenefit.item.procedureSequence","mustSupport":true},{"id":"ExplanationOfBenefit.item.informationSequence","path":"ExplanationOfBenefit.item.informationSequence","mustSupport":true},{"id":"ExplanationOfBenefit.item.category","path":"ExplanationOfBenefit.item.category","mustSupport":true},{"id":"ExplanationOfBenefit.item.modifier","path":"ExplanationOfBenefit.item.modifier","mustSupport":true},{"id":"ExplanationOfBenefit.item.serviced[x]","path":"ExplanationOfBenefit.item.serviced[x]","mustSupport":true},{"id":"ExplanationOfBenefit.item.location[x]","path":"ExplanationOfBenefit.item.location[x]","mustSupport":true},{"id":"ExplanationOfBenefit.item.quantity","path":"ExplanationOfBenefit.item.quantity","mustSupport":true},{"id":"ExplanationOfBenefit.item.net","path":"ExplanationOfBenefit.item.net","mustSupport":true},{"id":"ExplanationOfBenefit.total.category","path":"ExplanationOfBenefit.total.category","binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory"}},{"id":"ExplanationOfBenefit.payment.adjustmentReason","path":"ExplanationOfBenefit.payment.adjustmentReason","binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason"}}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Organization.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Organization.json new file mode 100644 index 00000000000..89b2c966486 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Organization.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-Organization","meta":{"versionId":"10","lastUpdated":"2019-12-15T18:04:21.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Organization 0..*USCoreOrganizationProfile
\".\"\".\"\".\" identifier 0..*(Slice Definition)Slice: Unordered, Open by pattern:$this
\".\"\".\"\".\"\".\" identifier:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" type 1..1CodeableConceptBinding: CARIN Blue Button Identifier Type Value Set (extensible)
\".\"\".\"\".\"\".\" identifier:NPI 0..1IdentifierRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: NPI
\".\"\".\"\".\"\".\" identifier:TIN 0..*IdentifierRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: TAX

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-organization","version":"0.1.59-DRAFT","name":"CARINBBOrganization","title":"CARIN Blue Button Organization Profile","status":"active","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","description":"This profile builds on the USCoreOrganization Profile. It includes additional constraints relevant for the use cases addressed by this IG.","fhirVersion":"4.0.1","mapping":[{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"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":"Organization","baseDefinition":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","derivation":"constraint","snapshot":{"element":[{"id":"Organization","path":"Organization","short":"A grouping of people or organizations with a common purpose","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"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"pattern","path":"$this"}],"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.","comment":"NPI preferred.","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"}],"mustSupport":true,"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"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier.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.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.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.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":1,"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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Organization.identifier.system","path":"Organization.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"}],"mustSupport":true,"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.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":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"}],"mustSupport":true,"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.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.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:NPI","path":"Organization.identifier","sliceName":"NPI","short":"National Provider Identifier (NPI)","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"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"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"}],"mustSupport":true,"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"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier:NPI.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:NPI.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:NPI.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:NPI.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"}],"patternCoding":{"code":"NPI"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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:NPI.system","path":"Organization.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":"Organization.identifier:NPI.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":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":"Organization.identifier:NPI.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:NPI.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:CLIA","path":"Organization.identifier","sliceName":"CLIA","short":"Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories","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"}],"patternIdentifier":{"system":"urn:oid:2.16.840.1.113883.4.7"},"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"}],"mustSupport":true,"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"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier:TIN","path":"Organization.identifier","sliceName":"TIN","short":"Identifies this organization across multiple systems","definition":"Identifier for the organization that is used to identify the organization across multiple disparate systems.","comment":"NPI preferred.","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"}],"patternIdentifier":{"system":"urn:oid:2.16.840.1.113883.4.4"},"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"}],"mustSupport":true,"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"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier:TIN.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:TIN.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:TIN.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:TIN.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"}],"patternCoding":{"code":"TAX"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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:TIN.system","path":"Organization.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":"Organization.identifier:TIN.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":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":"Organization.identifier:TIN.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:TIN.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.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":1,"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"}],"mustSupport":true,"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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"OrganizationType"}],"strength":"example","description":"Used to categorize the organization.","valueSet":"http://hl7.org/fhir/ValueSet/organization-type"},"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XON.1"},{"identity":"rim","map":".name"},{"identity":"servd","map":".PreferredName/Name"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"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"}],"mustSupport":true,"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"}],"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ORC-23?"},{"identity":"rim","map":".address"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.address.id","path":"Organization.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":"Organization.address.extension","path":"Organization.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":"Organization.address.use","path":"Organization.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":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Organization.address.type","path":"Organization.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":"Organization.address.text","path":"Organization.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":"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":"Organization.address.line","path":"Organization.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.","min":0,"max":"4","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"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":"Organization.address.city","path":"Organization.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"}]},{"id":"Organization.address.district","path":"Organization.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":"1","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":"Organization.address.state","path":"Organization.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"servd","map":"./Sites"}]},{"id":"Organization.address.postalCode","path":"Organization.address.postalCode","short":"US Zip Codes","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"}]},{"id":"Organization.address.country","path":"Organization.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Organization.address.period","path":"Organization.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":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-22T20:00:00-04:00","end":"2010-06-30T20:00:00-04:00"}}],"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":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"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"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},{"id":"Organization.identifier","path":"Organization.identifier","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"}},{"id":"Organization.identifier.type","path":"Organization.identifier.type","min":1,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-identifier-type"}},{"id":"Organization.identifier:NPI","path":"Organization.identifier","sliceName":"NPI","patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"}},{"id":"Organization.identifier:NPI.type","path":"Organization.identifier.type","patternCoding":{"code":"NPI"}},{"id":"Organization.identifier:TIN","path":"Organization.identifier","sliceName":"TIN","patternIdentifier":{"system":"urn:oid:2.16.840.1.113883.4.4"}},{"id":"Organization.identifier:TIN.type","path":"Organization.identifier.type","patternCoding":{"code":"TAX"}}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Patient.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Patient.json new file mode 100644 index 00000000000..133448f5afc --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-Patient.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-Patient","meta":{"versionId":"9","lastUpdated":"2019-12-15T18:04:47.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Patient 0..*USCorePatientProfile
\".\"\".\"\".\" identifier S1..*(Slice Definition)Slice: Unordered, Open by value:type, value:system
\".\"\".\"\".\"\".\" identifier:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" type 1..1CodeableConceptBinding: CARIN Blue Button Identifier Type Value Set (extensible)
\".\"\".\"\".\"\".\" identifier:memberid 1..*Identifier
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: MB
\".\"\".\"\".\"\".\" identifier:medrecnum 1..*Identifier
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
\".\"\".\"\".\"\".\" identifier:patacctnum 1..*Identifier
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: PT

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-patient","version":"0.1.59-DRAFT","name":"CARINBBPatient","title":"CARIN Blue Button Patient Profile","status":"active","date":"2019-11-26T00:00:00-05:00","publisher":"CARIN Alliance","description":"This profile builds on USCorePatient Profile. It includes additional constraints relevant for the use cases addressed by this IG.","fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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.org/fhir/us/core/StructureDefinition/us-core-patient","derivation":"constraint","snapshot":{"element":[{"id":"Patient","path":"Patient","short":"Information about an individual or animal receiving health care services","definition":"The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Patient[classCode=PAT]"},{"identity":"cda","map":"ClinicalDocument.recordTarget.patientRole"},{"identity":"argonaut-dq-dstu2","map":"Patient"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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:race","path":"Patient.extension","sliceName":"race","short":"US Core Race Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"]}],"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"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:ethnicity","path":"Patient.extension","sliceName":"ethnicity","short":"US Core ethnicity Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"]}],"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"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:birthsex","path":"Patient.extension","sliceName":"birthsex","short":"Extension","definition":"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).","comment":"The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"]}],"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"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"iso11179","map":".patient.administrativeGenderCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"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"},{"type":"value","path":"system"}],"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier"}]},{"id":"Patient.identifier.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.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.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.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":1,"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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"Patient.identifier.system","path":"Patient.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":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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.system"}]},{"id":"Patient.identifier.value","path":"Patient.identifier.value","short":"The value that is unique within the system.","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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.value"}]},{"id":"Patient.identifier.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.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:memberid","path":"Patient.identifier","sliceName":"memberid","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier"}]},{"id":"Patient.identifier:memberid.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). 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The use of extensions 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:patacctnum.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:patacctnum.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"}],"patternCoding":{"code":"PT"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"Patient.identifier:patacctnum.system","path":"Patient.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":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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.system"}]},{"id":"Patient.identifier:patacctnum.value","path":"Patient.identifier.value","short":"The value that is unique within the system.","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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.value"}]},{"id":"Patient.identifier:patacctnum.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:patacctnum.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":"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"},{"key":"us-core-8","severity":"error","human":"Patient.name.given or Patient.name.family or both SHALL be present","expression":"family.exists() or given.exists()","xpath":"f:given or f:family"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-5, PID-9"},{"identity":"rim","map":"name"},{"identity":"cda","map":".patient.name"},{"identity":"argonaut-dq-dstu2","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":0,"max":"1","base":{"path":"HumanName.family","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.1/FN.1"},{"identity":"rim","map":"./part[partType = FAM]"},{"identity":"servd","map":"./FamilyName"},{"identity":"argonaut-dq-dstu2","map":"Patient.name.family"}]},{"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":0,"max":"*","base":{"path":"HumanName.given","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Given Names appear in the correct order for presenting the name","condition":["us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.2 + XPN.3"},{"identity":"rim","map":"./part[partType = GIV]"},{"identity":"servd","map":"./GivenNames"},{"identity":"argonaut-dq-dstu2","map":"Patient.name.given"}]},{"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":"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":"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-13, PID-14, PID-40"},{"identity":"rim","map":"telecom"},{"identity":"cda","map":".telecom"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system"},"mapping":[{"identity":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use"},"mapping":[{"identity":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender"},"mapping":[{"identity":"v2","map":"PID-8"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":".patient.administrativeGenderCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.gender"}]},{"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":0,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.deceased[x]","path":"Patient.deceased[x]","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.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"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"PID-11"},{"identity":"rim","map":"addr"},{"identity":"cda","map":".addr"},{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"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.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":"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":"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 house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"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)"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":"1","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two Letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.postalCode","path":"Patient.address.postalCode","short":"US Zip Codes","definition":"A postal code designating a region defined by the postal service.","alias":["Zip","Zip Code"],"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":"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":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-22T20:00:00-04:00","end":"2010-06-30T20:00:00-04:00"}}],"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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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.multipleBirth[x]","path":"Patient.multipleBirth[x]","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.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":"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","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"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)"}],"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.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.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.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"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"NK1-15"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":"n/a"}]},{"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":"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":"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"LanguageCommunication"},{"identity":"cda","map":"patient.languageCommunication"},{"identity":"argonaut-dq-dstu2","map":"Patient.communication"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/simple-language"},"mapping":[{"identity":"v2","map":"PID-15, LAN-2"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"},{"identity":"cda","map":".languageCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.communication.language"}]},{"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":"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":"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":"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":"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":"rim","map":"typeCode"},{"identity":"cda","map":"n/a"}]}]},"differential":{"element":[{"id":"Patient","path":"Patient"},{"id":"Patient.identifier","path":"Patient.identifier","slicing":{"discriminator":[{"type":"value","path":"type"},{"type":"value","path":"system"}],"rules":"open"},"mustSupport":true},{"id":"Patient.identifier.type","path":"Patient.identifier.type","min":1,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-identifier-type"}},{"id":"Patient.identifier:memberid","path":"Patient.identifier","sliceName":"memberid","min":1},{"id":"Patient.identifier:memberid.type","path":"Patient.identifier.type","patternCoding":{"code":"MB"}},{"id":"Patient.identifier:medrecnum","path":"Patient.identifier","sliceName":"medrecnum"},{"id":"Patient.identifier:medrecnum.type","path":"Patient.identifier.type","patternCoding":{"code":"MR"}},{"id":"Patient.identifier:patacctnum","path":"Patient.identifier","sliceName":"patacctnum"},{"id":"Patient.identifier:patacctnum.type","path":"Patient.identifier.type","patternCoding":{"code":"PT"}}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-PractitionerRole.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-PractitionerRole.json new file mode 100644 index 00000000000..b8789f124a8 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-PractitionerRole.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-PractitionerRole","meta":{"versionId":"6","lastUpdated":"2019-12-15T18:05:04.000-05:00"},"text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-practitionerrole","version":"0.1.59-DRAFT","name":"CARINBBPractitionerRole","title":"CARIN Blue Button Practitioner Role Profile","status":"active","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","description":"This profile builds on USCorePractitionerRole Profile. It includes additional constraints relevant for the use cases addressed by this IG.","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.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","derivation":"constraint","snapshot":{"element":[{"id":"PractitionerRole","path":"PractitionerRole","short":"Roles/organizations the practitioner is associated with","definition":"This is basic constraint on PractitionerRole for use in US Core resources.","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"},{"key":"pd-1","severity":"error","human":"SHALL have contact information or a reference to an Endpoint","expression":"telecom or endpoint","xpath":"exists(f:telecom) or exists(f:endpoint)","source":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":1,"max":"1","base":{"path":"PractitionerRole.practitioner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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":1,"max":"1","base":{"path":"PractitionerRole.organization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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"}],"mustSupport":true,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Provider specialty codes consist of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty"},"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"}],"mustSupport":true,"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"}],"condition":["pd-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"rim","map":".telecom"}]},{"id":"PractitionerRole.telecom.id","path":"PractitionerRole.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":"PractitionerRole.telecom.extension","path":"PractitionerRole.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":"PractitionerRole.telecom.system","path":"PractitionerRole.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":1,"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"}],"mustSupport":true,"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":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"}]},{"id":"PractitionerRole.telecom.value","path":"PractitionerRole.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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"}]},{"id":"PractitionerRole.telecom.use","path":"PractitionerRole.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":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"}]},{"id":"PractitionerRole.telecom.rank","path":"PractitionerRole.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":"PractitionerRole.telecom.period","path":"PractitionerRole.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":"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"]}],"condition":["pd-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"mapping":[{"identity":"rim","map":"n/a"}]}]},"differential":{"element":[{"id":"PractitionerRole","path":"PractitionerRole"},{"id":"PractitionerRole.organization","path":"PractitionerRole.organization","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-organization"]}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-RelatedPerson.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-RelatedPerson.json new file mode 100644 index 00000000000..ddb25bc1ac2 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/structuredefinition/StructureDefinition-CARIN-BB-RelatedPerson.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"CARIN-BB-RelatedPerson","meta":{"versionId":"5","lastUpdated":"2019-12-14T13:02:08.000-05:00"},"text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" RelatedPerson 0..*RelatedPerson
\".\"\".\"\".\" identifier 0..*(Slice Definition)Slice: Unordered, Open by value:type, value:system
\".\"\".\"\".\"\".\" identifier:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" type 1..1CodeableConceptBinding: CARIN Blue Button Identifier Type Value Set (extensible)
\".\"\".\"\".\"\".\" identifier:memberid 0..*Identifier
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: MB
\".\"\".\"\".\"\".\" identifier:subscriberid 1..*Identifier
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: SN
\".\"\".\"\".\" patient 1..1Reference(CARIN Blue Button Patient Profile)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-relatedperson","version":"0.1.59-DRAFT","name":"CARINBBRelatedPerson","title":"CARIN Blue Button Related Person Profile","status":"active","date":"2019-12-18T00:18:52-05:00","publisher":"CARIN Alliance","description":"This profile builds on the RelatedPerson Resource. It includes additional constraints relevant for the use cases addressed by this IG.","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":"RelatedPerson","baseDefinition":"http://hl7.org/fhir/StructureDefinition/RelatedPerson","derivation":"constraint","snapshot":{"element":[{"id":"RelatedPerson","path":"RelatedPerson","short":"A person that is related to a patient, but who is not a direct target of care","definition":"Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.","min":0,"max":"*","base":{"path":"RelatedPerson","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"}]},{"id":"RelatedPerson.id","path":"RelatedPerson.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":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"RelatedPerson.meta","path":"RelatedPerson.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":"RelatedPerson.implicitRules","path":"RelatedPerson.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":"RelatedPerson.language","path":"RelatedPerson.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"RelatedPerson.text","path":"RelatedPerson.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":"RelatedPerson.contained","path":"RelatedPerson.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":"RelatedPerson.extension","path":"RelatedPerson.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":"RelatedPerson.modifierExtension","path":"RelatedPerson.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":"RelatedPerson.identifier","path":"RelatedPerson.identifier","slicing":{"discriminator":[{"type":"value","path":"type"},{"type":"value","path":"system"}],"rules":"open"},"short":"A human identifier for this person","definition":"Identifier for a person within a particular scope.","requirements":"People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.","min":0,"max":"*","base":{"path":"RelatedPerson.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":"NK1-33"},{"identity":"rim","map":".id"}]},{"id":"RelatedPerson.identifier.id","path":"RelatedPerson.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":"RelatedPerson.identifier.extension","path":"RelatedPerson.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":"RelatedPerson.identifier.use","path":"RelatedPerson.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":"RelatedPerson.identifier.type","path":"RelatedPerson.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":1,"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":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-identifier-type"},"mapping":[{"identity":"v2","map":"CX.5"},{"identity":"rim","map":"Role.code or implied by context"}]},{"id":"RelatedPerson.identifier.system","path":"RelatedPerson.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":"RelatedPerson.identifier.value","path":"RelatedPerson.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":"RelatedPerson.identifier.period","path":"RelatedPerson.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":"RelatedPerson.identifier.assigner","path":"RelatedPerson.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":"RelatedPerson.identifier:memberid","path":"RelatedPerson.identifier","sliceName":"memberid","short":"A human identifier for this person","definition":"Identifier for a person within a particular scope.","requirements":"People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.","min":0,"max":"*","base":{"path":"RelatedPerson.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":"NK1-33"},{"identity":"rim","map":".id"}]},{"id":"RelatedPerson.identifier:memberid.id","path":"RelatedPerson.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":"RelatedPerson.identifier:memberid.extension","path":"RelatedPerson.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":"RelatedPerson.identifier:memberid.use","path":"RelatedPerson.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":"RelatedPerson.identifier:memberid.type","path":"RelatedPerson.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"}],"patternCoding":{"code":"MB"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"RelatedPerson.identifier:memberid.system","path":"RelatedPerson.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":"RelatedPerson.identifier:memberid.value","path":"RelatedPerson.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":"RelatedPerson.identifier:memberid.period","path":"RelatedPerson.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":"RelatedPerson.identifier:memberid.assigner","path":"RelatedPerson.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":"RelatedPerson.identifier:subscriberid","path":"RelatedPerson.identifier","sliceName":"subscriberid","short":"A human identifier for this person","definition":"Identifier for a person within a particular scope.","requirements":"People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.","min":1,"max":"*","base":{"path":"RelatedPerson.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":"NK1-33"},{"identity":"rim","map":".id"}]},{"id":"RelatedPerson.identifier:subscriberid.id","path":"RelatedPerson.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":"RelatedPerson.identifier:subscriberid.extension","path":"RelatedPerson.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":"RelatedPerson.identifier:subscriberid.use","path":"RelatedPerson.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":"RelatedPerson.identifier:subscriberid.type","path":"RelatedPerson.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"}],"patternCoding":{"code":"SN"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"RelatedPerson.identifier:subscriberid.system","path":"RelatedPerson.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":"RelatedPerson.identifier:subscriberid.value","path":"RelatedPerson.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":"RelatedPerson.identifier:subscriberid.period","path":"RelatedPerson.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":"RelatedPerson.identifier:subscriberid.assigner","path":"RelatedPerson.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":"RelatedPerson.active","path":"RelatedPerson.active","short":"Whether this related person's record is in active use","definition":"Whether this related person record is in active use.","comment":"This element is labeled as a modifier because it may be used to mark that the resource was created in error.","requirements":"Need to be able to mark a related person record as not to be used, such as if it was created in error.","min":0,"max":"1","base":{"path":"RelatedPerson.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":"rim","map":".statusCode"}]},{"id":"RelatedPerson.patient","path":"RelatedPerson.patient","short":"The patient this person is related to","definition":"The patient this person is related to.","requirements":"We need to know which patient this RelatedPerson is related to.","min":1,"max":"1","base":{"path":"RelatedPerson.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-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":"PID-3"},{"identity":"rim","map":"scoper[classCode=PSN|ANM and determinerCode='INSTANCE']/playedRole[classCode='PAT']/id"}]},{"id":"RelatedPerson.relationship","path":"RelatedPerson.relationship","short":"The nature of the relationship","definition":"The nature of the relationship between a patient and the related person.","requirements":"We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.","min":0,"max":"*","base":{"path":"RelatedPerson.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":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PatientRelationshipType"}],"strength":"preferred","description":"The nature of the relationship between a patient and the related person.","valueSet":"http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"NK1-3"},{"identity":"rim","map":"code"}]},{"id":"RelatedPerson.name","path":"RelatedPerson.name","short":"A name associated with the person","definition":"A name associated with the person.","requirements":"Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.","min":0,"max":"*","base":{"path":"RelatedPerson.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":"NK1-2"},{"identity":"rim","map":"name"}]},{"id":"RelatedPerson.telecom","path":"RelatedPerson.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":"Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.","requirements":"People have (primary) ways to contact them in some way such as phone, email.","min":0,"max":"*","base":{"path":"RelatedPerson.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":"NK1-5 / NK1-6 / NK1-40"},{"identity":"rim","map":"telecom"}]},{"id":"RelatedPerson.gender","path":"RelatedPerson.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 for identification of the person, in combination with (at least) name and birth date.","min":0,"max":"1","base":{"path":"RelatedPerson.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"NK1-15"},{"identity":"rim","map":"administrativeGender"}]},{"id":"RelatedPerson.birthDate","path":"RelatedPerson.birthDate","short":"The date on which the related person was born","definition":"The date on which the related person was born.","min":0,"max":"1","base":{"path":"RelatedPerson.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":"rim","map":"player.birthTime"}]},{"id":"RelatedPerson.address","path":"RelatedPerson.address","short":"Address where the related person can be contacted or visited","definition":"Address where the related person can be contacted or visited.","requirements":"Need to keep track where the related person can be contacted per postal mail or visited.","min":0,"max":"*","base":{"path":"RelatedPerson.address","min":0,"max":"*"},"type":[{"code":"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":"NK1-4"},{"identity":"rim","map":"addr"}]},{"id":"RelatedPerson.photo","path":"RelatedPerson.photo","short":"Image of the person","definition":"Image of the person.","requirements":"Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.","min":0,"max":"*","base":{"path":"RelatedPerson.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":"v2","map":"OBX-5 - needs a profile"},{"identity":"rim","map":"player[classCode='PSN' and determinerCode='INSTANCE']/desc"}]},{"id":"RelatedPerson.period","path":"RelatedPerson.period","short":"Period of time that this relationship is considered valid","definition":"The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.","min":0,"max":"1","base":{"path":"RelatedPerson.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":"w5","map":"FiveWs.done[x]"},{"identity":"rim","map":".effectiveTime"}]},{"id":"RelatedPerson.communication","path":"RelatedPerson.communication","short":"A language which may be used to communicate with about the patient's health","definition":"A language which may be used to communicate with about the patient's 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 RelatedPerson.Communication associations. If the RelatedPerson 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 related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.","min":0,"max":"*","base":{"path":"RelatedPerson.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"}]},{"id":"RelatedPerson.communication.id","path":"RelatedPerson.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":"RelatedPerson.communication.extension","path":"RelatedPerson.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":"RelatedPerson.communication.modifierExtension","path":"RelatedPerson.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":"RelatedPerson.communication.language","path":"RelatedPerson.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":"RelatedPerson.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"}]},{"id":"RelatedPerson.communication.preferred","path":"RelatedPerson.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":"RelatedPerson.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":"rim","map":"preferenceInd"}]}]},"differential":{"element":[{"id":"RelatedPerson","path":"RelatedPerson"},{"id":"RelatedPerson.identifier","path":"RelatedPerson.identifier","slicing":{"discriminator":[{"type":"value","path":"type"},{"type":"value","path":"system"}],"rules":"open"}},{"id":"RelatedPerson.identifier.type","path":"RelatedPerson.identifier.type","min":1,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-identifier-type"}},{"id":"RelatedPerson.identifier:memberid","path":"RelatedPerson.identifier","sliceName":"memberid"},{"id":"RelatedPerson.identifier:memberid.type","path":"RelatedPerson.identifier.type","patternCoding":{"code":"MB"}},{"id":"RelatedPerson.identifier:subscriberid","path":"RelatedPerson.identifier","sliceName":"subscriberid","min":1},{"id":"RelatedPerson.identifier:subscriberid.type","path":"RelatedPerson.identifier.type","patternCoding":{"code":"SN"}},{"id":"RelatedPerson.patient","path":"RelatedPerson.patient","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-patient"]}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Amount-Category.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Amount-Category.json new file mode 100644 index 00000000000..58b02d32f5c --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Amount-Category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Adjudication-Amount-Category","meta":{"versionId":"5","lastUpdated":"2019-12-01T13:43:22.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Adjudication Amount Category Value Set

Describes the various amount fields used when submitting and adjudicating a claim.

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationamountcategory","version":"0.1.59-DRAFT","name":"CARINBBAdjudicationAmountCategory","title":"CARIN Blue Button Adjudication Amount Category Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"Describes the various amount fields used when submitting and adjudicating a claim.","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","concept":[{"code":"submittedamount","display":"submitted amount"},{"code":"allowedamount","display":"allowed amount"},{"code":"deductibleamount","display":"deductible amount"},{"code":"coinsuranceamount","display":"coinsurance amount"},{"code":"copayamount","display":"copay amount"},{"code":"noncoveredamount","display":"noncovered amount"},{"code":"cobamount","display":"cob amount"},{"code":"paymentamount","display":"payment amount"},{"code":"patientpayamount","display":"patient pay amount"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Benefit-Payment-Status-Category.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Benefit-Payment-Status-Category.json new file mode 100644 index 00000000000..0fe4470ac8d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Benefit-Payment-Status-Category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Adjudication-Benefit-Payment-Status-Category","meta":{"versionId":"4","lastUpdated":"2019-11-30T04:16:33.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Adjudication Benefit Payment Status Category Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationbenefitpaymentstatuscategory","version":"0.1.59-DRAFT","name":"CARINBBAdjudicationBenefitPaymentStatusCategory","title":"CARIN Blue Button Adjudication Benefit Payment Status Category Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","concept":[{"code":"innetworkbenefitpaymentstatus","display":"in network benefit payment status"},{"code":"outofnetworkbenefitpaymentstatus","display":"out of network benefit payment status"},{"code":"otherbenefitpaymentstatus","display":"other benefit payment status"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Category.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Category.json new file mode 100644 index 00000000000..16f29b96fd4 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Adjudication-Category","meta":{"versionId":"5","lastUpdated":"2019-11-30T04:17:00.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Adjudication Category Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationcategory","version":"0.1.59-DRAFT","name":"CARINBBAdjudicationCategory","title":"CARIN Blue Button Claim Adjudication Category Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory","concept":[{"code":"benefitPaymentStatusCode","display":"Benefit payment status code"},{"code":"paymentDenialCode","display":"Payment denial code"},{"code":"submittedamount","display":"submitted amount"},{"code":"allowedamount","display":"allowed amount"},{"code":"deductibleamount","display":"deductible amount"},{"code":"coinsuranceamount","display":"coinsurance amount"},{"code":"copayamount","display":"copay amount"},{"code":"noncoveredamount","display":"noncovered amount"},{"code":"cobamount","display":"cob amount"},{"code":"paymentamount","display":"payment amount"},{"code":"patientpayamount","display":"patient pay amount"},{"code":"denialreason","display":"payment denial reason"},{"code":"innetworkbenefitpaymentstatus","display":"in network benefit payment status"},{"code":"outofnetworkbenefitpaymentstatus","display":"out of network benefit payment status"},{"code":"otherbenefitpaymentstatus","display":"other benefit payment status"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Denial-Reason.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Denial-Reason.json new file mode 100644 index 00000000000..e7365f98b54 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Adjudication-Denial-Reason.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Adjudication-Denial-Reason","meta":{"versionId":"5","lastUpdated":"2019-07-27T18:01:06.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Adjudication Denial Reason Value Set

Code Lists\nASC X12 assists several organizations in the maintenance and distribution of code lists external to the X12 family of standards. The lists are maintained by the Centers for Medicare and Medicaid Services (CMS), The National Uniform Claim Committee (NUCC), and committees that meet during standing X12 meetings.

\n

Health Care Code Lists

\n

> Claim Adjustment Reason Codes (CARC) - http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes

\n

> Remittance Advice Remark Codes (RARC) - http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes

\n

This value set includes codes from the following code systems:

  • Include all codes defined in http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes
  • Include all codes defined in http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-adjudicationdenialreason","version":"0.1.59-DRAFT","name":"CARINBBAdjudicationDenialReason","title":"CARIN Blue Button Adjudication Denial Reason Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"\nCode Lists\nASC X12 assists several organizations in the maintenance and distribution of code lists external to the X12 family of standards. The lists are maintained by the Centers for Medicare and Medicaid Services (CMS), The National Uniform Claim Committee (NUCC), and committees that meet during standing X12 meetings.\n\nHealth Care Code Lists\n\n> Claim Adjustment Reason Codes (CARC) - http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes\n\n> Remittance Advice Remark Codes (RARC) - http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes","compose":{"include":[{"system":"http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes"},{"system":"http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-CPT-HCPCS-ProcedureCodes.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-CPT-HCPCS-ProcedureCodes.json new file mode 100644 index 00000000000..e2e75e8d6e4 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-CPT-HCPCS-ProcedureCodes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-CPT-HCPCS-ProcedureCodes","meta":{"versionId":"8","lastUpdated":"2019-07-28T18:58:38.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button CPT/HCPCS Procedure Codes Value Set

CPT is made managed by the American Medical Association (http://www.ama-assn.org/go/cpt)

\n

HCPCS Background Information\nEach year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.

\n

Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.

\n

This value set includes codes from the following code systems:

  • Include all codes defined in http://www.ama-assn.org/go/cpt, where the codes are contained in http://hl7.org/fhir/ValueSet/cpt-all
  • Include all codes defined in https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-cpt-hcpcs-procedurecodes","version":"0.1.59-DRAFT","name":"CARINBBCPTHCPCSProcedureCodes","title":"CARIN Blue Button CPT/HCPCS Procedure Codes Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"CPT is made managed by the American Medical Association (http://www.ama-assn.org/go/cpt)\n\nHCPCS Background Information\nEach year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.\n\nLevel II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.","compose":{"include":[{"system":"http://www.ama-assn.org/go/cpt","valueSet":["http://hl7.org/fhir/ValueSet/cpt-all"]},{"system":"https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-CareTeam-Role.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-CareTeam-Role.json new file mode 100644 index 00000000000..90742ed2a47 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-CareTeam-Role.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Claim-CareTeam-Role","meta":{"versionId":"3","lastUpdated":"2019-07-27T07:56:52.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Care Team Role Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claimcareteamrole","version":"0.1.59-DRAFT","name":"CARINBBClaimCareTeamRole","title":"CARIN Blue Button Claim Care Team Role Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claimcareteamrole","version":"1.0.0","concept":[{"code":"supervising","display":"Attending or Supervising provider"},{"code":"referring","display":"Referring provider"},{"code":"performing","display":"Servicing or Rendering provider"},{"code":"prescribing","display":"Prescribing provider"},{"code":"pcp","display":"Primary care provider"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Information-Category.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Information-Category.json new file mode 100644 index 00000000000..8a2599b75f4 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Information-Category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Claim-Information-Category","meta":{"versionId":"5","lastUpdated":"2019-07-28T05:27:02.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Information Category Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claiminformationcategory","version":"0.1.59-DRAFT","name":"CARINBBClaimInformationCategory","title":"CARIN Blue Button Claim Information Category Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claiminformationcategory","concept":[{"code":"billingnetworkcontractingstatus","display":"billingnetworkcontractingstatus"},{"code":"attendingnetworkcontractingstatus","display":"attendingnetworkcontractingstatus"},{"code":"sitenetworkcontractingstatus","display":"sitenetworkcontractingstatus"},{"code":"referringnetworkcontractingstatus","display":"referringnetworkcontractingstatus"},{"code":"performingnetworkcontractingstatus","display":"performingnetworkcontractingstatus"},{"code":"prescribingnetworkcontractingstatus","display":"prescribingnetworkcontractingstatus"},{"code":"clmrecvddate","display":"clmrecvddate"},{"code":"typeofservice","display":"typeofservice"},{"code":"tob-typeoffacility","display":"tob-typeoffacility"},{"code":"tob-billclassification","display":"tob-billclassification"},{"code":"tob-frequency","display":"tob-frequency"},{"code":"admsrc","display":"admsrc"},{"code":"admtype","display":"admtype"},{"code":"discharge-status","display":"discharge-status"},{"code":"ms-drg","display":"ms-drg"},{"code":"placeofservice","display":"placeofservice"},{"code":"dayssupply","display":"dayssupply"},{"code":"dawcode","display":"dawcode"},{"code":"refillnum","display":"refillnum"},{"code":"rxorigincode","display":"rxorigincode"},{"code":"brandgenericcode","display":"brandgenericcode"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Type.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Type.json new file mode 100644 index 00000000000..704ba125c2b --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Claim-Type.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Claim-Type","meta":{"versionId":"3","lastUpdated":"2019-07-27T05:26:59.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Claim Type Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-claim-type","version":"0.1.59-DRAFT","name":"CARINBBClaimType","title":"CARIN Blue Button Claim Type Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-claim-type","version":"1.0.0","concept":[{"code":"inpatient-facility","display":"Inpatient Facility"},{"code":"outpatient-facility","display":"Outpatient Facility"},{"code":"professional-nonclinician","display":"Professional or Non-Clinician"},{"code":"pharmacy","display":"Pharmacy"},{"code":"vision","display":"Vision"},{"code":"oral","display":"Oral"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-DiagnosisType.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-DiagnosisType.json new file mode 100644 index 00000000000..66979d9bc5b --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-DiagnosisType.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-DiagnosisType","meta":{"versionId":"3","lastUpdated":"2019-07-27T15:20:51.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Diagnosis Type Value Set

This value set includes codes from the following code systems:

  • Include these codes as defined in http://snomed.info/sct/5991000124107/version/20170901
    CodeDisplay
    principalprincipal
    secondarysecondary
    patient reason for visitpatient reason for visit
    external cause of injuryexternal cause of injury
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-diagnosistype","version":"0.1.59-DRAFT","name":"CARINBBDiagnosisType","title":"CARIN Blue Button Diagnosis Type Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://snomed.info/sct/5991000124107/version/20170901","concept":[{"code":"principal","display":"principal"},{"code":"secondary","display":"secondary"},{"code":"patient reason for visit","display":"patient reason for visit"},{"code":"external cause of injury","display":"external cause of injury"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-HCPCS-ModifierCodes.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-HCPCS-ModifierCodes.json new file mode 100644 index 00000000000..e0cc4c4404b --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-HCPCS-ModifierCodes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-HCPCS-ModifierCodes","meta":{"versionId":"3","lastUpdated":"2019-07-28T19:06:57.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button HCPCS Modifier Codes Value Set

HCPCS Release & Code Sets\nThis file contains the Level II alphanumeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage, and pricing data. The Level II HCPCS codes, which are established by CMS's Alpha-Numeric Editorial Panel, primarily represent items and supplies and non-physician services not covered by the American Medical Association's Current Procedural Terminology-4 (CPT-4) codes; Medicare, Medicaid, and private health insurers use HCPCS procedure and modifier codes for claims processing. Level II alphanumeric procedure and modifier codes comprise the A to V range.

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-hcpcs-modifiercodes","version":"0.1.59-DRAFT","name":"CARINBBHCPCSModifierCodes","title":"CARIN Blue Button HCPCS Modifier Codes Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"HCPCS Release & Code Sets\nThis file contains the Level II alphanumeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage, and pricing data. The Level II HCPCS codes, which are established by CMS's Alpha-Numeric Editorial Panel, primarily represent items and supplies and non-physician services not covered by the American Medical Association's Current Procedural Terminology-4 (CPT-4) codes; Medicare, Medicaid, and private health insurers use HCPCS procedure and modifier codes for claims processing. Level II alphanumeric procedure and modifier codes comprise the A to V range.","compose":{"include":[{"system":"https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Identifier-Type.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Identifier-Type.json new file mode 100644 index 00000000000..68cb65c455e --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Identifier-Type.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Identifier-Type","meta":{"versionId":"6","lastUpdated":"2019-12-01T22:49:55.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button Identifier Type Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-identifier-type","version":"0.1.59-DRAFT","name":"CARINBBIdentifierType","title":"CARIN Blue Button Identifier Type Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","concept":[{"code":"MB","display":"Member Number"},{"code":"PT","display":"Patient External Identifier"},{"code":"MA","display":"Patient Medicaid Number"},{"code":"MC","display":"Patient's Medicare Number"},{"code":"SN","display":"Subscriber Number"},{"code":"NH","display":"National Health Plan Identifier"},{"code":"NPI","display":"National provider identifier"},{"code":"MCD","display":"Practitioner Medicaid number"},{"code":"MCR","display":"Practitioner Medicare number"},{"code":"PPIN","display":"Medicare/CMS Performing Provider Identification Number"},{"code":"UPIN","display":"Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers"}]},{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","valueSet":["http://hl7.org/fhir/ValueSet/identifier-type"]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-MS-DRG.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-MS-DRG.json new file mode 100644 index 00000000000..4ab0bcf09c4 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-MS-DRG.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-MS-DRG","meta":{"versionId":"5","lastUpdated":"2019-11-25T19:31:02.000-05:00"},"text":{"status":"generated","div":"

CARIN Blue Button MS-DRG Value Set

This is the description for the MS-DRG value set.

\n

Copyright Statement: The content of this value set is copyrighted by a party other than HL7

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-ms-drg","version":"0.1.59-DRAFT","name":"CARINBBMSDRG","title":"CARIN Blue Button MS-DRG Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"This is the description for the MS-DRG value set.","purpose":"This is the purpose of this value set.","copyright":"The content of this value set is copyrighted by a party other than HL7","compose":{"include":[{"system":"https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Network-Contracting-Status.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Network-Contracting-Status.json new file mode 100644 index 00000000000..49f00bddfef --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Network-Contracting-Status.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Network-Contracting-Status","meta":{"versionId":"2","lastUpdated":"2019-07-28T06:21:29.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Network Contracting Status Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-networkcontractingstatus","version":"0.1.59-DRAFT","name":"CARINBBNetworkContractingStatus","title":"CARIN Blue Button Network Contracting Status Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-networkcontractingstatus","concept":[{"code":"contracted","display":"contracted"},{"code":"non-contracted","display":"non-contracted"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-PlaceOfService.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-PlaceOfService.json new file mode 100644 index 00000000000..5d7b6001c59 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-PlaceOfService.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-PlaceOfService","meta":{"versionId":"4","lastUpdated":"2019-07-28T18:42:06.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Place Of Service Codes For Professional Claims Value Set

Place of Service Codes for Professional Claims

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-placeofservice","version":"0.1.59-DRAFT","name":"CARINBBPlaceOfService","title":"CARIN Blue Button Place Of Service Codes For Professional Claims Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"Place of Service Codes for Professional Claims","compose":{"include":[{"system":"https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Related-Claim-Relationship.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Related-Claim-Relationship.json new file mode 100644 index 00000000000..7b105165a21 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Related-Claim-Relationship.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Related-Claim-Relationship","meta":{"versionId":"2","lastUpdated":"2019-07-27T07:01:18.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Related Claim Relationship Value Set

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-relatedclaimrelationship","version":"0.1.59-DRAFT","name":"CARINBBRelatedClaimRelationship","title":"CARIN Blue Button Related Claim Relationship Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","compose":{"include":[{"system":"http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-relatedclaimrelationship","version":"1.0.0","concept":[{"code":"prior","display":"Prior claim"},{"code":"replaced","display":"Replaced claim"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Revenue-Center.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Revenue-Center.json new file mode 100644 index 00000000000..30733e30da6 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-Revenue-Center.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-Revenue-Center","meta":{"versionId":"3","lastUpdated":"2019-07-28T07:01:28.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Revenue Center Value Set

UB-04 Revenue Code (FL-42), Revenue Description (FL-43)

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-revenue-center","version":"0.1.59-DRAFT","name":"CARINBBRevenueCenter","title":"CARIN Blue Button Revenue Center Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"UB-04 Revenue Code (FL-42), Revenue Description (FL-43)","compose":{"include":[{"system":"https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-SNOMEDCT-ProcedureCodes.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-SNOMEDCT-ProcedureCodes.json new file mode 100644 index 00000000000..fb971a79849 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-SNOMEDCT-ProcedureCodes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-SNOMEDCT-ProcedureCodes","meta":{"versionId":"4","lastUpdated":"2019-07-28T19:15:57.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button SNOMEDCT Procedure Codes Value Set

This value set includes codes from the following code systems:

\n

Include codes from http://snomed.info/sct where concept is-a 71388002 (Procedure)

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-snomedct-procedurecodes","version":"0.1.59-DRAFT","name":"CARINBBSNOMEDCTProcedureCodes","title":"CARIN Blue Button SNOMEDCT Procedure Codes Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"This value set includes codes from the following code systems:\n\nInclude codes from http://snomed.info/sct where concept is-a 71388002 (Procedure)","compose":{"include":[{"system":"http://snomed.info/sct","valueSet":["http://hl7.org/fhir/ValueSet/procedure-code"]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-BillClassification.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-BillClassification.json new file mode 100644 index 00000000000..ef06d9aef87 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-BillClassification.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-TOB-BillClassification","meta":{"versionId":"3","lastUpdated":"2019-07-28T07:04:49.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Type Of Bill (Bill Classification) Value Set

UB-04 Type of Bill (FL-4) structure - Type of care

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-tob-billclassification","version":"0.1.59-DRAFT","name":"CARINBBTOBBillClassification","title":"CARIN Blue Button Type Of Bill (Bill Classification) Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"UB-04 Type of Bill (FL-4) structure - Type of care\n","compose":{"include":[{"system":"https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-Frequency.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-Frequency.json new file mode 100644 index 00000000000..48907943296 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-Frequency.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-TOB-Frequency","meta":{"versionId":"3","lastUpdated":"2019-07-28T07:06:58.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Type Of Bill (Frequency) Value Set

UB-04 Type of Bill (FL-4) structure - Sequence in this episode of care

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-tob-frequency","version":"0.1.59-DRAFT","name":"CARINBBTOBFrequency","title":"CARIN Blue Button Type Of Bill (Frequency) Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"UB-04 Type of Bill (FL-4) structure - Sequence in this episode of care\n","compose":{"include":[{"system":"https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-TypeOfFacility.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-TypeOfFacility.json new file mode 100644 index 00000000000..99759f0f5b0 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TOB-TypeOfFacility.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-TOB-TypeOfFacility","meta":{"versionId":"3","lastUpdated":"2019-07-28T07:00:18.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Type Of Bill (Type Of Facility) Value Set

UB-04 Type of Bill (FL-4) structure - Type of facility

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-tob-typeoffacility","version":"0.1.59-DRAFT","name":"CARINBBTOBTypeOfFacility","title":"CARIN Blue Button Type Of Bill (Type Of Facility) Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"UB-04 Type of Bill (FL-4) structure - Type of facility\n","compose":{"include":[{"system":"https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256.html"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TypeOfService.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TypeOfService.json new file mode 100644 index 00000000000..a1b7ac32935 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-CARIN-BB-TypeOfService.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"CARIN-BB-TypeOfService","meta":{"versionId":"3","lastUpdated":"2019-07-28T06:41:25.000-04:00"},"text":{"status":"generated","div":"

CARIN Blue Button Type Of Service Value Set

CMS_TYPE_SRVC_TB CMS Type of Service Table

\n

1 = Medical care\n2 = Surgery\n3 = Consultation\n4 = Diagnostic radiology\n5 = Diagnostic laboratory\n6 = Therapeutic radiology\n7 = Anesthesia\n8 = Assistant at surgery\n9 = Other medical items or services\n0 = Whole blood only eff 01/96, whole blood or packed red cells before 01/96\nA = Used durable medical equipment (DME)\nB = High risk screening mammography (obsolete 1/1/98)\nC = Low risk screening mammography (obsolete 1/1/98)\nD = Ambulance (eff 04/95)\nE = Enteral/parenteral nutrients/supplies (eff 04/95)\nF = Ambulatory surgical center (facility usage for surgical services)\nG = Immunosuppressive drugs\nH = Hospice services (discontinued 01/95)\nI = Purchase of DME (installment basis) (discontinued 04/95)\nJ = Diabetic shoes (eff 04/95)\nK = Hearing items and services (eff 04/95)\nL = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)\nM = Monthly capitation payment for dialysis\nN = Kidney donor\nP = Lump sum purchase of DME, prosthetics orthotics\nQ = Vision items or services\nR = Rental of DME\nS = Surgical dressings or other medical supplies (eff 04/95)\nT = Psychological therapy (term. 12/31/97) outpatient mental health limitation (eff. 1/1/98)\nU = Occupational therapy\nV = Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95\nW = Physical therapy\nY = Second opinion on elective surgery (obsoleted 1/97)\nZ = Third opinion on elective surgery (obsoleted 1/97)

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.resdac.org/sites/resdac.umn.edu/files/CMS%20Type%20of%20Service%20Table.txt
"},"url":"http://hl7.org/fhir/us/carin/ValueSet/carin-bb-typeofservice","version":"0.1.59-DRAFT","name":"CARINBBTypeOfService","title":"CARIN Blue Button Type Of Service Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"CMS_TYPE_SRVC_TB CMS Type of Service Table\n\n 1 = Medical care\n 2 = Surgery\n 3 = Consultation\n 4 = Diagnostic radiology\n 5 = Diagnostic laboratory\n 6 = Therapeutic radiology\n 7 = Anesthesia\n 8 = Assistant at surgery\n 9 = Other medical items or services\n 0 = Whole blood only eff 01/96, whole blood or packed red cells before 01/96\n A = Used durable medical equipment (DME)\n B = High risk screening mammography (obsolete 1/1/98)\n C = Low risk screening mammography (obsolete 1/1/98)\n D = Ambulance (eff 04/95)\n E = Enteral/parenteral nutrients/supplies (eff 04/95)\n F = Ambulatory surgical center (facility usage for surgical services)\n G = Immunosuppressive drugs\n H = Hospice services (discontinued 01/95)\n I = Purchase of DME (installment basis) (discontinued 04/95)\n J = Diabetic shoes (eff 04/95)\n K = Hearing items and services (eff 04/95)\n L = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)\n M = Monthly capitation payment for dialysis\n N = Kidney donor\n P = Lump sum purchase of DME, prosthetics orthotics\n Q = Vision items or services\n R = Rental of DME\n S = Surgical dressings or other medical supplies (eff 04/95)\n T = Psychological therapy (term. 12/31/97) outpatient mental health limitation (eff. 1/1/98)\n U = Occupational therapy\n V = Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95\n W = Physical therapy\n Y = Second opinion on elective surgery (obsoleted 1/97)\n Z = Third opinion on elective surgery (obsoleted 1/97)","compose":{"include":[{"system":"https://www.resdac.org/sites/resdac.umn.edu/files/CMS%20Type%20of%20Service%20Table.txt"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-patientdischargestatus.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-patientdischargestatus.json new file mode 100644 index 00000000000..521bb6abf01 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-patientdischargestatus.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"nubc-patientdischargestatus","meta":{"versionId":"1","lastUpdated":"2019-12-16T11:55:24.000-05:00"},"text":{"status":"generated","div":"

NUBC Patient Discharge Status

These codes are found in the CMS 1450 form. See HL7 OID information.

\n

This value set includes codes from the following code systems:

  • Include all codes defined in http//www.nubc.org/patient-discharge
"},"url":"http://hl7.org/fhir/us/ValueSet/nubc-patientdischargestatus","version":"0.1.59-DRAFT","name":"NUBCPatientDischargeStatus","title":"NUBC Patient Discharge Status","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"These codes are found in the [CMS 1450](https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256) form. See HL7 OID [information](http://www.hl7.org/oid/OID_view.cfm?&Comp_OID=2.16.840.1.113883.6.301.5).","compose":{"include":[{"system":"http//www.nubc.org/patient-discharge"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-pointoforiginforadmissionorvisit.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-pointoforiginforadmissionorvisit.json new file mode 100644 index 00000000000..212bf7dbb28 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-pointoforiginforadmissionorvisit.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"nubc-pointoforiginforadmissionorvisit","meta":{"versionId":"3","lastUpdated":"2019-12-16T09:34:28.000-05:00"},"text":{"status":"generated","div":"

NUBC Point of Origin for Admission or Visit Value Set

These codes are found in the CMS 1450 form. See HL7 OID information.

\n

This value set includes codes from the following code systems:

  • Include all codes defined in https://www.nubc.org/point-of-origin-for-admission-or-visit
"},"url":"http://hl7.org/fhir/us/ValueSet/nubc-pointoforiginforadmissionorvisit","version":"0.1.59-DRAFT","name":"NUBCPointOfOriginForAdmissionOrVisit","title":"NUBC Point of Origin for Admission or Visit Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"These codes are found in the [CMS 1450](https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256) form. See HL7 OID [information](http://www.hl7.org/oid/OID_view.cfm?&Comp_OID=2.16.840.1.113883.6.301.4).","compose":{"include":[{"system":"https://www.nubc.org/point-of-origin-for-admission-or-visit"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-prioritytypeofadmissionorvisit.json b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-prioritytypeofadmissionorvisit.json new file mode 100644 index 00000000000..6bec9a85a97 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/carin/valueset/ValueSet-nubc-prioritytypeofadmissionorvisit.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"nubc-prioritytypeofadmissionorvisit","meta":{"versionId":"2","lastUpdated":"2019-12-16T12:55:47.000-05:00"},"text":{"status":"generated","div":"

NUBC Priority (Type) of Admission or Visit Value Set

These codes are found in the CMS 1450 form.

\n

This value set includes codes from the following code systems:

  • Include all codes defined in http//www.nubc.org/priority-type-of-admission-or-visit
"},"url":"http://hl7.org/fhir/us/ValueSet/nubc-prioritytypeofadmissionorvisit","version":"0.1.59-DRAFT","name":"NUBCPriorityTypeOfAdmissionOrVisit","title":"NUBC Priority (Type) of Admission or Visit Value Set","status":"draft","date":"2019-12-18T00:18:52-05:00","description":"These codes are found in the [CMS 1450](https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS1196256) form.","compose":{"include":[{"system":"http//www.nubc.org/priority-type-of-admission-or-visit"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-careplan-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-careplan-category.json new file mode 100644 index 00000000000..b0556eff591 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-careplan-category.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"careplan-category","text":{"status":"generated","div":"

US Core CarePlan Category Extension Codes

Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.

\n

This code system http://hl7.org/fhir/us/core/CodeSystem/careplan-category defines the following codes:

CodeDisplayDefinition
assess-plan Assessment and Plan of TreatmentThe clinical conclusions and assumptions that guide the patient's treatment and the clinical activities formulated for a patient.
"},"url":"http://hl7.org/fhir/us/core/CodeSystem/careplan-category","version":"3.1.0","name":"USCoreCarePlanCategoryExtensionCodes","title":"US Core CarePlan Category Extension Codes","status":"active","date":"2019-12-17T21:39:14+00:00","publisher":"HL7 US Realm Steering Committee","description":"Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"content":"complete","concept":[{"code":"assess-plan","display":"Assessment and Plan of Treatment","definition":"The clinical conclusions and assumptions that guide the patient's treatment and the clinical activities formulated for a patient."}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-cdcrec.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-cdcrec.json new file mode 100644 index 00000000000..488d89d206b --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-cdcrec.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"cdcrec","text":{"status":"generated","div":"

Race & Ethnicity - CDC

The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in codingrace and ethnicity data. This code set is based on current federal standards for classifying data onrace and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office ofManagement and Budget (OMB) and a more detailed set of race and ethnicity categories maintainedby the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federalstandards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved,or analyzed in electronic form. At the same time, the code set can be applied to paper-based recordsystems to the extent that these systems are used to collect, maintain, and report data on race andethnicity in accordance with current federal standards. Source: Race and Ethnicity Code Set Version 1.0.

\n

Properties

CodeURLDescriptionType
abstractTrue if an element is considered 'abstract' - in other words, the code is not for use as a real conceptboolean

This code system urn:oid:2.16.840.1.113883.6.238 defines the following codes:

LvlCodeDisplayDefinition
11000-9 RaceRace, Note that this is an abstract 'grouping' concept and not for use as a real concept
2  1002-5 American Indian or Alaska NativeAmerican Indian or Alaska Native
3    1004-1 American IndianAmerican Indian
3    1735-0 Alaska NativeAlaska Native
3    1006-6 AbenakiAbenaki
3    1008-2 AlgonquianAlgonquian
3    1010-8 ApacheApache
3    1021-5 ArapahoArapaho
3    1026-4 ArikaraArikara
3    1028-0 AssiniboineAssiniboine
3    1030-6 Assiniboine SiouxAssiniboine Sioux
3    1033-0 BannockBannock
3    1035-5 BlackfeetBlackfeet
3    1037-1 BrothertonBrotherton
3    1039-7 Burt Lake BandBurt Lake Band
3    1041-3 CaddoCaddo
3    1044-7 CahuillaCahuilla
3    1053-8 California TribesCalifornia Tribes
3    1068-6 Canadian and Latin American IndianCanadian and Latin American Indian
3    1076-9 CatawbaCatawba
3    1078-5 CayuseCayuse
3    1080-1 ChehalisChehalis
3    1082-7 ChemakuanChemakuan
3    1086-8 ChemehueviChemehuevi
3    1088-4 CherokeeCherokee
3    1100-7 Cherokee ShawneeCherokee Shawnee
3    1102-3 CheyenneCheyenne
3    1106-4 Cheyenne-ArapahoCheyenne-Arapaho
3    1108-0 ChickahominyChickahominy
3    1112-2 ChickasawChickasaw
3    1114-8 ChinookChinook
3    1123-9 ChippewaChippewa
3    1150-2 Chippewa CreeChippewa Cree
3    1153-6 ChitimachaChitimacha
3    1155-1 ChoctawChoctaw
3    1162-7 ChumashChumash
3    1165-0 Clear LakeClear Lake
3    1167-6 Coeur D'AleneCoeur D'Alene
3    1169-2 CoharieCoharie
3    1171-8 Colorado RiverColorado River
3    1173-4 ColvilleColville
3    1175-9 ComancheComanche
3    1178-3 Coos, Lower Umpqua, SiuslawCoos, Lower Umpqua, Siuslaw
3    1180-9 CoosCoos
3    1182-5 CoquillesCoquilles
3    1184-1 CostanoanCostanoan
3    1186-6 CoushattaCoushatta
3    1189-0 CowlitzCowlitz
3    1191-6 CreeCree
3    1193-2 CreekCreek
3    1207-0 CroatanCroatan
3    1209-6 CrowCrow
3    1211-2 CupenoCupeno
3    1214-6 DelawareDelaware
3    1222-9 DieguenoDiegueno
3    1233-6 Eastern TribesEastern Tribes
3    1250-0 EsselenEsselen
3    1252-6 Fort BelknapFort Belknap
3    1254-2 Fort BertholdFort Berthold
3    1256-7 Fort McdowellFort Mcdowell
3    1258-3 Fort HallFort Hall
3    1260-9 GabrielenoGabrieleno
3    1262-5 Grand RondeGrand Ronde
3    1264-1 Gros VentresGros Ventres
3    1267-4 HaliwaHaliwa
3    1269-0 HidatsaHidatsa
3    1271-6 HoopaHoopa
3    1275-7 Hoopa ExtensionHoopa Extension
3    1277-3 HoumaHouma
3    1279-9 Inaja-CosmitInaja-Cosmit
3    1281-5 IowaIowa
3    1285-6 IroquoisIroquois
3    1297-1 JuanenoJuaneno
3    1299-7 KalispelKalispel
3    1301-1 KarukKaruk
3    1303-7 KawKaw
3    1305-2 KickapooKickapoo
3    1309-4 KiowaKiowa
3    1312-8 KlallamKlallam
3    1317-7 KlamathKlamath
3    1319-3 KonkowKonkow
3    1321-9 KootenaiKootenai
3    1323-5 LassikLassik
3    1325-0 Long IslandLong Island
3    1331-8 LuisenoLuiseno
3    1340-9 LumbeeLumbee
3    1342-5 LummiLummi
3    1344-1 MaiduMaidu
3    1348-2 MakahMakah
3    1350-8 MaliseetMaliseet
3    1352-4 MandanMandan
3    1354-0 MattaponiMattaponi
3    1356-5 MenomineeMenominee
3    1358-1 MiamiMiami
3    1363-1 MiccosukeeMiccosukee
3    1365-6 MicmacMicmac
3    1368-0 Mission IndiansMission Indians
3    1370-6 MiwokMiwok
3    1372-2 ModocModoc
3    1374-8 MoheganMohegan
3    1376-3 MonoMono
3    1378-9 NanticokeNanticoke
3    1380-5 NarragansettNarragansett
3    1382-1 NavajoNavajo
3    1387-0 Nez PerceNez Perce
3    1389-6 NomalakiNomalaki
3    1391-2 Northwest TribesNorthwest Tribes
3    1403-5 OmahaOmaha
3    1405-0 Oregon AthabaskanOregon Athabaskan
3    1407-6 OsageOsage
3    1409-2 Otoe-MissouriaOtoe-Missouria
3    1411-8 OttawaOttawa
3    1416-7 PaiutePaiute
3    1439-9 PamunkeyPamunkey
3    1441-5 PassamaquoddyPassamaquoddy
3    1445-6 PawneePawnee
3    1448-0 PenobscotPenobscot
3    1450-6 PeoriaPeoria
3    1453-0 PequotPequot
3    1456-3 PimaPima
3    1460-5 PiscatawayPiscataway
3    1462-1 Pit RiverPit River
3    1464-7 PomoPomo
3    1474-6 PoncaPonca
3    1478-7 PotawatomiPotawatomi
3    1487-8 PowhatanPowhatan
3    1489-4 PuebloPueblo
3    1518-0 Puget Sound SalishPuget Sound Salish
3    1541-2 QuapawQuapaw
3    1543-8 QuinaultQuinault
3    1545-3 RappahannockRappahannock
3    1547-9 Reno-SparksReno-Sparks
3    1549-5 Round ValleyRound Valley
3    1551-1 Sac and FoxSac and Fox
3    1556-0 SalinanSalinan
3    1558-6 SalishSalish
3    1560-2 Salish and KootenaiSalish and Kootenai
3    1562-8 SchaghticokeSchaghticoke
3    1564-4 Scott ValleyScott Valley
3    1566-9 SeminoleSeminole
3    1573-5 SerranoSerrano
3    1576-8 ShastaShasta
3    1578-4 ShawneeShawnee
3    1582-6 ShinnecockShinnecock
3    1584-2 Shoalwater BayShoalwater Bay
3    1586-7 ShoshoneShoshone
3    1602-2 Shoshone PaiuteShoshone Paiute
3    1607-1 SiletzSiletz
3    1609-7 SiouxSioux
3    1643-6 SiuslawSiuslaw
3    1645-1 SpokaneSpokane
3    1647-7 StewartStewart
3    1649-3 StockbridgeStockbridge
3    1651-9 SusanvilleSusanville
3    1653-5 Tohono O'OdhamTohono O'Odham
3    1659-2 TolowaTolowa
3    1661-8 TonkawaTonkawa
3    1663-4 TyghTygh
3    1665-9 UmatillaUmatilla
3    1667-5 UmpquaUmpqua
3    1670-9 UteUte
3    1675-8 WailakiWailaki
3    1677-4 Walla-WallaWalla-Walla
3    1679-0 WampanoagWampanoag
3    1683-2 Warm SpringsWarm Springs
3    1685-7 WascopumWascopum
3    1687-3 WashoeWashoe
3    1692-3 WichitaWichita
3    1694-9 Wind RiverWind River
3    1696-4 WinnebagoWinnebago
3    1700-4 WinnemuccaWinnemucca
3    1702-0 WintunWintun
3    1704-6 WiyotWiyot
3    1707-9 YakamaYakama
3    1709-5 Yakama CowlitzYakama Cowlitz
3    1711-1 YaquiYaqui
3    1715-2 Yavapai ApacheYavapai Apache
3    1717-8 YokutsYokuts
3    1722-8 YuchiYuchi
3    1724-4 YumanYuman
3    1732-7 YurokYurok
3    1011-6 ChiricahuaChiricahua
3    1012-4 Fort Sill ApacheFort Sill Apache
3    1013-2 Jicarilla ApacheJicarilla Apache
3    1014-0 Lipan ApacheLipan Apache
3    1015-7 Mescalero ApacheMescalero Apache
3    1016-5 Oklahoma ApacheOklahoma Apache
3    1017-3 Payson ApachePayson Apache
3    1018-1 San Carlos ApacheSan Carlos Apache
3    1019-9 White Mountain ApacheWhite Mountain Apache
3    1022-3 Northern ArapahoNorthern Arapaho
3    1023-1 Southern ArapahoSouthern Arapaho
3    1024-9 Wind River ArapahoWind River Arapaho
3    1031-4 Fort Peck Assiniboine SiouxFort Peck Assiniboine Sioux
3    1042-1 Oklahoma CadoOklahoma Cado
3    1045-4 Agua Caliente CahuillaAgua Caliente Cahuilla
3    1046-2 AugustineAugustine
3    1047-0 CabazonCabazon
3    1048-8 Los CoyotesLos Coyotes
3    1049-6 MorongoMorongo
3    1050-4 Santa Rosa CahuillaSanta Rosa Cahuilla
3    1051-2 Torres-MartinezTorres-Martinez
3    1054-6 CahtoCahto
3    1055-3 ChimarikoChimariko
3    1056-1 Coast MiwokCoast Miwok
3    1057-9 DiggerDigger
3    1058-7 KawaiisuKawaiisu
3    1059-5 Kern RiverKern River
3    1060-3 MattoleMattole
3    1061-1 Red WoodRed Wood
3    1062-9 Santa RosaSanta Rosa
3    1063-7 TakelmaTakelma
3    1064-5 WappoWappo
3    1065-2 YanaYana
3    1066-0 YukiYuki
3    1069-4 Canadian IndianCanadian Indian
3    1070-2 Central American IndianCentral American Indian
3    1071-0 French American IndianFrench American Indian
3    1072-8 Mexican American IndianMexican American Indian
3    1073-6 South American IndianSouth American Indian
3    1074-4 Spanish American IndianSpanish American Indian
3    1083-5 HohHoh
3    1084-3 QuileuteQuileute
3    1089-2 Cherokee AlabamaCherokee Alabama
3    1090-0 Cherokees of Northeast AlabamaCherokees of Northeast Alabama
3    1091-8 Cherokees of Southeast AlabamaCherokees of Southeast Alabama
3    1092-6 Eastern CherokeeEastern Cherokee
3    1093-4 Echota CherokeeEchota Cherokee
3    1094-2 Etowah CherokeeEtowah Cherokee
3    1095-9 Northern CherokeeNorthern Cherokee
3    1096-7 TuscolaTuscola
3    1097-5 United Keetowah Band of CherokeeUnited Keetowah Band of Cherokee
3    1098-3 Western CherokeeWestern Cherokee
3    1103-1 Northern CheyenneNorthern Cheyenne
3    1104-9 Southern CheyenneSouthern Cheyenne
3    1109-8 Eastern ChickahominyEastern Chickahominy
3    1110-6 Western ChickahominyWestern Chickahominy
3    1115-5 ClatsopClatsop
3    1116-3 Columbia River ChinookColumbia River Chinook
3    1117-1 KathlametKathlamet
3    1118-9 Upper ChinookUpper Chinook
3    1119-7 Wakiakum ChinookWakiakum Chinook
3    1120-5 Willapa ChinookWillapa Chinook
3    1121-3 WishramWishram
3    1124-7 Bad RiverBad River
3    1125-4 Bay Mills ChippewaBay Mills Chippewa
3    1126-2 Bois ForteBois Forte
3    1127-0 Burt Lake ChippewaBurt Lake Chippewa
3    1128-8 Fond du LacFond du Lac
3    1129-6 Grand PortageGrand Portage
3    1130-4 Grand Traverse Band of Ottawa/ChippewaGrand Traverse Band of Ottawa/Chippewa
3    1131-2 KeweenawKeweenaw
3    1132-0 Lac Courte OreillesLac Courte Oreilles
3    1133-8 Lac du FlambeauLac du Flambeau
3    1134-6 Lac Vieux Desert ChippewaLac Vieux Desert Chippewa
3    1135-3 Lake SuperiorLake Superior
3    1136-1 Leech LakeLeech Lake
3    1137-9 Little Shell ChippewaLittle Shell Chippewa
3    1138-7 Mille LacsMille Lacs
3    1139-5 Minnesota ChippewaMinnesota Chippewa
3    1140-3 OntonagonOntonagon
3    1141-1 Red Cliff ChippewaRed Cliff Chippewa
3    1142-9 Red Lake ChippewaRed Lake Chippewa
3    1143-7 Saginaw ChippewaSaginaw Chippewa
3    1144-5 St. Croix ChippewaSt. Croix Chippewa
3    1145-2 Sault Ste. Marie ChippewaSault Ste. Marie Chippewa
3    1146-0 Sokoagon ChippewaSokoagon Chippewa
3    1147-8 Turtle MountainTurtle Mountain
3    1148-6 White EarthWhite Earth
3    1151-0 Rocky Boy's Chippewa CreeRocky Boy's Chippewa Cree
3    1156-9 Clifton ChoctawClifton Choctaw
3    1157-7 Jena ChoctawJena Choctaw
3    1158-5 Mississippi ChoctawMississippi Choctaw
3    1159-3 Mowa Band of ChoctawMowa Band of Choctaw
3    1160-1 Oklahoma ChoctawOklahoma Choctaw
3    1163-5 Santa YnezSanta Ynez
3    1176-7 Oklahoma ComancheOklahoma Comanche
3    1187-4 Alabama CoushattaAlabama Coushatta
3    1194-0 Alabama CreekAlabama Creek
3    1195-7 Alabama QuassarteAlabama Quassarte
3    1196-5 Eastern CreekEastern Creek
3    1197-3 Eastern MuscogeeEastern Muscogee
3    1198-1 KialegeeKialegee
3    1199-9 Lower MuscogeeLower Muscogee
3    1200-5 Machis Lower Creek IndianMachis Lower Creek Indian
3    1201-3 Poarch BandPoarch Band
3    1202-1 Principal Creek Indian NationPrincipal Creek Indian Nation
3    1203-9 Star Clan of Muscogee CreeksStar Clan of Muscogee Creeks
3    1204-7 ThlopthloccoThlopthlocco
3    1205-4 TuckabacheeTuckabachee
3    1212-0 Agua CalienteAgua Caliente
3    1215-3 Eastern DelawareEastern Delaware
3    1216-1 Lenni-LenapeLenni-Lenape
3    1217-9 MunseeMunsee
3    1218-7 Oklahoma DelawareOklahoma Delaware
3    1219-5 Rampough MountainRampough Mountain
3    1220-3 Sand HillSand Hill
3    1223-7 CampoCampo
3    1224-5 Capitan GrandeCapitan Grande
3    1225-2 CuyapaipeCuyapaipe
3    1226-0 La PostaLa Posta
3    1227-8 ManzanitaManzanita
3    1228-6 Mesa GrandeMesa Grande
3    1229-4 San PasqualSan Pasqual
3    1230-2 Santa YsabelSanta Ysabel
3    1231-0 SycuanSycuan
3    1234-4 AttacapaAttacapa
3    1235-1 BiloxiBiloxi
3    1236-9 Georgetown (Eastern Tribes)Georgetown (Eastern Tribes)
3    1237-7 MoorMoor
3    1238-5 NansemondNansemond
3    1239-3 NatchezNatchez
3    1240-1 Nausu WaiwashNausu Waiwash
3    1241-9 NipmucNipmuc
3    1242-7 PaugussettPaugussett
3    1243-5 Pocomoke AcohonockPocomoke Acohonock
3    1244-3 Southeastern IndiansSoutheastern Indians
3    1245-0 SusquehanockSusquehanock
3    1246-8 Tunica BiloxiTunica Biloxi
3    1247-6 Waccamaw-SiousanWaccamaw-Siousan
3    1248-4 WicomicoWicomico
3    1265-8 AtsinaAtsina
3    1272-4 TrinityTrinity
3    1273-2 WhilkutWhilkut
3    1282-3 Iowa of Kansas-NebraskaIowa of Kansas-Nebraska
3    1283-1 Iowa of OklahomaIowa of Oklahoma
3    1286-4 CayugaCayuga
3    1287-2 MohawkMohawk
3    1288-0 OneidaOneida
3    1289-8 OnondagaOnondaga
3    1290-6 SenecaSeneca
3    1291-4 Seneca NationSeneca Nation
3    1292-2 Seneca-CayugaSeneca-Cayuga
3    1293-0 Tonawanda SenecaTonawanda Seneca
3    1294-8 TuscaroraTuscarora
3    1295-5 WyandotteWyandotte
3    1306-0 Oklahoma KickapooOklahoma Kickapoo
3    1307-8 Texas KickapooTexas Kickapoo
3    1310-2 Oklahoma KiowaOklahoma Kiowa
3    1313-6 JamestownJamestown
3    1314-4 Lower ElwhaLower Elwha
3    1315-1 Port Gamble KlallamPort Gamble Klallam
3    1326-8 MatinecockMatinecock
3    1327-6 MontaukMontauk
3    1328-4 PoospatuckPoospatuck
3    1329-2 SetauketSetauket
3    1332-6 La JollaLa Jolla
3    1333-4 PalaPala
3    1334-2 PaumaPauma
3    1335-9 PechangaPechanga
3    1336-7 SobobaSoboba
3    1337-5 Twenty-Nine PalmsTwenty-Nine Palms
3    1338-3 TemeculaTemecula
3    1345-8 Mountain MaiduMountain Maidu
3    1346-6 NishinamNishinam
3    1359-9 Illinois MiamiIllinois Miami
3    1360-7 Indiana MiamiIndiana Miami
3    1361-5 Oklahoma MiamiOklahoma Miami
3    1366-4 AroostookAroostook
3    1383-9 Alamo NavajoAlamo Navajo
3    1384-7 Canoncito NavajoCanoncito Navajo
3    1385-4 Ramah NavajoRamah Navajo
3    1392-0 AlseaAlsea
3    1393-8 CeliloCelilo
3    1394-6 ColumbiaColumbia
3    1395-3 KalapuyaKalapuya
3    1396-1 MolalaMolala
3    1397-9 TalakamishTalakamish
3    1398-7 TeninoTenino
3    1399-5 TillamookTillamook
3    1400-1 WenatcheeWenatchee
3    1401-9 YahooskinYahooskin
3    1412-6 Burt Lake OttawaBurt Lake Ottawa
3    1413-4 Michigan OttawaMichigan Ottawa
3    1414-2 Oklahoma OttawaOklahoma Ottawa
3    1417-5 BishopBishop
3    1418-3 BridgeportBridgeport
3    1419-1 Burns PaiuteBurns Paiute
3    1420-9 CedarvilleCedarville
3    1421-7 Fort BidwellFort Bidwell
3    1422-5 Fort IndependenceFort Independence
3    1423-3 KaibabKaibab
3    1424-1 Las VegasLas Vegas
3    1425-8 Lone PineLone Pine
3    1426-6 LovelockLovelock
3    1427-4 Malheur PaiuteMalheur Paiute
3    1428-2 MoapaMoapa
3    1429-0 Northern PaiuteNorthern Paiute
3    1430-8 Owens ValleyOwens Valley
3    1431-6 Pyramid LakePyramid Lake
3    1432-4 San Juan Southern PaiuteSan Juan Southern Paiute
3    1433-2 Southern PaiuteSouthern Paiute
3    1434-0 Summit LakeSummit Lake
3    1435-7 Utu Utu Gwaitu PaiuteUtu Utu Gwaitu Paiute
3    1436-5 Walker RiverWalker River
3    1437-3 Yerington PaiuteYerington Paiute
3    1442-3 Indian TownshipIndian Township
3    1443-1 Pleasant Point PassamaquoddyPleasant Point Passamaquoddy
3    1446-4 Oklahoma PawneeOklahoma Pawnee
3    1451-4 Oklahoma PeoriaOklahoma Peoria
3    1454-8 Marshantucket PequotMarshantucket Pequot
3    1457-1 Gila River Pima-MaricopaGila River Pima-Maricopa
3    1458-9 Salt River Pima-MaricopaSalt River Pima-Maricopa
3    1465-4 Central PomoCentral Pomo
3    1466-2 Dry CreekDry Creek
3    1467-0 Eastern PomoEastern Pomo
3    1468-8 KashiaKashia
3    1469-6 Northern PomoNorthern Pomo
3    1470-4 Scotts ValleyScotts Valley
3    1471-2 StonyfordStonyford
3    1472-0 Sulphur BankSulphur Bank
3    1475-3 Nebraska PoncaNebraska Ponca
3    1476-1 Oklahoma PoncaOklahoma Ponca
3    1479-5 Citizen Band PotawatomiCitizen Band Potawatomi
3    1480-3 Forest CountyForest County
3    1481-1 HannahvilleHannahville
3    1482-9 Huron PotawatomiHuron Potawatomi
3    1483-7 Pokagon PotawatomiPokagon Potawatomi
3    1484-5 Prairie BandPrairie Band
3    1485-2 Wisconsin PotawatomiWisconsin Potawatomi
3    1490-2 AcomaAcoma
3    1491-0 Arizona TewaArizona Tewa
3    1492-8 CochitiCochiti
3    1493-6 HopiHopi
3    1494-4 IsletaIsleta
3    1495-1 JemezJemez
3    1496-9 KeresKeres
3    1497-7 LagunaLaguna
3    1498-5 NambeNambe
3    1499-3 PicurisPicuris
3    1500-8 PiroPiro
3    1501-6 PojoaquePojoaque
3    1502-4 San FelipeSan Felipe
3    1503-2 San IldefonsoSan Ildefonso
3    1504-0 San Juan PuebloSan Juan Pueblo
3    1505-7 San Juan DeSan Juan De
3    1506-5 San JuanSan Juan
3    1507-3 SandiaSandia
3    1508-1 Santa AnaSanta Ana
3    1509-9 Santa ClaraSanta Clara
3    1510-7 Santo DomingoSanto Domingo
3    1511-5 TaosTaos
3    1512-3 TesuqueTesuque
3    1513-1 TewaTewa
3    1514-9 TiguaTigua
3    1515-6 ZiaZia
3    1516-4 ZuniZuni
3    1519-8 DuwamishDuwamish
3    1520-6 KikiallusKikiallus
3    1521-4 Lower SkagitLower Skagit
3    1522-2 MuckleshootMuckleshoot
3    1523-0 NisquallyNisqually
3    1524-8 NooksackNooksack
3    1525-5 Port MadisonPort Madison
3    1526-3 PuyallupPuyallup
3    1527-1 SamishSamish
3    1528-9 Sauk-SuiattleSauk-Suiattle
3    1529-7 SkokomishSkokomish
3    1530-5 SkykomishSkykomish
3    1531-3 SnohomishSnohomish
3    1532-1 SnoqualmieSnoqualmie
3    1533-9 Squaxin IslandSquaxin Island
3    1534-7 SteilacoomSteilacoom
3    1535-4 StillaguamishStillaguamish
3    1536-2 SuquamishSuquamish
3    1537-0 SwinomishSwinomish
3    1538-8 TulalipTulalip
3    1539-6 Upper SkagitUpper Skagit
3    1552-9 Iowa Sac and FoxIowa Sac and Fox
3    1553-7 Missouri Sac and FoxMissouri Sac and Fox
3    1554-5 Oklahoma Sac and FoxOklahoma Sac and Fox
3    1567-7 Big CypressBig Cypress
3    1568-5 BrightonBrighton
3    1569-3 Florida SeminoleFlorida Seminole
3    1570-1 Hollywood SeminoleHollywood Seminole
3    1571-9 Oklahoma SeminoleOklahoma Seminole
3    1574-3 San ManualSan Manual
3    1579-2 Absentee ShawneeAbsentee Shawnee
3    1580-0 Eastern ShawneeEastern Shawnee
3    1587-5 Battle MountainBattle Mountain
3    1588-3 DuckwaterDuckwater
3    1589-1 ElkoElko
3    1590-9 ElyEly
3    1591-7 GoshuteGoshute
3    1592-5 PanamintPanamint
3    1593-3 Ruby ValleyRuby Valley
3    1594-1 Skull ValleySkull Valley
3    1595-8 South Fork ShoshoneSouth Fork Shoshone
3    1596-6 Te-Moak Western ShoshoneTe-Moak Western Shoshone
3    1597-4 Timbi-Sha ShoshoneTimbi-Sha Shoshone
3    1598-2 WashakieWashakie
3    1599-0 Wind River ShoshoneWind River Shoshone
3    1600-6 YombaYomba
3    1603-0 Duck ValleyDuck Valley
3    1604-8 FallonFallon
3    1605-5 Fort McDermittFort McDermitt
3    1610-5 Blackfoot SiouxBlackfoot Sioux
3    1611-3 Brule SiouxBrule Sioux
3    1612-1 Cheyenne River SiouxCheyenne River Sioux
3    1613-9 Crow Creek SiouxCrow Creek Sioux
3    1614-7 Dakota SiouxDakota Sioux
3    1615-4 Flandreau SanteeFlandreau Santee
3    1616-2 Fort PeckFort Peck
3    1617-0 Lake Traverse SiouxLake Traverse Sioux
3    1618-8 Lower Brule SiouxLower Brule Sioux
3    1619-6 Lower SiouxLower Sioux
3    1620-4 Mdewakanton SiouxMdewakanton Sioux
3    1621-2 MiniconjouMiniconjou
3    1622-0 Oglala SiouxOglala Sioux
3    1623-8 Pine Ridge SiouxPine Ridge Sioux
3    1624-6 Pipestone SiouxPipestone Sioux
3    1625-3 Prairie Island SiouxPrairie Island Sioux
3    1626-1 Prior Lake SiouxPrior Lake Sioux
3    1627-9 Rosebud SiouxRosebud Sioux
3    1628-7 Sans Arc SiouxSans Arc Sioux
3    1629-5 Santee SiouxSantee Sioux
3    1630-3 Sisseton-WahpetonSisseton-Wahpeton
3    1631-1 Sisseton SiouxSisseton Sioux
3    1632-9 Spirit Lake SiouxSpirit Lake Sioux
3    1633-7 Standing Rock SiouxStanding Rock Sioux
3    1634-5 Teton SiouxTeton Sioux
3    1635-2 Two Kettle SiouxTwo Kettle Sioux
3    1636-0 Upper SiouxUpper Sioux
3    1637-8 Wahpekute SiouxWahpekute Sioux
3    1638-6 Wahpeton SiouxWahpeton Sioux
3    1639-4 Wazhaza SiouxWazhaza Sioux
3    1640-2 Yankton SiouxYankton Sioux
3    1641-0 Yanktonai SiouxYanktonai Sioux
3    1654-3 Ak-ChinAk-Chin
3    1655-0 Gila BendGila Bend
3    1656-8 San XavierSan Xavier
3    1657-6 SellsSells
3    1668-3 Cow Creek UmpquaCow Creek Umpqua
3    1671-7 Allen CanyonAllen Canyon
3    1672-5 Uintah UteUintah Ute
3    1673-3 Ute Mountain UteUte Mountain Ute
3    1680-8 Gay Head WampanoagGay Head Wampanoag
3    1681-6 Mashpee WampanoagMashpee Wampanoag
3    1688-1 AlpineAlpine
3    1689-9 CarsonCarson
3    1690-7 DresslervilleDresslerville
3    1697-2 Ho-chunkHo-chunk
3    1698-0 Nebraska WinnebagoNebraska Winnebago
3    1705-3 Table BluffTable Bluff
3    1712-9 Barrio LibreBarrio Libre
3    1713-7 Pascua YaquiPascua Yaqui
3    1718-6 ChukchansiChukchansi
3    1719-4 TachiTachi
3    1720-2 Tule RiverTule River
3    1725-1 CocopahCocopah
3    1726-9 HavasupaiHavasupai
3    1727-7 HualapaiHualapai
3    1728-5 MaricopaMaricopa
3    1729-3 MohaveMohave
3    1730-1 QuechanQuechan
3    1731-9 YavapaiYavapai
3    1733-5 Coast YurokCoast Yurok
3    1737-6 Alaska IndianAlaska Indian
3    1840-8 EskimoEskimo
3    1966-1 AleutAleut
3    1739-2 Alaskan AthabascanAlaskan Athabascan
3    1811-9 Southeast AlaskaSoutheast Alaska
3    1740-0 AhtnaAhtna
3    1741-8 AlatnaAlatna
3    1742-6 AlexanderAlexander
3    1743-4 AllakaketAllakaket
3    1744-2 AlanvikAlanvik
3    1745-9 AnvikAnvik
3    1746-7 ArcticArctic
3    1747-5 BeaverBeaver
3    1748-3 Birch CreekBirch Creek
3    1749-1 CantwellCantwell
3    1750-9 ChalkyitsikChalkyitsik
3    1751-7 ChickaloonChickaloon
3    1752-5 ChistochinaChistochina
3    1753-3 ChitinaChitina
3    1754-1 CircleCircle
3    1755-8 Cook InletCook Inlet
3    1756-6 Copper CenterCopper Center
3    1757-4 Copper RiverCopper River
3    1758-2 Dot LakeDot Lake
3    1759-0 DoyonDoyon
3    1760-8 EagleEagle
3    1761-6 EklutnaEklutna
3    1762-4 EvansvilleEvansville
3    1763-2 Fort YukonFort Yukon
3    1764-0 GakonaGakona
3    1765-7 GalenaGalena
3    1766-5 GraylingGrayling
3    1767-3 GulkanaGulkana
3    1768-1 Healy LakeHealy Lake
3    1769-9 Holy CrossHoly Cross
3    1770-7 HughesHughes
3    1771-5 HusliaHuslia
3    1772-3 IliamnaIliamna
3    1773-1 KaltagKaltag
3    1774-9 Kluti KaahKluti Kaah
3    1775-6 KnikKnik
3    1776-4 KoyukukKoyukuk
3    1777-2 Lake MinchuminaLake Minchumina
3    1778-0 LimeLime
3    1779-8 McgrathMcgrath
3    1780-6 Manley Hot SpringsManley Hot Springs
3    1781-4 Mentasta LakeMentasta Lake
3    1782-2 MintoMinto
3    1783-0 NenanaNenana
3    1784-8 NikolaiNikolai
3    1785-5 NinilchikNinilchik
3    1786-3 NondaltonNondalton
3    1787-1 NorthwayNorthway
3    1788-9 NulatoNulato
3    1789-7 Pedro BayPedro Bay
3    1790-5 RampartRampart
3    1791-3 RubyRuby
3    1792-1 SalamatofSalamatof
3    1793-9 SeldoviaSeldovia
3    1794-7 SlanaSlana
3    1795-4 ShagelukShageluk
3    1796-2 StevensStevens
3    1797-0 Stony RiverStony River
3    1798-8 TakotnaTakotna
3    1799-6 TanacrossTanacross
3    1800-2 TanainaTanaina
3    1801-0 TananaTanana
3    1802-8 Tanana ChiefsTanana Chiefs
3    1803-6 TazlinaTazlina
3    1804-4 TelidaTelida
3    1805-1 TetlinTetlin
3    1806-9 TokTok
3    1807-7 TyonekTyonek
3    1808-5 VenetieVenetie
3    1809-3 WisemanWiseman
3    1813-5 Tlingit-HaidaTlingit-Haida
3    1837-4 TsimshianTsimshian
3    1814-3 AngoonAngoon
3    1815-0 Central Council of Tlingit and Haida TribesCentral Council of Tlingit and Haida Tribes
3    1816-8 ChilkatChilkat
3    1817-6 ChilkootChilkoot
3    1818-4 CraigCraig
3    1819-2 DouglasDouglas
3    1820-0 HaidaHaida
3    1821-8 HoonahHoonah
3    1822-6 HydaburgHydaburg
3    1823-4 KakeKake
3    1824-2 KasaanKasaan
3    1825-9 KenaitzeKenaitze
3    1826-7 KetchikanKetchikan
3    1827-5 KlawockKlawock
3    1828-3 PelicanPelican
3    1829-1 PetersburgPetersburg
3    1830-9 SaxmanSaxman
3    1831-7 SitkaSitka
3    1832-5 Tenakee SpringsTenakee Springs
3    1833-3 TlingitTlingit
3    1834-1 WrangellWrangell
3    1835-8 YakutatYakutat
3    1838-2 MetlakatlaMetlakatla
3    1842-4 Greenland EskimoGreenland Eskimo
3    1844-0 Inupiat EskimoInupiat Eskimo
3    1891-1 Siberian EskimoSiberian Eskimo
3    1896-0 Yupik EskimoYupik Eskimo
3    1845-7 AmblerAmbler
3    1846-5 AnaktuvukAnaktuvuk
3    1847-3 Anaktuvuk PassAnaktuvuk Pass
3    1848-1 Arctic Slope InupiatArctic Slope Inupiat
3    1849-9 Arctic Slope CorporationArctic Slope Corporation
3    1850-7 AtqasukAtqasuk
3    1851-5 BarrowBarrow
3    1852-3 Bering Straits InupiatBering Straits Inupiat
3    1853-1 Brevig MissionBrevig Mission
3    1854-9 BucklandBuckland
3    1855-6 ChinikChinik
3    1856-4 CouncilCouncil
3    1857-2 DeeringDeering
3    1858-0 ElimElim
3    1859-8 GolovinGolovin
3    1860-6 Inalik DiomedeInalik Diomede
3    1861-4 InupiaqInupiaq
3    1862-2 KaktovikKaktovik
3    1863-0 KawerakKawerak
3    1864-8 KianaKiana
3    1865-5 KivalinaKivalina
3    1866-3 KobukKobuk
3    1867-1 KotzebueKotzebue
3    1868-9 KoyukKoyuk
3    1869-7 KwigukKwiguk
3    1870-5 Mauneluk InupiatMauneluk Inupiat
3    1871-3 Nana InupiatNana Inupiat
3    1872-1 NoatakNoatak
3    1873-9 NomeNome
3    1874-7 NoorvikNoorvik
3    1875-4 NuiqsutNuiqsut
3    1876-2 Point HopePoint Hope
3    1877-0 Point LayPoint Lay
3    1878-8 SelawikSelawik
3    1879-6 ShaktoolikShaktoolik
3    1880-4 ShishmarefShishmaref
3    1881-2 ShungnakShungnak
3    1882-0 SolomonSolomon
3    1883-8 TellerTeller
3    1884-6 UnalakleetUnalakleet
3    1885-3 WainwrightWainwright
3    1886-1 WalesWales
3    1887-9 White MountainWhite Mountain
3    1888-7 White Mountain InupiatWhite Mountain Inupiat
3    1889-5 Mary's IglooMary's Igloo
3    1892-9 GambellGambell
3    1893-7 SavoongaSavoonga
3    1894-5 Siberian YupikSiberian Yupik
3    1897-8 AkiachakAkiachak
3    1898-6 AkiakAkiak
3    1899-4 AlakanukAlakanuk
3    1900-0 AleknagikAleknagik
3    1901-8 AndreafskyAndreafsky
3    1902-6 AniakAniak
3    1903-4 AtmautluakAtmautluak
3    1904-2 BethelBethel
3    1905-9 Bill Moore's SloughBill Moore's Slough
3    1906-7 Bristol Bay YupikBristol Bay Yupik
3    1907-5 Calista YupikCalista Yupik
3    1908-3 ChefornakChefornak
3    1909-1 ChevakChevak
3    1910-9 ChuathbalukChuathbaluk
3    1911-7 Clark's PointClark's Point
3    1912-5 Crooked CreekCrooked Creek
3    1913-3 DillinghamDillingham
3    1914-1 EekEek
3    1915-8 EkukEkuk
3    1916-6 EkwokEkwok
3    1917-4 EmmonakEmmonak
3    1918-2 Goodnews BayGoodnews Bay
3    1919-0 Hooper BayHooper Bay
3    1920-8 Iqurmuit (Russian Mission)Iqurmuit (Russian Mission)
3    1921-6 KalskagKalskag
3    1922-4 KasiglukKasigluk
3    1923-2 KipnukKipnuk
3    1924-0 KoliganekKoliganek
3    1925-7 KongiganakKongiganak
3    1926-5 KotlikKotlik
3    1927-3 KwethlukKwethluk
3    1928-1 KwigillingokKwigillingok
3    1929-9 LevelockLevelock
3    1930-7 Lower KalskagLower Kalskag
3    1931-5 ManokotakManokotak
3    1932-3 MarshallMarshall
3    1933-1 MekoryukMekoryuk
3    1934-9 Mountain VillageMountain Village
3    1935-6 NaknekNaknek
3    1936-4 NapaumuteNapaumute
3    1937-2 NapakiakNapakiak
3    1938-0 NapaskiakNapaskiak
3    1939-8 NewhalenNewhalen
3    1940-6 New StuyahokNew Stuyahok
3    1941-4 NewtokNewtok
3    1942-2 NightmuteNightmute
3    1943-0 NunapitchukvNunapitchukv
3    1944-8 OscarvilleOscarville
3    1945-5 Pilot StationPilot Station
3    1946-3 Pitkas PointPitkas Point
3    1947-1 PlatinumPlatinum
3    1948-9 Portage CreekPortage Creek
3    1949-7 QuinhagakQuinhagak
3    1950-5 Red DevilRed Devil
3    1951-3 St. MichaelSt. Michael
3    1952-1 Scammon BayScammon Bay
3    1953-9 Sheldon's PointSheldon's Point
3    1954-7 SleetmuteSleetmute
3    1955-4 StebbinsStebbins
3    1956-2 TogiakTogiak
3    1957-0 ToksookToksook
3    1958-8 TulukskakTulukskak
3    1959-6 TuntutuliakTuntutuliak
3    1960-4 TununakTununak
3    1961-2 Twin HillsTwin Hills
3    1962-0 Georgetown (Yupik-Eskimo)Georgetown (Yupik-Eskimo)
3    1963-8 St. Mary'sSt. Mary's
3    1964-6 UmkumiateUmkumiate
3    1968-7 Alutiiq AleutAlutiiq Aleut
3    1972-9 Bristol Bay AleutBristol Bay Aleut
3    1984-4 Chugach AleutChugach Aleut
3    1990-1 EyakEyak
3    1992-7 Koniag AleutKoniag Aleut
3    2002-4 SugpiaqSugpiaq
3    2004-0 SuqpigaqSuqpigaq
3    2006-5 Unangan AleutUnangan Aleut
3    1969-5 TatitlekTatitlek
3    1970-3 UgashikUgashik
3    1973-7 ChignikChignik
3    1974-5 Chignik LakeChignik Lake
3    1975-2 EgegikEgegik
3    1976-0 IgiugigIgiugig
3    1977-8 Ivanof BayIvanof Bay
3    1978-6 King SalmonKing Salmon
3    1979-4 KokhanokKokhanok
3    1980-2 PerryvillePerryville
3    1981-0 Pilot PointPilot Point
3    1982-8 Port HeidenPort Heiden
3    1985-1 ChenegaChenega
3    1986-9 Chugach CorporationChugach Corporation
3    1987-7 English BayEnglish Bay
3    1988-5 Port GrahamPort Graham
3    1993-5 AkhiokAkhiok
3    1994-3 AgdaaguxAgdaagux
3    1995-0 KarlukKarluk
3    1996-8 KodiakKodiak
3    1997-6 Larsen BayLarsen Bay
3    1998-4 Old HarborOld Harbor
3    1999-2 OuzinkieOuzinkie
3    2000-8 Port LionsPort Lions
3    2007-3 AkutanAkutan
3    2008-1 Aleut CorporationAleut Corporation
3    2009-9 AleutianAleutian
3    2010-7 Aleutian IslanderAleutian Islander
3    2011-5 AtkaAtka
3    2012-3 BelkofskiBelkofski
3    2013-1 Chignik LagoonChignik Lagoon
3    2014-9 King CoveKing Cove
3    2015-6 False PassFalse Pass
3    2016-4 Nelson LagoonNelson Lagoon
3    2017-2 NikolskiNikolski
3    2018-0 Pauloff HarborPauloff Harbor
3    2019-8 Qagan ToyagunginQagan Toyagungin
3    2020-6 QawalanginQawalangin
3    2021-4 St. GeorgeSt. George
3    2022-2 St. PaulSt. Paul
3    2023-0 Sand PointSand Point
3    2024-8 South NaknekSouth Naknek
3    2025-5 UnalaskaUnalaska
3    2026-3 UngaUnga
2  2028-9 AsianAsian
3    2029-7 Asian IndianAsian Indian
3    2030-5 BangladeshiBangladeshi
3    2031-3 BhutaneseBhutanese
3    2032-1 BurmeseBurmese
3    2033-9 CambodianCambodian
3    2034-7 ChineseChinese
3    2035-4 TaiwaneseTaiwanese
3    2036-2 FilipinoFilipino
3    2037-0 HmongHmong
3    2038-8 IndonesianIndonesian
3    2039-6 JapaneseJapanese
3    2040-4 KoreanKorean
3    2041-2 LaotianLaotian
3    2042-0 MalaysianMalaysian
3    2043-8 OkinawanOkinawan
3    2044-6 PakistaniPakistani
3    2045-3 Sri LankanSri Lankan
3    2046-1 ThaiThai
3    2047-9 VietnameseVietnamese
3    2048-7 Iwo JimanIwo Jiman
3    2049-5 MaldivianMaldivian
3    2050-3 NepaleseNepalese
3    2051-1 SingaporeanSingaporean
3    2052-9 MadagascarMadagascar
2  2054-5 Black or African AmericanBlack or African American
3    2056-0 BlackBlack
3    2058-6 African AmericanAfrican American
3    2060-2 AfricanAfrican
3    2067-7 BahamianBahamian
3    2068-5 BarbadianBarbadian
3    2069-3 DominicanDominican
3    2070-1 Dominica IslanderDominica Islander
3    2071-9 HaitianHaitian
3    2072-7 JamaicanJamaican
3    2073-5 TobagoanTobagoan
3    2074-3 TrinidadianTrinidadian
3    2075-0 West IndianWest Indian
3    2061-0 BotswananBotswanan
3    2062-8 EthiopianEthiopian
3    2063-6 LiberianLiberian
3    2064-4 NamibianNamibian
3    2065-1 NigerianNigerian
3    2066-9 ZaireanZairean
2  2076-8 Native Hawaiian or Other Pacific IslanderNative Hawaiian or Other Pacific Islander
3    2078-4 PolynesianPolynesian
3    2085-9 MicronesianMicronesian
3    2100-6 MelanesianMelanesian
3    2500-7 Other Pacific IslanderOther Pacific Islander
3    2079-2 Native HawaiianNative Hawaiian
3    2080-0 SamoanSamoan
3    2081-8 TahitianTahitian
3    2082-6 TonganTongan
3    2083-4 TokelauanTokelauan
3    2086-7 Guamanian or ChamorroGuamanian or Chamorro
3    2087-5 GuamanianGuamanian
3    2088-3 ChamorroChamorro
3    2089-1 Mariana IslanderMariana Islander
3    2090-9 MarshalleseMarshallese
3    2091-7 PalauanPalauan
3    2092-5 CarolinianCarolinian
3    2093-3 KosraeanKosraean
3    2094-1 PohnpeianPohnpeian
3    2095-8 SaipaneseSaipanese
3    2096-6 KiribatiKiribati
3    2097-4 ChuukeseChuukese
3    2098-2 YapeseYapese
3    2101-4 FijianFijian
3    2102-2 Papua New GuineanPapua New Guinean
3    2103-0 Solomon IslanderSolomon Islander
3    2104-8 New HebridesNew Hebrides
2  2106-3 WhiteWhite
3    2108-9 EuropeanEuropean
3    2118-8 Middle Eastern or North AfricanMiddle Eastern or North African
3    2129-5 ArabArab
3    2109-7 ArmenianArmenian
3    2110-5 EnglishEnglish
3    2111-3 FrenchFrench
3    2112-1 GermanGerman
3    2113-9 IrishIrish
3    2114-7 ItalianItalian
3    2115-4 PolishPolish
3    2116-2 ScottishScottish
3    2119-6 AssyrianAssyrian
3    2120-4 EgyptianEgyptian
3    2121-2 IranianIranian
3    2122-0 IraqiIraqi
3    2123-8 LebaneseLebanese
3    2124-6 PalestinianPalestinian
3    2125-3 SyrianSyrian
3    2126-1 AfghanistaniAfghanistani
3    2127-9 IsraeiliIsraeili
2  2131-1 Other RaceNote that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated.
12133-7 EthnicityEthnicity Note that this is an abstract 'grouping' concept and not for use as a real concept
2  2135-2 Hispanic or LatinoHispanic or Latino
3    2137-8 SpaniardSpaniard
3    2148-5 MexicanMexican
3    2155-0 Central AmericanCentral American
3    2165-9 South AmericanSouth American
3    2178-2 Latin AmericanLatin American
3    2180-8 Puerto RicanPuerto Rican
3    2182-4 CubanCuban
3    2184-0 DominicanDominican
3    2138-6 AndalusianAndalusian
3    2139-4 AsturianAsturian
3    2140-2 CastillianCastillian
3    2141-0 CatalonianCatalonian
3    2142-8 Belearic IslanderBelearic Islander
3    2143-6 GallegoGallego
3    2144-4 ValencianValencian
3    2145-1 CanarianCanarian
3    2146-9 Spanish BasqueSpanish Basque
3    2149-3 Mexican AmericanMexican American
3    2150-1 MexicanoMexicano
3    2151-9 ChicanoChicano
3    2152-7 La RazaLa Raza
3    2153-5 Mexican American IndianMexican American Indian
3    2156-8 Costa RicanCosta Rican
3    2157-6 GuatemalanGuatemalan
3    2158-4 HonduranHonduran
3    2159-2 NicaraguanNicaraguan
3    2160-0 PanamanianPanamanian
3    2161-8 SalvadoranSalvadoran
3    2162-6 Central American IndianCentral American Indian
3    2163-4 Canal ZoneCanal Zone
3    2166-7 ArgentineanArgentinean
3    2167-5 BolivianBolivian
3    2168-3 ChileanChilean
3    2169-1 ColombianColombian
3    2170-9 EcuadorianEcuadorian
3    2171-7 ParaguayanParaguayan
3    2172-5 PeruvianPeruvian
3    2173-3 UruguayanUruguayan
3    2174-1 VenezuelanVenezuelan
3    2175-8 South American IndianSouth American Indian
3    2176-6 CriolloCriollo
2  2186-5 Not Hispanic or LatinoNote that this term remains in the table for completeness, even though within HL7, the notion of "not otherwise coded" term is deprecated.
"},"url":"urn:oid:2.16.840.1.113883.6.238","identifier":[{"value":"2.16.840.1.113883.6.238"}],"version":"3.1.0","name":"RaceAndEthnicityCDC","title":"Race & Ethnicity - CDC","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://hl7.org"}]}],"description":" The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in codingrace and ethnicity data. This code set is based on current federal standards for classifying data onrace and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office ofManagement and Budget (OMB) and a more detailed set of race and ethnicity categories maintainedby the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federalstandards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved,or analyzed in electronic form. At the same time, the code set can be applied to paper-based recordsystems to the extent that these systems are used to collect, maintain, and report data on race andethnicity in accordance with current federal standards. Source: [Race and Ethnicity Code Set Version 1.0](https://www.cdc.gov/phin/resources/vocabulary/documents/cdc-race--ethnicity-background-and-purpose.pdf).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"hierarchyMeaning":"is-a","content":"complete","count":966,"property":[{"code":"abstract","description":"True if an element is considered 'abstract' - in other words, the code is not for use as a real concept","type":"boolean"}],"concept":[{"code":"1000-9","display":"Race","definition":"Race, Note that this is an abstract 'grouping' concept and not for use as a real concept","property":[{"code":"abstract","valueBoolean":true}],"concept":[{"code":"1002-5","display":"American Indian or Alaska Native","definition":"American Indian or Alaska Native","concept":[{"code":"1004-1","display":"American Indian","definition":"American Indian"},{"code":"1735-0","display":"Alaska Native","definition":"Alaska Native"},{"code":"1006-6","display":"Abenaki","definition":"Abenaki"},{"code":"1008-2","display":"Algonquian","definition":"Algonquian"},{"code":"1010-8","display":"Apache","definition":"Apache"},{"code":"1021-5","display":"Arapaho","definition":"Arapaho"},{"code":"1026-4","display":"Arikara","definition":"Arikara"},{"code":"1028-0","display":"Assiniboine","definition":"Assiniboine"},{"code":"1030-6","display":"Assiniboine Sioux","definition":"Assiniboine Sioux"},{"code":"1033-0","display":"Bannock","definition":"Bannock"},{"code":"1035-5","display":"Blackfeet","definition":"Blackfeet"},{"code":"1037-1","display":"Brotherton","definition":"Brotherton"},{"code":"1039-7","display":"Burt Lake Band","definition":"Burt Lake Band"},{"code":"1041-3","display":"Caddo","definition":"Caddo"},{"code":"1044-7","display":"Cahuilla","definition":"Cahuilla"},{"code":"1053-8","display":"California Tribes","definition":"California Tribes"},{"code":"1068-6","display":"Canadian and Latin American Indian","definition":"Canadian and Latin American Indian"},{"code":"1076-9","display":"Catawba","definition":"Catawba"},{"code":"1078-5","display":"Cayuse","definition":"Cayuse"},{"code":"1080-1","display":"Chehalis","definition":"Chehalis"},{"code":"1082-7","display":"Chemakuan","definition":"Chemakuan"},{"code":"1086-8","display":"Chemehuevi","definition":"Chemehuevi"},{"code":"1088-4","display":"Cherokee","definition":"Cherokee"},{"code":"1100-7","display":"Cherokee Shawnee","definition":"Cherokee Shawnee"},{"code":"1102-3","display":"Cheyenne","definition":"Cheyenne"},{"code":"1106-4","display":"Cheyenne-Arapaho","definition":"Cheyenne-Arapaho"},{"code":"1108-0","display":"Chickahominy","definition":"Chickahominy"},{"code":"1112-2","display":"Chickasaw","definition":"Chickasaw"},{"code":"1114-8","display":"Chinook","definition":"Chinook"},{"code":"1123-9","display":"Chippewa","definition":"Chippewa"},{"code":"1150-2","display":"Chippewa Cree","definition":"Chippewa Cree"},{"code":"1153-6","display":"Chitimacha","definition":"Chitimacha"},{"code":"1155-1","display":"Choctaw","definition":"Choctaw"},{"code":"1162-7","display":"Chumash","definition":"Chumash"},{"code":"1165-0","display":"Clear Lake","definition":"Clear Lake"},{"code":"1167-6","display":"Coeur D'Alene","definition":"Coeur D'Alene"},{"code":"1169-2","display":"Coharie","definition":"Coharie"},{"code":"1171-8","display":"Colorado River","definition":"Colorado River"},{"code":"1173-4","display":"Colville","definition":"Colville"},{"code":"1175-9","display":"Comanche","definition":"Comanche"},{"code":"1178-3","display":"Coos, Lower Umpqua, Siuslaw","definition":"Coos, Lower Umpqua, Siuslaw"},{"code":"1180-9","display":"Coos","definition":"Coos"},{"code":"1182-5","display":"Coquilles","definition":"Coquilles"},{"code":"1184-1","display":"Costanoan","definition":"Costanoan"},{"code":"1186-6","display":"Coushatta","definition":"Coushatta"},{"code":"1189-0","display":"Cowlitz","definition":"Cowlitz"},{"code":"1191-6","display":"Cree","definition":"Cree"},{"code":"1193-2","display":"Creek","definition":"Creek"},{"code":"1207-0","display":"Croatan","definition":"Croatan"},{"code":"1209-6","display":"Crow","definition":"Crow"},{"code":"1211-2","display":"Cupeno","definition":"Cupeno"},{"code":"1214-6","display":"Delaware","definition":"Delaware"},{"code":"1222-9","display":"Diegueno","definition":"Diegueno"},{"code":"1233-6","display":"Eastern Tribes","definition":"Eastern Tribes"},{"code":"1250-0","display":"Esselen","definition":"Esselen"},{"code":"1252-6","display":"Fort Belknap","definition":"Fort Belknap"},{"code":"1254-2","display":"Fort Berthold","definition":"Fort Berthold"},{"code":"1256-7","display":"Fort Mcdowell","definition":"Fort Mcdowell"},{"code":"1258-3","display":"Fort Hall","definition":"Fort Hall"},{"code":"1260-9","display":"Gabrieleno","definition":"Gabrieleno"},{"code":"1262-5","display":"Grand Ronde","definition":"Grand Ronde"},{"code":"1264-1","display":"Gros Ventres","definition":"Gros Ventres"},{"code":"1267-4","display":"Haliwa","definition":"Haliwa"},{"code":"1269-0","display":"Hidatsa","definition":"Hidatsa"},{"code":"1271-6","display":"Hoopa","definition":"Hoopa"},{"code":"1275-7","display":"Hoopa Extension","definition":"Hoopa Extension"},{"code":"1277-3","display":"Houma","definition":"Houma"},{"code":"1279-9","display":"Inaja-Cosmit","definition":"Inaja-Cosmit"},{"code":"1281-5","display":"Iowa","definition":"Iowa"},{"code":"1285-6","display":"Iroquois","definition":"Iroquois"},{"code":"1297-1","display":"Juaneno","definition":"Juaneno"},{"code":"1299-7","display":"Kalispel","definition":"Kalispel"},{"code":"1301-1","display":"Karuk","definition":"Karuk"},{"code":"1303-7","display":"Kaw","definition":"Kaw"},{"code":"1305-2","display":"Kickapoo","definition":"Kickapoo"},{"code":"1309-4","display":"Kiowa","definition":"Kiowa"},{"code":"1312-8","display":"Klallam","definition":"Klallam"},{"code":"1317-7","display":"Klamath","definition":"Klamath"},{"code":"1319-3","display":"Konkow","definition":"Konkow"},{"code":"1321-9","display":"Kootenai","definition":"Kootenai"},{"code":"1323-5","display":"Lassik","definition":"Lassik"},{"code":"1325-0","display":"Long Island","definition":"Long Island"},{"code":"1331-8","display":"Luiseno","definition":"Luiseno"},{"code":"1340-9","display":"Lumbee","definition":"Lumbee"},{"code":"1342-5","display":"Lummi","definition":"Lummi"},{"code":"1344-1","display":"Maidu","definition":"Maidu"},{"code":"1348-2","display":"Makah","definition":"Makah"},{"code":"1350-8","display":"Maliseet","definition":"Maliseet"},{"code":"1352-4","display":"Mandan","definition":"Mandan"},{"code":"1354-0","display":"Mattaponi","definition":"Mattaponi"},{"code":"1356-5","display":"Menominee","definition":"Menominee"},{"code":"1358-1","display":"Miami","definition":"Miami"},{"code":"1363-1","display":"Miccosukee","definition":"Miccosukee"},{"code":"1365-6","display":"Micmac","definition":"Micmac"},{"code":"1368-0","display":"Mission Indians","definition":"Mission Indians"},{"code":"1370-6","display":"Miwok","definition":"Miwok"},{"code":"1372-2","display":"Modoc","definition":"Modoc"},{"code":"1374-8","display":"Mohegan","definition":"Mohegan"},{"code":"1376-3","display":"Mono","definition":"Mono"},{"code":"1378-9","display":"Nanticoke","definition":"Nanticoke"},{"code":"1380-5","display":"Narragansett","definition":"Narragansett"},{"code":"1382-1","display":"Navajo","definition":"Navajo"},{"code":"1387-0","display":"Nez Perce","definition":"Nez Perce"},{"code":"1389-6","display":"Nomalaki","definition":"Nomalaki"},{"code":"1391-2","display":"Northwest Tribes","definition":"Northwest Tribes"},{"code":"1403-5","display":"Omaha","definition":"Omaha"},{"code":"1405-0","display":"Oregon Athabaskan","definition":"Oregon Athabaskan"},{"code":"1407-6","display":"Osage","definition":"Osage"},{"code":"1409-2","display":"Otoe-Missouria","definition":"Otoe-Missouria"},{"code":"1411-8","display":"Ottawa","definition":"Ottawa"},{"code":"1416-7","display":"Paiute","definition":"Paiute"},{"code":"1439-9","display":"Pamunkey","definition":"Pamunkey"},{"code":"1441-5","display":"Passamaquoddy","definition":"Passamaquoddy"},{"code":"1445-6","display":"Pawnee","definition":"Pawnee"},{"code":"1448-0","display":"Penobscot","definition":"Penobscot"},{"code":"1450-6","display":"Peoria","definition":"Peoria"},{"code":"1453-0","display":"Pequot","definition":"Pequot"},{"code":"1456-3","display":"Pima","definition":"Pima"},{"code":"1460-5","display":"Piscataway","definition":"Piscataway"},{"code":"1462-1","display":"Pit River","definition":"Pit River"},{"code":"1464-7","display":"Pomo","definition":"Pomo"},{"code":"1474-6","display":"Ponca","definition":"Ponca"},{"code":"1478-7","display":"Potawatomi","definition":"Potawatomi"},{"code":"1487-8","display":"Powhatan","definition":"Powhatan"},{"code":"1489-4","display":"Pueblo","definition":"Pueblo"},{"code":"1518-0","display":"Puget Sound Salish","definition":"Puget Sound Salish"},{"code":"1541-2","display":"Quapaw","definition":"Quapaw"},{"code":"1543-8","display":"Quinault","definition":"Quinault"},{"code":"1545-3","display":"Rappahannock","definition":"Rappahannock"},{"code":"1547-9","display":"Reno-Sparks","definition":"Reno-Sparks"},{"code":"1549-5","display":"Round Valley","definition":"Round Valley"},{"code":"1551-1","display":"Sac and Fox","definition":"Sac and Fox"},{"code":"1556-0","display":"Salinan","definition":"Salinan"},{"code":"1558-6","display":"Salish","definition":"Salish"},{"code":"1560-2","display":"Salish and Kootenai","definition":"Salish and 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Lankan","definition":"Sri Lankan"},{"code":"2046-1","display":"Thai","definition":"Thai"},{"code":"2047-9","display":"Vietnamese","definition":"Vietnamese"},{"code":"2048-7","display":"Iwo Jiman","definition":"Iwo Jiman"},{"code":"2049-5","display":"Maldivian","definition":"Maldivian"},{"code":"2050-3","display":"Nepalese","definition":"Nepalese"},{"code":"2051-1","display":"Singaporean","definition":"Singaporean"},{"code":"2052-9","display":"Madagascar","definition":"Madagascar"}]},{"code":"2054-5","display":"Black or African American","definition":"Black or African American","concept":[{"code":"2056-0","display":"Black","definition":"Black"},{"code":"2058-6","display":"African American","definition":"African American"},{"code":"2060-2","display":"African","definition":"African"},{"code":"2067-7","display":"Bahamian","definition":"Bahamian"},{"code":"2068-5","display":"Barbadian","definition":"Barbadian"},{"code":"2069-3","display":"Dominican","definition":"Dominican"},{"code":"2070-1","display":"Dominica Islander","definition":"Dominica Islander"},{"code":"2071-9","display":"Haitian","definition":"Haitian"},{"code":"2072-7","display":"Jamaican","definition":"Jamaican"},{"code":"2073-5","display":"Tobagoan","definition":"Tobagoan"},{"code":"2074-3","display":"Trinidadian","definition":"Trinidadian"},{"code":"2075-0","display":"West Indian","definition":"West Indian"},{"code":"2061-0","display":"Botswanan","definition":"Botswanan"},{"code":"2062-8","display":"Ethiopian","definition":"Ethiopian"},{"code":"2063-6","display":"Liberian","definition":"Liberian"},{"code":"2064-4","display":"Namibian","definition":"Namibian"},{"code":"2065-1","display":"Nigerian","definition":"Nigerian"},{"code":"2066-9","display":"Zairean","definition":"Zairean"}]},{"code":"2076-8","display":"Native Hawaiian or Other Pacific Islander","definition":"Native Hawaiian or Other Pacific Islander","concept":[{"code":"2078-4","display":"Polynesian","definition":"Polynesian"},{"code":"2085-9","display":"Micronesian","definition":"Micronesian"},{"code":"2100-6","display":"Melanesian","definition":"Melanesian"},{"code":"2500-7","display":"Other Pacific Islander","definition":"Other Pacific Islander"},{"code":"2079-2","display":"Native Hawaiian","definition":"Native Hawaiian"},{"code":"2080-0","display":"Samoan","definition":"Samoan"},{"code":"2081-8","display":"Tahitian","definition":"Tahitian"},{"code":"2082-6","display":"Tongan","definition":"Tongan"},{"code":"2083-4","display":"Tokelauan","definition":"Tokelauan"},{"code":"2086-7","display":"Guamanian or Chamorro","definition":"Guamanian or Chamorro"},{"code":"2087-5","display":"Guamanian","definition":"Guamanian"},{"code":"2088-3","display":"Chamorro","definition":"Chamorro"},{"code":"2089-1","display":"Mariana Islander","definition":"Mariana Islander"},{"code":"2090-9","display":"Marshallese","definition":"Marshallese"},{"code":"2091-7","display":"Palauan","definition":"Palauan"},{"code":"2092-5","display":"Carolinian","definition":"Carolinian"},{"code":"2093-3","display":"Kosraean","definition":"Kosraean"},{"code":"2094-1","display":"Pohnpeian","definition":"Pohnpeian"},{"code":"2095-8","display":"Saipanese","definition":"Saipanese"},{"code":"2096-6","display":"Kiribati","definition":"Kiribati"},{"code":"2097-4","display":"Chuukese","definition":"Chuukese"},{"code":"2098-2","display":"Yapese","definition":"Yapese"},{"code":"2101-4","display":"Fijian","definition":"Fijian"},{"code":"2102-2","display":"Papua New Guinean","definition":"Papua New Guinean"},{"code":"2103-0","display":"Solomon Islander","definition":"Solomon Islander"},{"code":"2104-8","display":"New Hebrides","definition":"New Hebrides"}]},{"code":"2106-3","display":"White","definition":"White","concept":[{"code":"2108-9","display":"European","definition":"European"},{"code":"2118-8","display":"Middle Eastern or North African","definition":"Middle Eastern or North African"},{"code":"2129-5","display":"Arab","definition":"Arab"},{"code":"2109-7","display":"Armenian","definition":"Armenian"},{"code":"2110-5","display":"English","definition":"English"},{"code":"2111-3","display":"French","definition":"French"},{"code":"2112-1","display":"German","definition":"German"},{"code":"2113-9","display":"Irish","definition":"Irish"},{"code":"2114-7","display":"Italian","definition":"Italian"},{"code":"2115-4","display":"Polish","definition":"Polish"},{"code":"2116-2","display":"Scottish","definition":"Scottish"},{"code":"2119-6","display":"Assyrian","definition":"Assyrian"},{"code":"2120-4","display":"Egyptian","definition":"Egyptian"},{"code":"2121-2","display":"Iranian","definition":"Iranian"},{"code":"2122-0","display":"Iraqi","definition":"Iraqi"},{"code":"2123-8","display":"Lebanese","definition":"Lebanese"},{"code":"2124-6","display":"Palestinian","definition":"Palestinian"},{"code":"2125-3","display":"Syrian","definition":"Syrian"},{"code":"2126-1","display":"Afghanistani","definition":"Afghanistani"},{"code":"2127-9","display":"Israeili","definition":"Israeili"}]},{"code":"2131-1","display":"Other Race","definition":"Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated."}]},{"code":"2133-7","display":"Ethnicity","definition":"Ethnicity Note that this is an abstract 'grouping' concept and not for use as a real concept","property":[{"code":"abstract","valueBoolean":true}],"concept":[{"code":"2135-2","display":"Hispanic or Latino","definition":"Hispanic or Latino","concept":[{"code":"2137-8","display":"Spaniard","definition":"Spaniard"},{"code":"2148-5","display":"Mexican","definition":"Mexican"},{"code":"2155-0","display":"Central American","definition":"Central American"},{"code":"2165-9","display":"South American","definition":"South American"},{"code":"2178-2","display":"Latin American","definition":"Latin American"},{"code":"2180-8","display":"Puerto Rican","definition":"Puerto Rican"},{"code":"2182-4","display":"Cuban","definition":"Cuban"},{"code":"2184-0","display":"Dominican","definition":"Dominican"},{"code":"2138-6","display":"Andalusian","definition":"Andalusian"},{"code":"2139-4","display":"Asturian","definition":"Asturian"},{"code":"2140-2","display":"Castillian","definition":"Castillian"},{"code":"2141-0","display":"Catalonian","definition":"Catalonian"},{"code":"2142-8","display":"Belearic Islander","definition":"Belearic Islander"},{"code":"2143-6","display":"Gallego","definition":"Gallego"},{"code":"2144-4","display":"Valencian","definition":"Valencian"},{"code":"2145-1","display":"Canarian","definition":"Canarian"},{"code":"2146-9","display":"Spanish Basque","definition":"Spanish Basque"},{"code":"2149-3","display":"Mexican American","definition":"Mexican American"},{"code":"2150-1","display":"Mexicano","definition":"Mexicano"},{"code":"2151-9","display":"Chicano","definition":"Chicano"},{"code":"2152-7","display":"La Raza","definition":"La Raza"},{"code":"2153-5","display":"Mexican American Indian","definition":"Mexican American Indian"},{"code":"2156-8","display":"Costa Rican","definition":"Costa Rican"},{"code":"2157-6","display":"Guatemalan","definition":"Guatemalan"},{"code":"2158-4","display":"Honduran","definition":"Honduran"},{"code":"2159-2","display":"Nicaraguan","definition":"Nicaraguan"},{"code":"2160-0","display":"Panamanian","definition":"Panamanian"},{"code":"2161-8","display":"Salvadoran","definition":"Salvadoran"},{"code":"2162-6","display":"Central American Indian","definition":"Central American Indian"},{"code":"2163-4","display":"Canal Zone","definition":"Canal Zone"},{"code":"2166-7","display":"Argentinean","definition":"Argentinean"},{"code":"2167-5","display":"Bolivian","definition":"Bolivian"},{"code":"2168-3","display":"Chilean","definition":"Chilean"},{"code":"2169-1","display":"Colombian","definition":"Colombian"},{"code":"2170-9","display":"Ecuadorian","definition":"Ecuadorian"},{"code":"2171-7","display":"Paraguayan","definition":"Paraguayan"},{"code":"2172-5","display":"Peruvian","definition":"Peruvian"},{"code":"2173-3","display":"Uruguayan","definition":"Uruguayan"},{"code":"2174-1","display":"Venezuelan","definition":"Venezuelan"},{"code":"2175-8","display":"South American Indian","definition":"South American Indian"},{"code":"2176-6","display":"Criollo","definition":"Criollo"}]},{"code":"2186-5","display":"Not Hispanic or Latino","definition":"Note that this term remains in the table for completeness, even though within HL7, the notion of \"not otherwise coded\" term is deprecated."}]}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-condition-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-condition-category.json new file mode 100644 index 00000000000..4f4ee4cba62 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-condition-category.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"condition-category","text":{"status":"extensions","div":"

US Core Condition Category Extension Codes

Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.

\n

Properties

CodeURLDescriptionType
statushttp://hl7.org/fhir/concept-properties#statusA property that indicates the status of the concept. One of active, experimental, deprecated, retiredcode

This code system http://hl7.org/fhir/us/core/CodeSystem/condition-category defines the following codes:

CodeDisplayDefinitionDeprecatedstatus
problem ProblemThe patients problems as identified by the provider(s). Items on the provider’s problem listDeprecateddeprecated
health-concern Health ConcernAdditional health concerns from other stakeholders which are outside the provider’s problem list.
"},"url":"http://hl7.org/fhir/us/core/CodeSystem/condition-category","version":"3.1.0","name":"USCoreConditionCategoryExtensionCodes","title":"US Core Condition Category Extension Codes","status":"active","date":"2019-12-17T21:39:14+00:00","publisher":"HL7 US Realm Steering Committee","description":"Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"content":"complete","property":[{"code":"status","uri":"http://hl7.org/fhir/concept-properties#status","description":"A property that indicates the status of the concept. One of active, experimental, deprecated, retired","type":"code"}],"concept":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/codesystem-replacedby","valueCoding":{"system":"http://terminology.hl7.org/CodeSystem/condition-category","code":"problem-list-item","display":"Problem List Item"}}],"code":"problem","display":"Problem","definition":"The patients problems as identified by the provider(s). Items on the provider’s problem list","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"health-concern","display":"Health Concern","definition":"Additional health concerns from other stakeholders which are outside the provider’s problem list."}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-documentreference-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-documentreference-category.json new file mode 100644 index 00000000000..d6467f0b3c4 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-documentreference-category.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"us-core-documentreference-category","text":{"status":"generated","div":"

US Core DocumentReferences Category Codes

The US Core DocumentReferences Type Code System is a 'starter set' of categories supported for fetching and storing DocumentReference Resources.

\n

This code system http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category defines the following codes:

CodeDisplayDefinition
clinical-note Clinical NotePart of health record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care ([Wikipedia](https://en.wikipedia.org/wiki/Progress_note))
"},"url":"http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category","version":"3.1.0","name":"USCoreDocumentReferencesCategoryCodes","title":"US Core DocumentReferences Category Codes","status":"active","date":"2019-05-21T00:00:00+00:00","description":"The US Core DocumentReferences Type Code System is a 'starter set' of categories supported for fetching and storing DocumentReference Resources.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category","content":"complete","count":2,"concept":[{"code":"clinical-note","display":"Clinical Note","definition":"Part of health record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care ([Wikipedia](https://en.wikipedia.org/wiki/Progress_note))"}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-provenance-participant-type.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-provenance-participant-type.json new file mode 100644 index 00000000000..235f34620ca --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/codesystem/CodeSystem-us-core-provenance-participant-type.json @@ -0,0 +1 @@ +{"resourceType":"CodeSystem","id":"us-core-provenance-participant-type","text":{"status":"generated","div":"

US Core Provenance Participant Type Extension Codes

Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.

\n

This code system http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type defines the following codes:

CodeDisplayDefinition
transmitter TransmitterThe entity that provided the copy to your system.
"},"url":"http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type","version":"3.1.0","name":"USCoreProvenancePaticipantTypeExtensionCodes","title":"US Core Provenance Participant Type Extension Codes","status":"active","date":"2019-12-17T21:39:14+00:00","publisher":"HL7 US Realm Steering Committee","description":"Set of codes that are needed for implementation of the US-Core profiles. These codes are used as extensions to the FHIR and US Core value sets.\n","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"caseSensitive":true,"content":"complete","concept":[{"code":"transmitter","display":"Transmitter","definition":"The entity that provided the copy to your system."}]} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-bmi-for-age.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-bmi-for-age.json new file mode 100644 index 00000000000..73746dfbd23 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-bmi-for-age.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"pediatric-bmi-for-age","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation 0..*observation-vitalsigns
\".\"\".\"\".\" code 1..1CodeableConceptBMI percentile per age and sex for youth 2-20
Required Pattern: At least the following
\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 59576-9
\".\"\".\"\".\" valueQuantity 1..1Quantity
\".\"\".\"\".\"\".\" value S1..1decimal
\".\"\".\"\".\"\".\" unit S1..1string
\".\"\".\"\".\"\".\" system S1..1uriFixed Value: http://unitsofmeasure.org
\".\"\".\"\".\"\".\" code S1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: %

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age","version":"3.1.0","name":"USCorePediatricBMIforAgeObservationProfile","title":"US Core Pediatric BMI for Age Observation Profile","status":"active","experimental":false,"date":"2019-08-31T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for use in querying and retrieving pediatric BMI observations.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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/vitalsigns","derivation":"constraint","snapshot":{"element":[{"id":"Observation","path":"Observation","short":"FHIR Vital Signs Profile","definition":"This profile defines how to represent BMI percentile per age and sex for youth 2-20 observations in FHIR using a standard LOINC code and UCUM units of measure.","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"},{"key":"vs-2","severity":"error","human":"If there is no component or hasMember element then either a value[x] or a data absent reason must be present.","expression":"(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())","xpath":"f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"http://hl7.org/fhir/StructureDefinition/vitalsigns"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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/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","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/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","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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":"Status"}],"strength":"required","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"},"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"},"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":"BMI percentile per age and sex for youth 2-20","definition":"Coded Responses from C-CDA Vital Sign Results.","comment":"additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.","requirements":"5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).","alias":["Name","Test"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"59576-9"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":false,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"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/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"Often just a dateTime for Vital Signs","definition":"Often just a dateTime for Vital Signs.","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/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":1,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"condition":["vs-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"vs-1","severity":"error","human":"if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:effectiveDateTime[matches(@value, '^\\d{4}-\\d{2}-\\d{2}')]"}],"mustSupport":true,"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/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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","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":"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":"closed"},"short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":1,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7","vs-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"}],"mustSupport":true,"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":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":1,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7","vs-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"}],"mustSupport":false,"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.id","path":"Observation.value[x].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.value[x]:valueQuantity.extension","path":"Observation.value[x].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.value[x]:valueQuantity.value","path":"Observation.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":1,"max":"1","base":{"path":"Quantity.value","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2 / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.value[x]:valueQuantity.comparator","path":"Observation.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have 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 the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"},"mapping":[{"identity":"v2","map":"SN.1 / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.value[x]:valueQuantity.unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":1,"max":"1","base":{"path":"Quantity.unit","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.value[x]:valueQuantity.system","path":"Observation.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.value[x]:valueQuantity.code","path":"Observation.value[x].code","short":"Coded responses from the common UCUM units for vital signs value set.","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"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","vs-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"}],"mustSupport":true,"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"},"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"},"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/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"},"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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))"}],"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/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"]}],"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"]}],"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"},"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"},"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":"Used when reporting vital signs panel components","definition":"Used when reporting vital signs panel components.","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/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/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/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"Used when reporting systolic and diastolic blood pressure.","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/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"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason"}],"mustSupport":true,"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/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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","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"}],"condition":["vs-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1"},"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","vs-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"}],"mustSupport":true,"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"},"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"},"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":"#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","definition":"This profile defines how to represent BMI percentile per age and sex for youth 2-20 observations in FHIR using a standard LOINC code and UCUM units of measure.","mustSupport":false},{"id":"Observation.code","path":"Observation.code","short":"BMI percentile per age and sex for youth 2-20","comment":"additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.","alias":["Test","Name"],"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"59576-9"}]},"mustSupport":false},{"id":"Observation.valueQuantity","path":"Observation.valueQuantity","min":1,"max":"1","mustSupport":false},{"id":"Observation.valueQuantity.value","path":"Observation.valueQuantity.value","min":1,"max":"1","type":[{"code":"decimal"}],"mustSupport":true},{"id":"Observation.valueQuantity.unit","path":"Observation.valueQuantity.unit","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Observation.valueQuantity.system","path":"Observation.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.valueQuantity.code","path":"Observation.valueQuantity.code","short":"Coded responses from the common UCUM units for vital signs value set.","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"%","mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-weight-for-height.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-weight-for-height.json new file mode 100644 index 00000000000..4208a476052 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-pediatric-weight-for-height.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"pediatric-weight-for-height","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation 0..*observation-vitalsigns
\".\"\".\"\".\" code 1..1CodeableConceptWeight-for-length per age and gender
Required Pattern: At least the following
\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 77606-2
\".\"\".\"\".\" valueQuantity 1..1Quantity
\".\"\".\"\".\"\".\" value S1..1decimal
\".\"\".\"\".\"\".\" unit S1..1string
\".\"\".\"\".\"\".\" system S1..1uriFixed Value: http://unitsofmeasure.org
\".\"\".\"\".\"\".\" code S1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: %

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height","version":"3.1.0","name":"USCorePediatricWeightForHeightObservationProfile","title":"US Core Pediatric Weight for Height Observation Profile","status":"active","experimental":false,"date":"2019-08-31T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for use in querying and retrieving pediatric Weight-for-length per age and gender observations.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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/vitalsigns","derivation":"constraint","snapshot":{"element":[{"id":"Observation","path":"Observation","short":"FHIR Vital Signs Profile","definition":"This profile defines how to represent Weight-for-length per age and gender observations in FHIR using a standard LOINC code and UCUM units of measure.","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"},{"key":"vs-2","severity":"error","human":"If there is no component or hasMember element then either a value[x] or a data absent reason must be present.","expression":"(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())","xpath":"f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"http://hl7.org/fhir/StructureDefinition/vitalsigns"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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/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","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/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","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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":"Status"}],"strength":"required","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"},"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"},"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":"Weight-for-length per age and gender","definition":"Coded Responses from C-CDA Vital Sign Results.","comment":"additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.","requirements":"5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).","alias":["Name","Test"],"min":1,"max":"1","base":{"path":"Observation.code","min":1,"max":"1"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"77606-2"}]},"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"}],"mustSupport":false,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"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/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"Often just a dateTime for Vital Signs","definition":"Often just a dateTime for Vital Signs.","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/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":1,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"condition":["vs-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"vs-1","severity":"error","human":"if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:effectiveDateTime[matches(@value, '^\\d{4}-\\d{2}-\\d{2}')]"}],"mustSupport":true,"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/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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","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":"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":"closed"},"short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":1,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7","vs-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"}],"mustSupport":true,"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":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":1,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7","vs-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"}],"mustSupport":false,"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.id","path":"Observation.value[x].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.value[x]:valueQuantity.extension","path":"Observation.value[x].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.value[x]:valueQuantity.value","path":"Observation.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":1,"max":"1","base":{"path":"Quantity.value","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2 / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.value[x]:valueQuantity.comparator","path":"Observation.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have 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 the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"},"mapping":[{"identity":"v2","map":"SN.1 / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.value[x]:valueQuantity.unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":1,"max":"1","base":{"path":"Quantity.unit","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.value[x]:valueQuantity.system","path":"Observation.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.value[x]:valueQuantity.code","path":"Observation.value[x].code","short":"Coded responses from the common UCUM units for vital signs value set.","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"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","vs-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"}],"mustSupport":true,"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"},"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"},"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/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"},"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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))"}],"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/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"]}],"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"]}],"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"},"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"},"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":"Used when reporting vital signs panel components","definition":"Used when reporting vital signs panel components.","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/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/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/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"Used when reporting systolic and diastolic blood pressure.","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/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"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason"}],"mustSupport":true,"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/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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","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"}],"condition":["vs-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1"},"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","vs-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"}],"mustSupport":true,"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"},"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"},"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":"#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","definition":"This profile defines how to represent Weight-for-length per age and gender observations in FHIR using a standard LOINC code and UCUM units of measure.","mustSupport":false},{"id":"Observation.code","path":"Observation.code","short":"Weight-for-length per age and gender","comment":"additional codes that translate or map to this code are allowed. For example a more granular LOINC code or code that is used locally in a system.","alias":["Test","Name"],"min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"77606-2"}]},"mustSupport":false},{"id":"Observation.valueQuantity","path":"Observation.valueQuantity","min":1,"max":"1","mustSupport":false},{"id":"Observation.valueQuantity.value","path":"Observation.valueQuantity.value","min":1,"max":"1","type":[{"code":"decimal"}],"mustSupport":true},{"id":"Observation.valueQuantity.unit","path":"Observation.valueQuantity.unit","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Observation.valueQuantity.system","path":"Observation.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.valueQuantity.code","path":"Observation.valueQuantity.code","short":"Coded responses from the common UCUM units for vital signs value set.","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"%","mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-allergyintolerance.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-allergyintolerance.json new file mode 100644 index 00000000000..a9dde2db32d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-allergyintolerance.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-allergyintolerance","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance","version":"3.1.0","name":"USCoreAllergyIntolerance","title":"US Core AllergyIntolerance Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the AllergyIntolerance resource for the minimal set of data to query and retrieve allergy information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"AllergyIntolerance","path":"AllergyIntolerance","short":"Allergy or Intolerance (generally: Risk of adverse reaction to a substance)","definition":"The US Core Allergies Profile is based upon the core FHIR AllergyIntolerance Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medical allergies' requirements.","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-clinical"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-verification"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-allergy-substance"},"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"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.substance"}]},{"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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.patient"}]},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","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":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","http://hl7.org/fhir/StructureDefinition/RelatedPerson","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":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"},"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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Manifestation"}],"strength":"example","description":"Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"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"},"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","definition":"The US Core Allergies Profile is based upon the core FHIR AllergyIntolerance Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medical allergies' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance"}]},{"id":"AllergyIntolerance.clinicalStatus","path":"AllergyIntolerance.clinicalStatus","min":0,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-clinical"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"id":"AllergyIntolerance.verificationStatus","path":"AllergyIntolerance.verificationStatus","min":0,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/allergyintolerance-verification"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.status"}]},{"id":"AllergyIntolerance.code","path":"AllergyIntolerance.code","min":1,"max":"1","mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-allergy-substance"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.substance"}]},{"id":"AllergyIntolerance.patient","path":"AllergyIntolerance.patient","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"AllergyIntolerance.patient"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-birthsex.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-birthsex.json new file mode 100644 index 00000000000..41905699183 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-birthsex.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-birthsex","text":{"status":"generated","div":"
\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..1Extension
\".\"\".\"\".\" url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"
\".\"\".\"\".\" valueCode 0..1codeBinding: Birth Sex (required)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex","version":"3.1.0","name":"USCoreBirthSexExtension","title":"US Core Birth Sex Extension","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"Patient"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension","path":"Extension","short":"Extension","definition":"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).","comment":"The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"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,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"iso11179","map":".patient.administrativeGenderCode"}]},{"id":"Extension.id","path":"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":"Extension.extension","path":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions 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":"Extension.url","path":"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/us/core/StructureDefinition/us-core-birthsex","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension.value[x]","path":"Extension.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"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":0,"max":"1","base":{"path":"Extension.value[x]","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,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension.value[x]:valueCode","path":"Extension.value[x]","sliceName":"valueCode","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":0,"max":"1","base":{"path":"Extension.value[x]","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":{"strength":"required","description":"Code for sex assigned at birth","valueSet":"http://hl7.org/fhir/us/core/ValueSet/birthsex"},"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Extension","path":"Extension","definition":"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).","comment":"The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.","min":0,"max":"1","isModifier":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"iso11179","map":".patient.administrativeGenderCode"}]},{"id":"Extension.url","path":"Extension.url","fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"},{"id":"Extension.valueCode","path":"Extension.valueCode","min":0,"max":"1","type":[{"code":"code"}],"binding":{"strength":"required","description":"Code for sex assigned at birth","valueSet":"http://hl7.org/fhir/us/core/ValueSet/birthsex"}}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careplan.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careplan.json new file mode 100644 index 00000000000..13b558e985d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careplan.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-careplan","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" CarePlan 0..*CarePlan
\".\"\".\"\".\" text S1..1Narrative
\".\"\".\"\".\"\".\" status S1..1codeBinding: US Core Narrative Status (required)
\".\"\".\"\".\" status S1..1codeBinding: RequestStatus (required)
\".\"\".\"\".\" intent S1..1codeBinding: CarePlanIntent (required)
\".\"\".\"\".\" category S1..*(Slice Definition)Slice: Unordered, Open by pattern:$this
\".\"\".\"\".\"\".\" category:AssessPlan S1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/careplan-category
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: assess-plan
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan","version":"3.1.0","name":"USCoreCarePlanProfile","title":"US Core CarePlan Profile","status":"active","experimental":false,"date":"2019-08-29T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the CarePlan resource for the minimal set of data to query and retrieve a patient's Care Plan.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"CarePlan","path":"CarePlan","short":"Healthcare plan for patient or group","definition":"The US Core CarePlan Profile is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set 'Assessment and Plan of Treatment requirements.","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Request"},{"identity":"rim","map":"Act[classCode=PCPR, moodCode=INT]"},{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.text"}]},{"id":"CarePlan.text.id","path":"CarePlan.text.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.text.extension","path":"CarePlan.text.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":"CarePlan.text.status","path":"CarePlan.text.status","short":"generated | extensions | additional | empty","definition":"generated | additional.","min":1,"max":"1","base":{"path":"Narrative.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"required","description":"Constrained value set of narrative statuses.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status"},"mapping":[{"identity":"rim","map":"N/A"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.text.status"}]},{"id":"CarePlan.text.div","path":"CarePlan.text.div","short":"Limited xhtml content","definition":"The actual narrative content, a stripped down version of XHTML.","comment":"The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.","min":1,"max":"1","base":{"path":"Narrative.div","min":1,"max":"1"},"type":[{"code":"xhtml"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"txt-1","severity":"error","human":"The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, elements (either name or href), images and internally contained style attributes","expression":"htmlChecks()","xpath":"not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"},{"key":"txt-2","severity":"error","human":"The narrative SHALL have some non-whitespace content","expression":"htmlChecks()","xpath":"descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"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","http://hl7.org/fhir/StructureDefinition/Questionnaire","http://hl7.org/fhir/StructureDefinition/Measure","http://hl7.org/fhir/StructureDefinition/ActivityDefinition","http://hl7.org/fhir/StructureDefinition/OperationDefinition"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","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":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","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"}],"mustSupport":true,"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":{"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"},"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"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"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"}],"mustSupport":true,"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":{"strength":"required","description":"Codes indicating the degree of authority/intentionality associated with a care plan","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-intent"},"mapping":[{"identity":"workflow","map":"Request.intent"},{"identity":"argonaut-dq-dstu2","map":"NA (new element in STU3)"}]},{"id":"CarePlan.category","path":"CarePlan.category","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"short":"Type of plan","definition":"Type of plan.","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":"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.","min":1,"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"}],"mustSupport":true,"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"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"id":"CarePlan.category:AssessPlan","path":"CarePlan.category","sliceName":"AssessPlan","short":"Type of plan","definition":"Type of plan.","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":"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.","min":1,"max":"1","base":{"path":"CarePlan.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/careplan-category","code":"assess-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"}],"mustSupport":true,"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"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"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":"Who care plan is for.","requirements":"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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/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":"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","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/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":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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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))"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/CommunicationRequest","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/Task","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/VisionPrescription","http://hl7.org/fhir/StructureDefinition/RequestGroup"]}],"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","http://hl7.org/fhir/StructureDefinition/ActivityDefinition","http://hl7.org/fhir/StructureDefinition/Questionnaire","http://hl7.org/fhir/StructureDefinition/Measure","http://hl7.org/fhir/StructureDefinition/OperationDefinition"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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"},"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","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/HealthcareService","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":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","http://hl7.org/fhir/StructureDefinition/Substance"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","definition":"The US Core CarePlan Profile is based upon the core FHIR CarePlan Resource and created to meet the 2015 Edition Common Clinical Data Set 'Assessment and Plan of Treatment requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"id":"CarePlan.text","path":"CarePlan.text","min":1,"max":"1","type":[{"code":"Narrative"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.text"}]},{"id":"CarePlan.text.status","path":"CarePlan.text.status","definition":"generated | additional.","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Constrained value set of narrative statuses.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.text.status"}]},{"id":"CarePlan.status","path":"CarePlan.status","requirements":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"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"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"id":"CarePlan.intent","path":"CarePlan.intent","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Codes indicating the degree of authority/intentionality associated with a care plan","valueSet":"http://hl7.org/fhir/ValueSet/care-plan-intent"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (new element in STU3)"}]},{"id":"CarePlan.category","path":"CarePlan.category","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"definition":"Type of plan.","requirements":"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.","min":1,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"id":"CarePlan.category:AssessPlan","path":"CarePlan.category","sliceName":"AssessPlan","definition":"Type of plan.","requirements":"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.","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/careplan-category","code":"assess-plan"}]},"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.category"}]},{"id":"CarePlan.subject","path":"CarePlan.subject","definition":"Who care plan is for.","requirements":"Identifies the patient or group whose intended care is described by the plan.","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.subject"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careteam.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careteam.json new file mode 100644 index 00000000000..1b7291f036b --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-careteam.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-careteam","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam","version":"3.1.0","name":"USCoreCareTeam","title":"US Core CareTeam Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the CareTeam resource for the minimal set of data to query and retrieve a patient's Care Team.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":"CareTeam","baseDefinition":"http://hl7.org/fhir/StructureDefinition/CareTeam","derivation":"constraint","snapshot":{"element":[{"id":"CareTeam","path":"CareTeam","short":"Planned participants in the coordination and delivery of care for a patient or group","definition":"The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements.","min":0,"max":"*","base":{"path":"CareTeam","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"id":"CareTeam.id","path":"CareTeam.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":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"CareTeam.meta","path":"CareTeam.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":"CareTeam.implicitRules","path":"CareTeam.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":"CareTeam.language","path":"CareTeam.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"CareTeam.text","path":"CareTeam.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":"CareTeam.contained","path":"CareTeam.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":"CareTeam.extension","path":"CareTeam.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":"CareTeam.modifierExtension","path":"CareTeam.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":"CareTeam.identifier","path":"CareTeam.identifier","short":"External Ids for this team","definition":"Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","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 team as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"CareTeam.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"}]},{"id":"CareTeam.status","path":"CareTeam.status","short":"proposed | active | suspended | inactive | entered-in-error","definition":"Indicates the current state of the care team.","comment":"This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid.","min":0,"max":"1","base":{"path":"CareTeam.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"}],"mustSupport":true,"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":{"strength":"required","description":"Indicates whether the team is current , represents future intentions or is now a historical record.","valueSet":"http://hl7.org/fhir/ValueSet/care-team-status"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"id":"CareTeam.category","path":"CareTeam.category","short":"Type of team","definition":"Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.","comment":"There may be multiple axis of categorization and one team may serve multiple purposes.","requirements":"Used for filtering what teams(s) are retrieved and displayed to different types of users.","min":0,"max":"*","base":{"path":"CareTeam.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":"CareTeamCategory"}],"strength":"example","description":"Indicates the type of care team.","valueSet":"http://hl7.org/fhir/ValueSet/care-team-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"CareTeam.name","path":"CareTeam.name","short":"Name of the team, such as crisis assessment team","definition":"A label for human use intended to distinguish like teams. E.g. the \"red\" vs. \"green\" trauma teams.","comment":"The meaning/purpose of the team is conveyed in CareTeam.category. This element may also convey semantics of the team (e.g. \"Red trauma team\"), but its primary purpose is to distinguish between identical teams in a human-friendly way. (\"Team 18735\" isn't as friendly.).","min":0,"max":"1","base":{"path":"CareTeam.name","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":"CareTeam.subject","path":"CareTeam.subject","short":"Who care team is for","definition":"Identifies the patient or group whose intended care is handled by the team.","requirements":"Allows the team to care for a group (e.g. marriage) therapy. \nAllows for an organization to designate a team such as the PICC line team.","alias":["patient"],"min":1,"max":"1","base":{"path":"CareTeam.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.subject"}]},{"id":"CareTeam.encounter","path":"CareTeam.encounter","short":"Encounter created as part of","definition":"The Encounter during which this CareTeam 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":"CareTeam.encounter","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"CareTeam.period","path":"CareTeam.period","short":"Time period team covers","definition":"Indicates when the team did (or is intended to) come into effect and end.","requirements":"Allows tracking what team(s) are in effect at a particular time.","min":0,"max":"1","base":{"path":"CareTeam.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.init"}]},{"id":"CareTeam.participant","path":"CareTeam.participant","short":"Members of the team","definition":"Identifies all people and organizations who are expected to be involved in the care team.","min":1,"max":"*","base":{"path":"CareTeam.participant","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"condition":["ctm-1"],"constraint":[{"key":"ctm-1","severity":"error","human":"CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner","expression":"onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))","xpath":"starts-with(f:member/f:reference/@value, 'Practitioner/') or contains(f:member/f:reference/@value, '/Practitioner/') or exists(ancestor::*/f:contains/f:Practitioner/f:id[@value=substring-after(current()/f:member/f:reference/@value, '#')]) or not(exists(f:onBehalfOf))","source":"http://hl7.org/fhir/StructureDefinition/CareTeam"},{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"mapping":[{"identity":"v2","map":"REL (REL.4 is always the Patient) ( or PRT?)"},{"identity":"rim","map":".participation[typeCode=PRF]"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant"}]},{"id":"CareTeam.participant.id","path":"CareTeam.participant.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":"CareTeam.participant.extension","path":"CareTeam.participant.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":"CareTeam.participant.modifierExtension","path":"CareTeam.participant.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":"CareTeam.participant.role","path":"CareTeam.participant.role","short":"Type of involvement","definition":"Indicates specific responsibility of an individual within the care team, such as \"Primary care physician\", \"Trained social worker counselor\", \"Caregiver\", etc.","comment":"Roles may sometimes be inferred by type of Practitioner. These are relationships that hold only within the context of the care team. General relationships should be handled as properties of the Patient resource directly.","min":1,"max":"1","base":{"path":"CareTeam.participant.role","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":true,"binding":{"strength":"extensible","description":"Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"},"mapping":[{"identity":"v2","map":"REL.2 (or PRT-4?)"},{"identity":"rim","map":".functionCode"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.role"}]},{"id":"CareTeam.participant.member","path":"CareTeam.participant.member","short":"Who is involved","definition":"The specific person or organization who is participating/expected to participate in the care team.","comment":"Patient only needs to be listed if they have a role other than \"subject of care\".\n\nMember is optional because some participants may be known only by their role, particularly in draft plans.","min":1,"max":"1","base":{"path":"CareTeam.participant.member","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"REL.5 (or 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":".role"},{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.member"}]},{"id":"CareTeam.participant.onBehalfOf","path":"CareTeam.participant.onBehalfOf","short":"Organization of the practitioner","definition":"The organization of the practitioner.","requirements":"Practitioners can be associated with multiple organizations. This element indicates which organization they were acting on behalf of.","min":0,"max":"1","base":{"path":"CareTeam.participant.onBehalfOf","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},{"id":"CareTeam.participant.period","path":"CareTeam.participant.period","short":"Time period of participant","definition":"Indicates when the specific member or organization did (or is intended to) come into effect and end.","min":0,"max":"1","base":{"path":"CareTeam.participant.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},{"id":"CareTeam.reasonCode","path":"CareTeam.reasonCode","short":"Why the care team exists","definition":"Describes why the care team exists.","min":0,"max":"*","base":{"path":"CareTeam.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":"CareTeamReason"}],"strength":"example","description":"Indicates the reason for the care team.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"mapping":[{"identity":"w5","map":"FiveWs.why[x]"}]},{"id":"CareTeam.reasonReference","path":"CareTeam.reasonReference","short":"Why the care team exists","definition":"Condition(s) that this care team addresses.","min":0,"max":"*","base":{"path":"CareTeam.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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]"}]},{"id":"CareTeam.managingOrganization","path":"CareTeam.managingOrganization","short":"Organization responsible for the care team","definition":"The organization responsible for the care team.","requirements":"Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.","min":0,"max":"*","base":{"path":"CareTeam.managingOrganization","min":0,"max":"*"},"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},{"id":"CareTeam.telecom","path":"CareTeam.telecom","short":"A contact detail for the care team (that applies to all members)","definition":"A central contact detail for the care team (that applies to all members).","comment":"The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members.","min":0,"max":"*","base":{"path":"CareTeam.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},{"id":"CareTeam.note","path":"CareTeam.note","short":"Comments made about the CareTeam","definition":"Comments made about the CareTeam.","min":0,"max":"*","base":{"path":"CareTeam.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}]},"differential":{"element":[{"id":"CareTeam","path":"CareTeam","definition":"The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan"}]},{"id":"CareTeam.status","path":"CareTeam.status","min":0,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Indicates whether the team is current , represents future intentions or is now a historical record.","valueSet":"http://hl7.org/fhir/ValueSet/care-team-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.status"}]},{"id":"CareTeam.subject","path":"CareTeam.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.subject"}]},{"id":"CareTeam.participant","path":"CareTeam.participant","min":1,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant"}]},{"id":"CareTeam.participant.role","path":"CareTeam.participant.role","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.role"}]},{"id":"CareTeam.participant.member","path":"CareTeam.participant.member","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"CarePlan.participant.member"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-condition.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-condition.json new file mode 100644 index 00000000000..1416019143a --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-condition.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-condition","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Condition I0..*Conditionus-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
\".\"\".\"\".\" clinicalStatus S0..1CodeableConceptBinding: ConditionClinicalStatusCodes (required)
\".\"\".\"\".\" verificationStatus S0..1CodeableConceptBinding: ConditionVerificationStatus (required)
\".\"\".\"\".\" category SI1..*CodeableConceptproblem-list-item | encounter-diagnosis | health-concern
Binding: US Core Condition Category Codes (extensible)
\".\"\".\"\".\" code S1..1CodeableConceptBinding: US Core Condition Code (extensible)
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition","version":"3.1.0","name":"USCoreCondition","title":"US Core Condition Profile","status":"active","experimental":false,"date":"2019-10-24T00:00:00+00:00","publisher":"Health Level Seven International (Infrastructure and Messaging - Data Access Framework)","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"Condition","path":"Condition","short":"Detailed information about conditions, problems or diagnoses","definition":"The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.","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"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"A code in Condition.category SHOULD be from US Core Condition Category Codes value set.","expression":"where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()","xpath":"(no xpath equivalent)"}],"mustSupport":false,"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-clinical"},"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"},{"identity":"argonaut-dq-dstu2","map":"Condition.clinicalStatus"}]},{"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-ver-status"},"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"},{"identity":"argonaut-dq-dstu2","map":"Condition.verificationStatus"}]},{"id":"Condition.category","path":"Condition.category","short":"problem-list-item | encounter-diagnosis | health-concern","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":1,"max":"*","base":{"path":"Condition.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"condition":["us-core-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"},"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"},{"identity":"argonaut-dq-dstu2","map":"Condition.category"}]},{"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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionSeverity"}],"strength":"preferred","description":"A subjective assessment of the severity of the condition as evaluated by the clinician.","valueSet":"http://hl7.org/fhir/ValueSet/condition-severity"},"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Valueset to describe the actual problem experienced by the patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code"},"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"},{"identity":"argonaut-dq-dstu2","map":"Condition.code"}]},{"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":"example","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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Condition.patient"}]},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","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":"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","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":"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)"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/Observation"]}],"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"},"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)"},{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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"]}],"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","definition":"The US Core Condition Profile is based upon the core FHIR Condition Resource and created to meet the 2015 Edition Common Clinical Data Set 'Problems' and 'Health Concerns' requirements.","constraint":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"A code in Condition.category SHOULD be from US Core Condition Category Codes value set.","expression":"where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()","xpath":"(no xpath equivalent)"}],"mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition"}]},{"id":"Condition.clinicalStatus","path":"Condition.clinicalStatus","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-clinical"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.clinicalStatus"}]},{"id":"Condition.verificationStatus","path":"Condition.verificationStatus","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/condition-ver-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.verificationStatus"}]},{"id":"Condition.category","path":"Condition.category","short":"problem-list-item | encounter-diagnosis | health-concern","min":1,"max":"*","type":[{"code":"CodeableConcept"}],"condition":["us-core-1"],"mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.category"}]},{"id":"Condition.code","path":"Condition.code","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Valueset to describe the actual problem experienced by the patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.code"}]},{"id":"Condition.subject","path":"Condition.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Condition.patient"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-lab.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-lab.json new file mode 100644 index 00000000000..30ba5e17740 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-lab.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-diagnosticreport-lab","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DiagnosticReport 0..*DiagnosticReport
\".\"\".\"\".\" status S1..1codeBinding: DiagnosticReportStatus (required)
\".\"\".\"\".\" category S1..*(Slice Definition)Slice: Unordered, Open by pattern:$this
\".\"\".\"\".\"\".\" category:LaboratorySlice S1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: LAB
\".\"\".\"\".\" code S1..1CodeableConceptUS Core Laboratory Report Order Code
Binding: US Core Diagnostic Report Laboratory Codes (extensible)
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)
\".\"\".\"\".\" effective[x] S1..1Specimen Collection Datetime or Period
\".\"\".\"\".\"\".\" effectiveDateTimedateTime
\".\"\".\"\".\"\".\" effectivePeriodPeriod
\".\"\".\"\".\" issued S1..1instant
\".\"\".\"\".\" performer S0..*Reference(US Core Practitioner Profile | US Core Organization Profile)
\".\"\".\"\".\" result S0..*Reference(US Core Laboratory Result Observation Profile)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab","version":"3.1.0","name":"USCoreDiagnosticReportProfileLaboratoryReporting","title":"US Core DiagnosticReport Profile for Laboratory Results Reporting","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory results for a patient","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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":{"element":[{"id":"DiagnosticReport","path":"DiagnosticReport","short":"A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports","definition":"The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.","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","Lab Result","Lab Report"],"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"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-report-status"},"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","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"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":1,"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"}],"mustSupport":true,"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"},"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.category:LaboratorySlice","path":"DiagnosticReport.category","sliceName":"LaboratorySlice","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":1,"max":"1","base":{"path":"DiagnosticReport.category","min":0,"max":"*"},"type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0074","code":"LAB"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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"},"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":"US Core Laboratory Report Order Code","definition":"The test, panel or battery that was ordered.","comment":"UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes"},"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":1,"max":"1","base":{"path":"DiagnosticReport.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"Specimen Collection Datetime or Period","definition":"This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.","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":1,"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"}],"mustSupport":true,"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":1,"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"}],"mustSupport":true,"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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/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":"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":["http://hl7.org/fhir/StructureDefinition/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","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/us/core/StructureDefinition/us-core-observation-lab"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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","definition":"The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.","alias":["Lab Result","Lab Report"],"mustSupport":false,"isModifier":false},{"id":"DiagnosticReport.status","path":"DiagnosticReport.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-report-status"}},{"id":"DiagnosticReport.category","path":"DiagnosticReport.category","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"min":1,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.category:LaboratorySlice","path":"DiagnosticReport.category","sliceName":"LaboratorySlice","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0074","code":"LAB"}]},"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.code","path":"DiagnosticReport.code","short":"US Core Laboratory Report Order Code","definition":"The test, panel or battery that was ordered.","comment":"UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes"}},{"id":"DiagnosticReport.subject","path":"DiagnosticReport.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.effective[x]","path":"DiagnosticReport.effective[x]","short":"Specimen Collection Datetime or Period","definition":"This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.","min":1,"max":"1","type":[{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.issued","path":"DiagnosticReport.issued","min":1,"max":"1","type":[{"code":"instant"}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.performer","path":"DiagnosticReport.performer","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.result","path":"DiagnosticReport.result","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"]}],"mustSupport":true,"isModifier":false}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-note.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-note.json new file mode 100644 index 00000000000..58492a9db7b --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-diagnosticreport-note.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-diagnosticreport-note","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DiagnosticReport 0..*DiagnosticReportUS Core Diagnostic Report Profile for Report and Note exchange
\".\"\".\"\".\" status S1..1codeBinding: DiagnosticReportStatus (required)
\".\"\".\"\".\" category S1..*CodeableConceptBinding: US Core DiagnosticReport Category (extensible)
\".\"\".\"\".\" code S1..1CodeableConceptUS Core Report Code
Binding: US Core Diagnosticreport Report And Note Codes (extensible)
\".\"\".\"\".\" subject SΣ1..1Reference(US Core Patient Profile)The subject of the report - usually, but not always, the patient
\".\"\".\"\".\" encounter S0..1Reference(US Core Encounter Profile)
\".\"\".\"\".\" effective[x] S1..1Time of the report or note
\".\"\".\"\".\"\".\" effectiveDateTimedateTime
\".\"\".\"\".\"\".\" effectivePeriodPeriod
\".\"\".\"\".\" issued S0..1instant
\".\"\".\"\".\" performer S0..*Reference(US Core Practitioner Profile | US Core Organization Profile)
\".\"\".\"\".\" presentedForm S0..*Attachment

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note","version":"3.1.0","name":"USCoreDiagnosticReportProfileNoteExchange","title":"US Core DiagnosticReport Profile for Report and Note exchange","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with clinical notes for a patient","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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":{"element":[{"id":"DiagnosticReport","path":"DiagnosticReport","short":"US Core Diagnostic Report Profile for Report and Note exchange","definition":"The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge 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","Imaging Report","Radiology Report"],"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"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-report-status"},"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","service","discipline"],"min":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category"},"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":"US Core Report Code","definition":"The test, panel, report, or note that was ordered.","comment":"UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes"},"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":1,"max":"1","base":{"path":"DiagnosticReport.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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/us/core/StructureDefinition/us-core-encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"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":"Time of the report or note","definition":"This is the Datetime or Period when the report or note was written.","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":1,"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"}],"mustSupport":true,"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"}],"mustSupport":true,"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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/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":"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":["http://hl7.org/fhir/StructureDefinition/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","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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OBX"},{"identity":"rim","map":"text (type=ED)"}]}]},"differential":{"element":[{"id":"DiagnosticReport","path":"DiagnosticReport","short":"US Core Diagnostic Report Profile for Report and Note exchange","definition":"The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.","alias":["Imaging Report","Radiology Report"],"mustSupport":false,"isModifier":false},{"id":"DiagnosticReport.status","path":"DiagnosticReport.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/diagnostic-report-status"}},{"id":"DiagnosticReport.category","path":"DiagnosticReport.category","alias":["Department","Sub-department","service","discipline"],"min":1,"type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category"}},{"id":"DiagnosticReport.code","path":"DiagnosticReport.code","short":"US Core Report Code","definition":"The test, panel, report, or note that was ordered.","comment":"UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes"}},{"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":1,"max":"1","base":{"path":"DiagnosticReport.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"isModifier":false,"isSummary":true},{"id":"DiagnosticReport.encounter","path":"DiagnosticReport.encounter","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.effective[x]","path":"DiagnosticReport.effective[x]","short":"Time of the report or note","definition":"This is the Datetime or Period when the report or note was written.","min":1,"max":"1","type":[{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.issued","path":"DiagnosticReport.issued","min":0,"max":"1","type":[{"code":"instant"}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.performer","path":"DiagnosticReport.performer","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false},{"id":"DiagnosticReport.presentedForm","path":"DiagnosticReport.presentedForm","min":0,"max":"*","type":[{"code":"Attachment"}],"mustSupport":true,"isModifier":false}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-direct.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-direct.json new file mode 100644 index 00000000000..d6629c4b9c6 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-direct.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-direct","text":{"status":"generated","div":"
\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..1ExtensionEmail is a "direct" email
\".\"\".\"\".\" url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct"
\".\"\".\"\".\" valueBoolean 0..1boolean

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct","version":"3.1.0","name":"USCoreDirectEmailExtension","title":"US Core Direct email Extension","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"This email address is associated with a [direct](http://wiki.directproject.org/Addressing+Specification) service. This extension can only be used on contact points where the system = 'email'","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"ContactPoint"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension","path":"Extension","short":"Email is a \"direct\" email","definition":"This email address is associated with a \"direct\" service - e.g. http://wiki.directproject.org/Addressing+Specification. This extension can only be used on contact points where the system = 'email'","comment":"This extension can only be used on contact points where the system = 'email'.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"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,"mapping":[{"identity":"v2","map":"No v2 equivalent"},{"identity":"rim","map":"No RIM equivalent"}]},{"id":"Extension.id","path":"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":"Extension.extension","path":"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions 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":"Extension.url","path":"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/us/core/StructureDefinition/us-core-direct","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension.value[x]","path":"Extension.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"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":0,"max":"1","base":{"path":"Extension.value[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":"rim","map":"N/A"}]},{"id":"Extension.value[x]:valueBoolean","path":"Extension.value[x]","sliceName":"valueBoolean","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":0,"max":"1","base":{"path":"Extension.value[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":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Extension","path":"Extension","short":"Email is a \"direct\" email","definition":"This email address is associated with a \"direct\" service - e.g. http://wiki.directproject.org/Addressing+Specification. This extension can only be used on contact points where the system = 'email'","comment":"This extension can only be used on contact points where the system = 'email'.","min":0,"max":"1","isModifier":false,"mapping":[{"identity":"v2","map":"No v2 equivalent"},{"identity":"rim","map":"No RIM equivalent"}]},{"id":"Extension.url","path":"Extension.url","fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct"},{"id":"Extension.valueBoolean","path":"Extension.valueBoolean","min":0,"max":"1","type":[{"code":"boolean"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-documentreference.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-documentreference.json new file mode 100644 index 00000000000..5c782770055 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-documentreference.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-documentreference","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DocumentReference 0..*DocumentReference
\".\"\".\"\".\" identifier S0..*Identifier
\".\"\".\"\".\" status S1..1codeBinding: DocumentReferenceStatus (required)
\".\"\".\"\".\" type S1..1CodeableConceptBinding: US Core DocumentReference Type (required)
Min Binding: US Core Clinical Note Type
\".\"\".\"\".\" category S1..*CodeableConceptBinding: US Core DocumentReference Category (extensible)
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)
\".\"\".\"\".\" date S0..1instant
\".\"\".\"\".\" author S0..*Reference(US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | Device | US Core Patient Profile | RelatedPerson)
\".\"\".\"\".\" custodian S0..1Reference(US Core Organization Profile)
\".\"\".\"\".\" content S1..1BackboneElement
\".\"\".\"\".\"\".\" attachment SI1..1Attachmentus-core-6: DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
\".\"\".\"\".\"\".\"\".\" contentType S1..1code
\".\"\".\"\".\"\".\"\".\" data SI0..1base64Binary
\".\"\".\"\".\"\".\"\".\" url SI0..1url
\".\"\".\"\".\"\".\" format S0..1CodingBinding: DocumentReferenceFormatCodeSet (extensible)
\".\"\".\"\".\" context S0..1BackboneElement
\".\"\".\"\".\"\".\" encounter S0..1Reference(US Core Encounter Profile)
\".\"\".\"\".\"\".\" period S0..1Period

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference","version":"3.1.0","name":"USCoreDocumentReferenceProfile","title":"US Core DocumentReference Profile","status":"active","experimental":false,"date":"2019-08-11T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The document reference profile used in US Core.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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":{"element":[{"id":"DocumentReference","path":"DocumentReference","short":"A reference to a document","definition":"This is a basic constraint on DocumentRefernce for use in the US Core IG.","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"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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"}],"mustSupport":true,"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/document-reference-status"},"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet","valueCanonical":"http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type"}],"strength":"required","description":"All LOINC values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type"},"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"The US Core DocumentReferences Type Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category"},"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":1,"max":"1","base":{"path":"DocumentReference.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"}],"mustSupport":true,"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/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","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":"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/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","description":"Security Labels from the Healthcare Privacy and Security Classification System.","valueSet":"http://hl7.org/fhir/ValueSet/security-labels"},"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":"1","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"}],"mustSupport":true,"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"},{"key":"us-core-6","severity":"error","human":"DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.","expression":"url.exists() or data.exists()","xpath":"f:url or f:content"}],"mustSupport":true,"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.attachment.id","path":"DocumentReference.content.attachment.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.attachment.extension","path":"DocumentReference.content.attachment.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":"DocumentReference.content.attachment.contentType","path":"DocumentReference.content.attachment.contentType","short":"Mime type of the content, with charset etc.","definition":"Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.","requirements":"Processors of the data need to be able to know how to interpret the data.","min":1,"max":"1","base":{"path":"Attachment.contentType","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"text/plain; charset=UTF-8, image/png"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MimeType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","description":"The mime type of an attachment. Any valid mime type is allowed.","valueSet":"http://hl7.org/fhir/ValueSet/mimetypes|4.0.1"},"mapping":[{"identity":"v2","map":"ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used"},{"identity":"rim","map":"./mediaType, ./charset"}]},{"id":"DocumentReference.content.attachment.language","path":"DocumentReference.content.attachment.language","short":"Human language of the content (BCP-47)","definition":"The human language of the content. The value can be any valid value according to BCP 47.","requirements":"Users need to be able to choose between the languages in a set of attachments.","min":0,"max":"1","base":{"path":"Attachment.language","min":0,"max":"1"},"type":[{"code":"code"}],"example":[{"label":"General","valueCode":"en-AU"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"mapping":[{"identity":"rim","map":"./language"}]},{"id":"DocumentReference.content.attachment.data","path":"DocumentReference.content.attachment.data","short":"Data inline, base64ed","definition":"The actual data of the attachment - a sequence of bytes, base64 encoded.","comment":"The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.","requirements":"The data needs to able to be transmitted inline.","min":0,"max":"1","base":{"path":"Attachment.data","min":0,"max":"1"},"type":[{"code":"base64Binary"}],"condition":["us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ED.5"},{"identity":"rim","map":"./data"}]},{"id":"DocumentReference.content.attachment.url","path":"DocumentReference.content.attachment.url","short":"Uri where the data can be found","definition":"A location where the data can be accessed.","comment":"If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.","requirements":"The data needs to be transmitted by reference.","min":0,"max":"1","base":{"path":"Attachment.url","min":0,"max":"1"},"type":[{"code":"url"}],"example":[{"label":"General","valueUrl":"http://www.acme.com/logo-small.png"}],"condition":["us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RP.1+RP.2 - if they refer to a URL (see v2.6)"},{"identity":"rim","map":"./reference/literal"}]},{"id":"DocumentReference.content.attachment.size","path":"DocumentReference.content.attachment.size","short":"Number of bytes of content (if url provided)","definition":"The number of bytes of data that make up this attachment (before base64 encoding, if that is done).","comment":"The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.","requirements":"Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.","min":0,"max":"1","base":{"path":"Attachment.size","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":"N/A (needs data type R3 proposal)"}]},{"id":"DocumentReference.content.attachment.hash","path":"DocumentReference.content.attachment.hash","short":"Hash of the data (sha-1, base64ed)","definition":"The calculated hash of the data using SHA-1. Represented using base64.","comment":"The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](http://hl7.org/fhir/R4/provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature.","requirements":"Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).","min":0,"max":"1","base":{"path":"Attachment.hash","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":".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]"}]},{"id":"DocumentReference.content.attachment.title","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"DocumentReference.content.attachment.title","short":"Label to display in place of the data","definition":"A label or set of text to display in place of the data.","requirements":"Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.","min":0,"max":"1","base":{"path":"Attachment.title","min":0,"max":"1"},"type":[{"code":"string"}],"example":[{"label":"General","valueString":"Official Corporate Logo"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/data"}]},{"id":"DocumentReference.content.attachment.creation","path":"DocumentReference.content.attachment.creation","short":"Date attachment was first created","definition":"The date that the attachment was first created.","requirements":"This is often tracked as an integrity issue for use of the attachment.","min":0,"max":"1","base":{"path":"Attachment.creation","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":"N/A (needs data type R3 proposal)"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/formatcodes"},"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"}],"mustSupport":true,"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":"1","base":{"path":"DocumentReference.context.encounter","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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"}],"mustSupport":true,"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"},"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"},"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":["http://hl7.org/fhir/StructureDefinition/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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","definition":"This is a basic constraint on DocumentRefernce for use in the US Core IG.","mustSupport":false},{"id":"DocumentReference.identifier","path":"DocumentReference.identifier","min":0,"max":"*","mustSupport":true},{"id":"DocumentReference.status","path":"DocumentReference.status","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/document-reference-status"}},{"id":"DocumentReference.type","path":"DocumentReference.type","min":1,"max":"1","mustSupport":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet","valueCanonical":"http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type"}],"strength":"required","description":"All LOINC values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type"}},{"id":"DocumentReference.category","path":"DocumentReference.category","min":1,"max":"*","mustSupport":true,"binding":{"strength":"extensible","description":"The US Core DocumentReferences Type Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category"}},{"id":"DocumentReference.subject","path":"DocumentReference.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true},{"id":"DocumentReference.date","path":"DocumentReference.date","min":0,"max":"1","mustSupport":true},{"id":"DocumentReference.author","path":"DocumentReference.author","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true},{"id":"DocumentReference.custodian","path":"DocumentReference.custodian","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true},{"id":"DocumentReference.content","path":"DocumentReference.content","min":1,"max":"1","mustSupport":true},{"id":"DocumentReference.content.attachment","path":"DocumentReference.content.attachment","min":1,"max":"1","constraint":[{"key":"us-core-6","severity":"error","human":"DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.","expression":"url.exists() or data.exists()","xpath":"f:url or f:content"}],"mustSupport":true},{"id":"DocumentReference.content.attachment.contentType","path":"DocumentReference.content.attachment.contentType","min":1,"max":"1","mustSupport":true},{"id":"DocumentReference.content.attachment.data","path":"DocumentReference.content.attachment.data","min":0,"max":"1","condition":["us-core-6"],"mustSupport":true},{"id":"DocumentReference.content.attachment.url","path":"DocumentReference.content.attachment.url","min":0,"max":"1","condition":["us-core-6"],"mustSupport":true},{"id":"DocumentReference.content.format","path":"DocumentReference.content.format","min":0,"max":"1","mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/formatcodes"}},{"id":"DocumentReference.context","path":"DocumentReference.context","min":0,"max":"1","mustSupport":true},{"id":"DocumentReference.context.encounter","path":"DocumentReference.context.encounter","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"]}],"mustSupport":true},{"id":"DocumentReference.context.period","path":"DocumentReference.context.period","mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-encounter.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-encounter.json new file mode 100644 index 00000000000..55ba0916597 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-encounter.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-encounter","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter","version":"3.1.0","name":"USCoreEncounterProfile","title":"US Core Encounter Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The Encounter referenced in the US Core profiles.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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":"Encounter","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Encounter","derivation":"constraint","snapshot":{"element":[{"id":"Encounter","path":"Encounter","short":"An interaction during which services are provided to the patient","definition":"This is basic constraint on Encounter for use in US Core resources.","alias":["Visit"],"min":0,"max":"*","base":{"path":"Encounter","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Encounter[@moodCode='EVN']"}]},{"id":"Encounter.id","path":"Encounter.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":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Encounter.meta","path":"Encounter.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":"Encounter.implicitRules","path":"Encounter.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":"Encounter.language","path":"Encounter.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Encounter.text","path":"Encounter.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":"Encounter.contained","path":"Encounter.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":"Encounter.extension","path":"Encounter.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":"Encounter.modifierExtension","path":"Encounter.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":"Encounter.identifier","path":"Encounter.identifier","short":"Identifier(s) by which this encounter is known","definition":"Identifier(s) by which this encounter is known.","min":0,"max":"*","base":{"path":"Encounter.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PV1-19"},{"identity":"rim","map":".id"}]},{"id":"Encounter.identifier.id","path":"Encounter.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":"Encounter.identifier.extension","path":"Encounter.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":"Encounter.identifier.use","path":"Encounter.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":"Encounter.identifier.type","path":"Encounter.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"Encounter.identifier.system","path":"Encounter.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":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"}],"mustSupport":true,"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":"Encounter.identifier.value","path":"Encounter.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"}],"mustSupport":true,"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":"Encounter.identifier.period","path":"Encounter.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":"Encounter.identifier.assigner","path":"Encounter.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":"Encounter.status","path":"Encounter.status","short":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +","definition":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +.","comment":"Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).","min":1,"max":"1","base":{"path":"Encounter.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"}],"mustSupport":true,"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":"EncounterStatus"}],"strength":"required","description":"Current state of the encounter.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-status|4.0.1"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"},{"identity":"rim","map":".statusCode"}]},{"id":"Encounter.statusHistory","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"StatusHistory"}],"path":"Encounter.statusHistory","short":"List of past encounter statuses","definition":"The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.","comment":"The current status is always found in the current version of the resource, not the status history.","min":0,"max":"*","base":{"path":"Encounter.statusHistory","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":"Encounter.statusHistory.id","path":"Encounter.statusHistory.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":"Encounter.statusHistory.extension","path":"Encounter.statusHistory.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":"Encounter.statusHistory.modifierExtension","path":"Encounter.statusHistory.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":"Encounter.statusHistory.status","path":"Encounter.statusHistory.status","short":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +","definition":"planned | arrived | triaged | in-progress | onleave | finished | cancelled +.","min":1,"max":"1","base":{"path":"Encounter.statusHistory.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":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterStatus"}],"strength":"required","description":"Current state of the encounter.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-status|4.0.1"},"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.statusHistory.period","path":"Encounter.statusHistory.period","short":"The time that the episode was in the specified status","definition":"The time that the episode was in the specified status.","min":1,"max":"1","base":{"path":"Encounter.statusHistory.period","min":1,"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":"n/a"}]},{"id":"Encounter.class","path":"Encounter.class","short":"Classification of patient encounter","definition":"Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.","min":1,"max":"1","base":{"path":"Encounter.class","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterClass"}],"strength":"extensible","description":"Classification of the encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"PV1-2"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"}]},{"id":"Encounter.classHistory","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"ClassHistory"}],"path":"Encounter.classHistory","short":"List of past encounter classes","definition":"The class history permits the tracking of the encounters transitions without needing to go through the resource history. This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.","min":0,"max":"*","base":{"path":"Encounter.classHistory","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":"Encounter.classHistory.id","path":"Encounter.classHistory.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":"Encounter.classHistory.extension","path":"Encounter.classHistory.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":"Encounter.classHistory.modifierExtension","path":"Encounter.classHistory.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":"Encounter.classHistory.class","path":"Encounter.classHistory.class","short":"inpatient | outpatient | ambulatory | emergency +","definition":"inpatient | outpatient | ambulatory | emergency +.","min":1,"max":"1","base":{"path":"Encounter.classHistory.class","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":"EncounterClass"}],"strength":"extensible","description":"Classification of the encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"},"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.classHistory.period","path":"Encounter.classHistory.period","short":"The time that the episode was in the specified class","definition":"The time that the episode was in the specified class.","min":1,"max":"1","base":{"path":"Encounter.classHistory.period","min":1,"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":"n/a"}]},{"id":"Encounter.type","path":"Encounter.type","short":"Specific type of encounter","definition":"Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).","comment":"Since there are many ways to further classify encounters, this element is 0..*.","min":1,"max":"*","base":{"path":"Encounter.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Valueset to describe the Encounter Type","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"PV1-4 / PV1-18"},{"identity":"rim","map":".code"}]},{"id":"Encounter.serviceType","path":"Encounter.serviceType","short":"Specific type of service","definition":"Broad categorization of the service that is to be provided (e.g. cardiology).","min":0,"max":"1","base":{"path":"Encounter.serviceType","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":"EncounterServiceType"}],"strength":"example","description":"Broad categorization of the service that is to be provided.","valueSet":"http://hl7.org/fhir/ValueSet/service-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"v2","map":"PV1-10"},{"identity":"rim","map":"n/a"}]},{"id":"Encounter.priority","path":"Encounter.priority","short":"Indicates the urgency of the encounter","definition":"Indicates the urgency of the encounter.","min":0,"max":"1","base":{"path":"Encounter.priority","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":"Priority"}],"strength":"example","description":"Indicates the urgency of the encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ActPriority"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"v2","map":"PV2-25"},{"identity":"rim","map":".priorityCode"}]},{"id":"Encounter.subject","path":"Encounter.subject","short":"The patient or group present at the encounter","definition":"The patient or group present at the encounter.","comment":"While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).","alias":["patient"],"min":1,"max":"1","base":{"path":"Encounter.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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":"Encounter.episodeOfCare","path":"Encounter.episodeOfCare","short":"Episode(s) of care that this encounter should be recorded against","definition":"Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).","min":0,"max":"*","base":{"path":"Encounter.episodeOfCare","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"PV1-54, PV1-53"},{"identity":"rim","map":"n/a"}]},{"id":"Encounter.basedOn","path":"Encounter.basedOn","short":"The ServiceRequest that initiated this encounter","definition":"The request this encounter satisfies (e.g. incoming referral or procedure request).","alias":["incomingReferral"],"min":0,"max":"*","base":{"path":"Encounter.basedOn","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"rim","map":".reason.ClinicalDocument"}]},{"id":"Encounter.participant","path":"Encounter.participant","short":"List of participants involved in the encounter","definition":"The list of people responsible for providing the service.","min":0,"max":"*","base":{"path":"Encounter.participant","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"v2","map":"ROL"},{"identity":"rim","map":".participation[typeCode=PFM]"}]},{"id":"Encounter.participant.id","path":"Encounter.participant.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":"Encounter.participant.extension","path":"Encounter.participant.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":"Encounter.participant.modifierExtension","path":"Encounter.participant.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":"Encounter.participant.type","path":"Encounter.participant.type","short":"Role of participant in encounter","definition":"Role of participant in encounter.","comment":"The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.","min":0,"max":"*","base":{"path":"Encounter.participant.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ParticipantType"}],"strength":"extensible","description":"Role of participant in encounter.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-participant-type"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"v2","map":"ROL-3 (or maybe PRT-4)"},{"identity":"rim","map":".functionCode"}]},{"id":"Encounter.participant.period","path":"Encounter.participant.period","short":"Period of time during the encounter that the participant participated","definition":"The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.","min":0,"max":"1","base":{"path":"Encounter.participant.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ROL-5, ROL-6 (or maybe PRT-5)"},{"identity":"rim","map":".time"}]},{"id":"Encounter.participant.individual","path":"Encounter.participant.individual","short":"Persons involved in the encounter other than the patient","definition":"Persons involved in the encounter other than the patient.","min":0,"max":"1","base":{"path":"Encounter.participant.individual","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.who"},{"identity":"v2","map":"ROL-4"},{"identity":"rim","map":".role"}]},{"id":"Encounter.appointment","path":"Encounter.appointment","short":"The appointment that scheduled this encounter","definition":"The appointment that scheduled this encounter.","min":0,"max":"*","base":{"path":"Encounter.appointment","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Appointment"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"SCH-1 / SCH-2"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"}]},{"id":"Encounter.period","path":"Encounter.period","short":"The start and end time of the encounter","definition":"The start and end time of the encounter.","comment":"If not (yet) known, the end of the Period may be omitted.","min":0,"max":"1","base":{"path":"Encounter.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"PV1-44, PV1-45"},{"identity":"rim","map":".effectiveTime (low & high)"}]},{"id":"Encounter.length","path":"Encounter.length","short":"Quantity of time the encounter lasted (less time absent)","definition":"Quantity of time the encounter lasted. This excludes the time during leaves of absence.","comment":"May differ from the time the Encounter.period lasted because of leave of absence.","min":0,"max":"1","base":{"path":"Encounter.length","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":"workflow","map":"Event.occurrence[x]"},{"identity":"v2","map":"(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"},{"identity":"rim","map":".lengthOfStayQuantity"}]},{"id":"Encounter.reasonCode","path":"Encounter.reasonCode","short":"Coded reason the encounter takes place","definition":"Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.","comment":"For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","alias":["Indication","Admission diagnosis"],"min":0,"max":"*","base":{"path":"Encounter.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterReason"}],"strength":"preferred","description":"Reason why the encounter takes place.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-reason"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"},{"identity":"rim","map":".reasonCode"}]},{"id":"Encounter.reasonReference","path":"Encounter.reasonReference","short":"Reason the encounter takes place (reference)","definition":"Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.","comment":"For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","alias":["Indication","Admission diagnosis"],"min":0,"max":"*","base":{"path":"Encounter.reasonReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Observation","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":true,"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"},{"identity":"rim","map":".reasonCode"}]},{"id":"Encounter.diagnosis","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Diagnosis"}],"path":"Encounter.diagnosis","short":"The list of diagnosis relevant to this encounter","definition":"The list of diagnosis relevant to this encounter.","min":0,"max":"*","base":{"path":"Encounter.diagnosis","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=RSON]"}]},{"id":"Encounter.diagnosis.id","path":"Encounter.diagnosis.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":"Encounter.diagnosis.extension","path":"Encounter.diagnosis.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":"Encounter.diagnosis.modifierExtension","path":"Encounter.diagnosis.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":"Encounter.diagnosis.condition","path":"Encounter.diagnosis.condition","short":"The diagnosis or procedure relevant to the encounter","definition":"Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.","comment":"For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).","alias":["Admission diagnosis","discharge diagnosis","indication"],"min":1,"max":"1","base":{"path":"Encounter.diagnosis.condition","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","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":"workflow","map":"Event.reasonReference"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."},{"identity":"rim","map":".outboundRelationship[typeCode=RSON].target"}]},{"id":"Encounter.diagnosis.use","path":"Encounter.diagnosis.use","short":"Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)","definition":"Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).","min":0,"max":"1","base":{"path":"Encounter.diagnosis.use","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":"DiagnosisRole"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"The type of diagnosis this condition represents.","valueSet":"http://hl7.org/fhir/ValueSet/diagnosis-role"},"mapping":[{"identity":"rim","map":"n/a"}]},{"id":"Encounter.diagnosis.rank","path":"Encounter.diagnosis.rank","short":"Ranking of the diagnosis (for each role type)","definition":"Ranking of the diagnosis (for each role type).","min":0,"max":"1","base":{"path":"Encounter.diagnosis.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":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=RSON].priority"}]},{"id":"Encounter.account","path":"Encounter.account","short":"The set of accounts that may be used for billing for this Encounter","definition":"The set of accounts that may be used for billing for this Encounter.","comment":"The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.","min":0,"max":"*","base":{"path":"Encounter.account","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Account"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":".pertains.A_Account"}]},{"id":"Encounter.hospitalization","path":"Encounter.hospitalization","short":"Details about the admission to a healthcare service","definition":"Details about the admission to a healthcare service.","comment":"An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\r\rThe duration recorded in the period of this encounter covers the entire scope of this hospitalization record.","min":0,"max":"1","base":{"path":"Encounter.hospitalization","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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"}]},{"id":"Encounter.hospitalization.id","path":"Encounter.hospitalization.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":"Encounter.hospitalization.extension","path":"Encounter.hospitalization.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":"Encounter.hospitalization.modifierExtension","path":"Encounter.hospitalization.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":"Encounter.hospitalization.preAdmissionIdentifier","path":"Encounter.hospitalization.preAdmissionIdentifier","short":"Pre-admission identifier","definition":"Pre-admission identifier.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.preAdmissionIdentifier","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":"v2","map":"PV1-5"},{"identity":"rim","map":".id"}]},{"id":"Encounter.hospitalization.origin","path":"Encounter.hospitalization.origin","short":"The location/organization from which the patient came before admission","definition":"The location/organization from which the patient came before admission.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.origin","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location","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":".participation[typeCode=ORG].role"}]},{"id":"Encounter.hospitalization.admitSource","path":"Encounter.hospitalization.admitSource","short":"From where patient was admitted (physician referral, transfer)","definition":"From where patient was admitted (physician referral, transfer).","min":0,"max":"1","base":{"path":"Encounter.hospitalization.admitSource","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":"AdmitSource"}],"strength":"preferred","description":"From where the patient was admitted.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-admit-source"},"mapping":[{"identity":"v2","map":"PV1-14"},{"identity":"rim","map":".admissionReferralSourceCode"}]},{"id":"Encounter.hospitalization.reAdmission","path":"Encounter.hospitalization.reAdmission","short":"The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission","definition":"Whether this hospitalization is a readmission and why if known.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.reAdmission","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":"ReAdmissionType"}],"strength":"example","description":"The reason for re-admission of this hospitalization encounter.","valueSet":"http://terminology.hl7.org/ValueSet/v2-0092"},"mapping":[{"identity":"v2","map":"PV1-13"},{"identity":"rim","map":"n/a"}]},{"id":"Encounter.hospitalization.dietPreference","path":"Encounter.hospitalization.dietPreference","short":"Diet preferences reported by the patient","definition":"Diet preferences reported by the patient.","comment":"For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).","requirements":"Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.","min":0,"max":"*","base":{"path":"Encounter.hospitalization.dietPreference","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":"PatientDiet"}],"strength":"example","description":"Medical, cultural or ethical food preferences to help with catering requirements.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-diet"},"mapping":[{"identity":"v2","map":"PV1-38"},{"identity":"rim","map":".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code=\"diet\"]"}]},{"id":"Encounter.hospitalization.specialCourtesy","path":"Encounter.hospitalization.specialCourtesy","short":"Special courtesies (VIP, board member)","definition":"Special courtesies (VIP, board member).","min":0,"max":"*","base":{"path":"Encounter.hospitalization.specialCourtesy","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":"Courtesies"}],"strength":"preferred","description":"Special courtesies.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-special-courtesy"},"mapping":[{"identity":"v2","map":"PV1-16"},{"identity":"rim","map":".specialCourtesiesCode"}]},{"id":"Encounter.hospitalization.specialArrangement","path":"Encounter.hospitalization.specialArrangement","short":"Wheelchair, translator, stretcher, etc.","definition":"Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.","min":0,"max":"*","base":{"path":"Encounter.hospitalization.specialArrangement","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":"Arrangements"}],"strength":"preferred","description":"Special arrangements.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-special-arrangements"},"mapping":[{"identity":"v2","map":"PV1-15 / OBR-30 / OBR-43"},{"identity":"rim","map":".specialArrangementCode"}]},{"id":"Encounter.hospitalization.destination","path":"Encounter.hospitalization.destination","short":"Location/organization to which the patient is discharged","definition":"Location/organization to which the patient is discharged.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.destination","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location","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":"v2","map":"PV1-37"},{"identity":"rim","map":".participation[typeCode=DST]"}]},{"id":"Encounter.hospitalization.dischargeDisposition","path":"Encounter.hospitalization.dischargeDisposition","short":"Category or kind of location after discharge","definition":"Category or kind of location after discharge.","min":0,"max":"1","base":{"path":"Encounter.hospitalization.dischargeDisposition","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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DischargeDisp"}],"strength":"example","description":"Discharge Disposition.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"},"mapping":[{"identity":"v2","map":"PV1-36"},{"identity":"rim","map":".dischargeDispositionCode"}]},{"id":"Encounter.location","path":"Encounter.location","short":"List of locations where the patient has been","definition":"List of locations where the patient has been during this encounter.","comment":"Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".","min":0,"max":"*","base":{"path":"Encounter.location","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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=LOC]"}]},{"id":"Encounter.location.id","path":"Encounter.location.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":"Encounter.location.extension","path":"Encounter.location.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":"Encounter.location.modifierExtension","path":"Encounter.location.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":"Encounter.location.location","path":"Encounter.location.location","short":"Location the encounter takes place","definition":"The location where the encounter takes place.","min":1,"max":"1","base":{"path":"Encounter.location.location","min":1,"max":"1"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.location"},{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"v2","map":"PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"},{"identity":"rim","map":".role"}]},{"id":"Encounter.location.status","path":"Encounter.location.status","short":"planned | active | reserved | completed","definition":"The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.","comment":"When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.","min":0,"max":"1","base":{"path":"Encounter.location.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":false,"isSummary":false,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"EncounterLocationStatus"}],"strength":"required","description":"The status of the location.","valueSet":"http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1"},"mapping":[{"identity":"rim","map":".role.statusCode"}]},{"id":"Encounter.location.physicalType","path":"Encounter.location.physicalType","short":"The physical type of the location (usually the level in the location hierachy - bed room ward etc.)","definition":"This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.","comment":"This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.","min":0,"max":"1","base":{"path":"Encounter.location.physicalType","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":"PhysicalType"}],"strength":"example","description":"Physical form of the location.","valueSet":"http://hl7.org/fhir/ValueSet/location-physical-type"}},{"id":"Encounter.location.period","path":"Encounter.location.period","short":"Time period during which the patient was present at the location","definition":"Time period during which the patient was present at the location.","min":0,"max":"1","base":{"path":"Encounter.location.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":".time"}]},{"id":"Encounter.serviceProvider","path":"Encounter.serviceProvider","short":"The organization (facility) responsible for this encounter","definition":"The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.","min":0,"max":"1","base":{"path":"Encounter.serviceProvider","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":"workflow","map":"Event.performer.actor"},{"identity":"v2","map":"PL.6 & PL.1"},{"identity":"rim","map":".particiaption[typeCode=PFM].role"}]},{"id":"Encounter.partOf","path":"Encounter.partOf","short":"Another Encounter this encounter is part of","definition":"Another Encounter of which this encounter is a part of (administratively or in time).","comment":"This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details.","min":0,"max":"1","base":{"path":"Encounter.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/Encounter"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"}]}]},"differential":{"element":[{"id":"Encounter","path":"Encounter","definition":"This is basic constraint on Encounter for use in US Core resources.","alias":["Visit"],"mustSupport":false},{"id":"Encounter.identifier","path":"Encounter.identifier","min":0,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true},{"id":"Encounter.identifier.system","path":"Encounter.identifier.system","min":1,"max":"1","type":[{"code":"uri"}],"mustSupport":true},{"id":"Encounter.identifier.value","path":"Encounter.identifier.value","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Encounter.status","path":"Encounter.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true},{"id":"Encounter.class","path":"Encounter.class","min":1,"max":"1","type":[{"code":"Coding"}],"mustSupport":true},{"id":"Encounter.type","path":"Encounter.type","min":1,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Valueset to describe the Encounter Type","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type"}},{"id":"Encounter.subject","path":"Encounter.subject","alias":["patient"],"min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true},{"id":"Encounter.participant","path":"Encounter.participant","min":0,"max":"*","mustSupport":true},{"id":"Encounter.participant.type","path":"Encounter.participant.type","min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true},{"id":"Encounter.participant.period","path":"Encounter.participant.period","min":0,"max":"1","type":[{"code":"Period"}],"mustSupport":true},{"id":"Encounter.participant.individual","path":"Encounter.participant.individual","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"]}],"mustSupport":true},{"id":"Encounter.period","path":"Encounter.period","min":0,"max":"1","type":[{"code":"Period"}],"mustSupport":true},{"id":"Encounter.reasonCode","path":"Encounter.reasonCode","alias":["Indication","Admission diagnosis"],"min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true},{"id":"Encounter.hospitalization","path":"Encounter.hospitalization","min":0,"max":"1","mustSupport":true},{"id":"Encounter.hospitalization.dischargeDisposition","path":"Encounter.hospitalization.dischargeDisposition","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true},{"id":"Encounter.location","path":"Encounter.location","min":0,"max":"*","mustSupport":true},{"id":"Encounter.location.location","path":"Encounter.location.location","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-ethnicity.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-ethnicity.json new file mode 100644 index 00000000000..0cad826ed85 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-ethnicity.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-ethnicity","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..1ExtensionUS Core ethnicity Extension
\".\"\".\"\".\" extension:ombCategory S0..1ExtensionHispanic or Latino|Not Hispanic or Latino
\".\"\".\"\".\"\".\" url 1..1uri"ombCategory"
\".\"\".\"\".\"\".\" value[x] 1..1CodingBinding: OMB Ethnicity Categories (required)
\".\"\".\"\".\" extension:detailed 0..*ExtensionExtended ethnicity codes
\".\"\".\"\".\"\".\" url 1..1uri"detailed"
\".\"\".\"\".\"\".\" value[x] 1..1CodingBinding: Detailed ethnicity (required)
\".\"\".\"\".\" extension:text S1..1Extensionethnicity Text
\".\"\".\"\".\"\".\" url 1..1uri"text"
\".\"\".\"\".\"\".\" value[x] 1..1string
\".\"\".\"\".\" url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
\".\"\".\"\".\" value[x] 0..0

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity","version":"3.1.0","name":"USCoreEthnicityExtension","title":"US Core Ethnicity Extension","status":"active","date":"2019-05-21T04:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Complies with 2015 Edition Common Clinical Data Set for patient race.","fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"Patient"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension","path":"Extension","short":"US Core ethnicity Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. 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The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"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":"Extension.id","path":"Extension.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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b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-goal.json new file mode 100644 index 00000000000..0190b37efff --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-goal.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-goal","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal","version":"3.1.0","name":"USCoreGoalProfile","title":"US Core Goal Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Goal resource for the minimal set of data to query and retrieve a patient's goal(s).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of 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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":"Goal.language","path":"Goal.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Goal.text","path":"Goal.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":"Goal.contained","path":"Goal.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":"Goal.extension","path":"Goal.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":"Goal.modifierExtension","path":"Goal.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":"Goal.identifier","path":"Goal.identifier","short":"External Ids for this goal","definition":"Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","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 goal as it is known by various participating systems and in a way that remains consistent across servers.","min":0,"max":"*","base":{"path":"Goal.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"}]},{"id":"Goal.lifecycleStatus","path":"Goal.lifecycleStatus","short":"proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected","definition":"Type of plan.","comment":"This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.","requirements":"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.","min":1,"max":"1","base":{"path":"Goal.lifecycleStatus","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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/goal-status"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"GOL-18-goal life cycle status"},{"identity":"rim","map":".statusCode in-progress = active (classCode = OBJ) cancelled = aborted"},{"identity":"argonaut-dq-dstu2","map":"Goal.status"}]},{"id":"Goal.achievementStatus","path":"Goal.achievementStatus","short":"in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable","definition":"Describes the progression, or lack thereof, towards the goal against the target.","min":0,"max":"1","base":{"path":"Goal.achievementStatus","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":"GoalAchievementStatus"}],"strength":"preferred","description":"Indicates the progression, or lack thereof, towards the goal against the target.","valueSet":"http://hl7.org/fhir/ValueSet/goal-achievement"},"mapping":[{"identity":"rim","map":".statusCode achieved = complete sustaining = active"}]},{"id":"Goal.category","path":"Goal.category","short":"E.g. Treatment, dietary, behavioral, etc.","definition":"Indicates a category the goal falls within.","requirements":"Allows goals to be filtered and sorted.","min":0,"max":"*","base":{"path":"Goal.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":"GoalCategory"}],"strength":"example","description":"Codes for grouping and sorting goals.","valueSet":"http://hl7.org/fhir/ValueSet/goal-category"},"mapping":[{"identity":"w5","map":"FiveWs.class"}]},{"id":"Goal.priority","path":"Goal.priority","short":"high-priority | medium-priority | low-priority","definition":"Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.","comment":"Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)\r\rThe ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a \"low value=important\".","requirements":"Used for sorting and presenting goals.","min":0,"max":"1","base":{"path":"Goal.priority","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":"GoalPriority"}],"strength":"preferred","description":"The level of importance associated with a goal.","valueSet":"http://hl7.org/fhir/ValueSet/goal-priority"},"mapping":[{"identity":"w5","map":"FiveWs.grade"},{"identity":"rim","map":".priorityCode"}]},{"id":"Goal.description","path":"Goal.description","short":"Code or text describing goal","definition":"proposed | draft | active | completed | cancelled.","comment":"If no code is available, use CodeableConcept.text.","requirements":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","min":1,"max":"1","base":{"path":"Goal.description","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"GoalDescription"}],"strength":"example","description":"Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"GOL-3.2-goal ID.text"},{"identity":"rim","map":".text"},{"identity":"argonaut-dq-dstu2","map":"Goal.description"}]},{"id":"Goal.subject","path":"Goal.subject","short":"Who this goal is intended for","definition":"Who care plan is for.","requirements":"Identifies the patient or group whose intended care is described by the plan.","min":1,"max":"1","base":{"path":"Goal.subject","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PID-3-patient ID list"},{"identity":"rim","map":".participation[typeCode=PAT].role[classCode=PAT]"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"argonaut-dq-dstu2","map":"Goal.subject"}]},{"id":"Goal.start[x]","path":"Goal.start[x]","short":"When goal pursuit begins","definition":"The date or event after which the goal should begin being pursued.","requirements":"Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.","min":0,"max":"1","base":{"path":"Goal.start[x]","min":0,"max":"1"},"type":[{"code":"date"},{"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":"GoalStartEvent"}],"strength":"example","description":"Codes describing events that can trigger the initiation of a goal.","valueSet":"http://hl7.org/fhir/ValueSet/goal-start-event"},"mapping":[{"identity":"w5","map":"FiveWs.planned"}]},{"id":"Goal.target","path":"Goal.target","short":"Target outcome for the goal","definition":"Indicates what should be done by when.","comment":"When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.","requirements":"Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.","min":0,"max":"*","base":{"path":"Goal.target","min":0,"max":"*"},"type":[{"code":"BackboneElement"}],"condition":["gol-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"gol-1","severity":"error","human":"Goal.target.measure is required if Goal.target.detail is populated","expression":"(detail.exists() and measure.exists()) or detail.exists().not()","xpath":"(exists(f:*[starts-with(local-name(.), 'detail')]) and exists(f:measure)) or not(exists(f:*[starts-with(local-name(.), 'detail')]))","source":"http://hl7.org/fhir/StructureDefinition/Goal"}],"mustSupport":true,"isModifier":false,"isSummary":false},{"id":"Goal.target.id","path":"Goal.target.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":"Goal.target.extension","path":"Goal.target.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":"Goal.target.modifierExtension","path":"Goal.target.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":"Goal.target.measure","path":"Goal.target.measure","short":"The parameter whose value is being tracked","definition":"The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.","min":0,"max":"1","base":{"path":"Goal.target.measure","min":0,"max":"1"},"type":[{"code":"CodeableConcept"}],"condition":["gol-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"GoalTargetMeasure"}],"strength":"example","description":"Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes"}},{"id":"Goal.target.detail[x]","path":"Goal.target.detail[x]","short":"The target value to be achieved","definition":"The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value.","comment":"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 Goal.target.measure defines a coded value.","min":0,"max":"1","base":{"path":"Goal.target.detail[x]","min":0,"max":"1"},"type":[{"code":"Quantity"},{"code":"Range"},{"code":"CodeableConcept"},{"code":"string"},{"code":"boolean"},{"code":"integer"},{"code":"Ratio"}],"condition":["gol-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"GoalTargetDetail"}],"strength":"example","description":"Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal."}},{"id":"Goal.target.due[x]","path":"Goal.target.due[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"short":"Reach goal on or before","definition":"Indicates either the date or the duration after start by which the goal should be met.","requirements":"Identifies when the goal should be evaluated.","min":0,"max":"1","base":{"path":"Goal.target.due[x]","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":"w5","map":"FiveWs.done[x]"}]},{"id":"Goal.target.due[x]:dueDate","path":"Goal.target.due[x]","sliceName":"dueDate","short":"Reach goal on or before","definition":"Indicates either the date or the duration after start by which the goal should be met.","requirements":"Identifies when the goal should be evaluated.","min":0,"max":"1","base":{"path":"Goal.target.due[x]","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.done[x]"}]},{"id":"Goal.statusDate","path":"Goal.statusDate","short":"When goal status took effect","definition":"Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc.","comment":"To see the date for past statuses, query history.","min":0,"max":"1","base":{"path":"Goal.statusDate","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":"w5","map":"FiveWs.recorded"}]},{"id":"Goal.statusReason","path":"Goal.statusReason","short":"Reason for current status","definition":"Captures the reason for the current status.","comment":"This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.","min":0,"max":"1","base":{"path":"Goal.statusReason","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":"Goal.expressedBy","path":"Goal.expressedBy","short":"Who's responsible for creating Goal?","definition":"Indicates whose goal this is - patient goal, practitioner goal, etc.","comment":"This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.).","min":0,"max":"1","base":{"path":"Goal.expressedBy","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","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":"w5","map":"FiveWs.source"}]},{"id":"Goal.addresses","path":"Goal.addresses","short":"Issues addressed by this goal","definition":"The identified conditions and other health record elements that are intended to be addressed by the goal.","requirements":"Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.","min":0,"max":"*","base":{"path":"Goal.addresses","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/RiskAssessment"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"rim","map":".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]"}]},{"id":"Goal.note","path":"Goal.note","short":"Comments about the goal","definition":"Any comments related to the goal.","comment":"May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.","requirements":"There's a need to capture information about the goal that doesn't actually describe the goal.","min":0,"max":"*","base":{"path":"Goal.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":"GOL-16-goal evaluation + NTE?"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"}]},{"id":"Goal.outcomeCode","path":"Goal.outcomeCode","short":"What result was achieved regarding the goal?","definition":"Identifies the change (or lack of change) at the point when the status of the goal is assessed.","comment":"Note that this should not duplicate the goal status.","requirements":"Outcome tracking is a key aspect of care planning.","min":0,"max":"*","base":{"path":"Goal.outcomeCode","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":"GoalOutcome"}],"strength":"example","description":"The result of the goal; e.g. \"25% increase in shoulder mobility\", \"Anxiety reduced to moderate levels\". \"15 kg weight loss sustained over 6 months\".","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"}},{"id":"Goal.outcomeReference","path":"Goal.outcomeReference","short":"Observation that resulted from goal","definition":"Details of what's changed (or not changed).","comment":"The goal outcome is independent of the outcome of the related activities. For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured.","requirements":"Outcome tracking is a key aspect of care planning.","min":0,"max":"*","base":{"path":"Goal.outcomeReference","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Observation"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"Goal","path":"Goal","definition":"The US Core Goal Profile is based upon the core FHIR Goal Resource and created to meet the 2015 Edition Common Clinical Data Set 'Goals' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal"}]},{"id":"Goal.lifecycleStatus","path":"Goal.lifecycleStatus","definition":"Type of plan.","requirements":"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.","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/goal-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal.status"}]},{"id":"Goal.description","path":"Goal.description","definition":"proposed | draft | active | completed | cancelled.","requirements":"Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal.description"}]},{"id":"Goal.subject","path":"Goal.subject","definition":"Who care plan is for.","requirements":"Identifies the patient or group whose intended care is described by the plan.","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Goal.subject"}]},{"id":"Goal.target","path":"Goal.target","min":0,"max":"*","mustSupport":true},{"id":"Goal.target.dueDate","path":"Goal.target.dueDate","min":0,"max":"1","mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-immunization.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-immunization.json new file mode 100644 index 00000000000..415ea0692db --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-immunization.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-immunization","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization","version":"3.1.0","name":"USCoreImmunizationProfile","title":"US Core Immunization Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Immunization resource for the minimal set of data to query and retrieve patient's immunization information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"quick","uri":"http://unknown.org/QUICK","name":"QUICK"},{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"Immunization","path":"Immunization","short":"Immunization event information","definition":"The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements.","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"}],"mustSupport":false,"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"},{"identity":"quick","map":"ImmunizationPerformanceOccurrence"},{"identity":"argonaut-dq-dstu2","map":"Immunization"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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","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":"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"}],"mustSupport":true,"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":{"strength":"required","description":"Constrained list of immunizaiotn status","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"},{"identity":"argonaut-dq-dstu2","map":"Immunization.status"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status-reason"},"mapping":[{"identity":"workflow","map":"Event.statusReason"},{"identity":"rim","map":".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"},{"identity":"argonaut-dq-dstu2","map":"Immunization.wasNotGiven"}]},{"id":"Immunization.vaccineCode","path":"Immunization.vaccineCode","short":"Vaccine Product Type (bind to CVX)","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"}],"condition":["us-core-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"SHOULD have a translation to the NDC value set","expression":"coding.where(system='http://hl7.org/fhir/sid/ndc').empty()","xpath":"not(exists(f:coding/f:system[@value='http://hl7.org/fhir/sid/ndc']))"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"The CVX (vaccine administered) code system","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx"},"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"},{"identity":"quick","map":"vaccine"},{"identity":"argonaut-dq-dstu2","map":"Immunization.vaccineCode"}]},{"id":"Immunization.patient","path":"Immunization.patient","short":"Who was immunized","definition":"The patient who either received or did not receive the immunization.","alias":["Patient"],"min":1,"max":"1","base":{"path":"Immunization.patient","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"quick","map":"subject"},{"identity":"argonaut-dq-dstu2","map":"Immunization.patient"}]},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}],"mustSupport":true,"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"},{"identity":"quick","map":"performanceTime"},{"identity":"argonaut-dq-dstu2","map":"Immunization.date"}]},{"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":1,"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"}],"mustSupport":true,"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)"},{"identity":"quick","map":"reported"},{"identity":"argonaut-dq-dstu2","map":"Immunization.reported"}]},{"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ImmunizationRoute"}],"strength":"example","description":"The route by which the vaccine was administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-route"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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 event.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-function"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"rim","map":".participation.functionCode"}]},{"id":"Immunization.performer.actor","path":"Immunization.performer.actor","short":"Individual or organization who was performing","definition":"The practitioner or organization who performed the action.","comment":"When the individual practitioner who performed the action is known, it is best to send.","min":1,"max":"1","base":{"path":"Immunization.performer.actor","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","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":"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 = 48767-8"},{"identity":"rim","map":"note"}]},{"id":"Immunization.reasonCode","path":"Immunization.reasonCode","short":"Why immunization occurred","definition":"Reasons why the vaccine was administered.","min":0,"max":"*","base":{"path":"Immunization.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":"ImmunizationReason"}],"strength":"example","description":"The reason why a vaccine was administered.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-reason"},"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","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"rim","map":"N/A"}]},{"id":"Immunization.isSubpotent","path":"Immunization.isSubpotent","short":"Dose potency","definition":"Indication if a dose is considered to be subpotent. 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"},"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)"}],"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"},"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":0,"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":0,"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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"TargetDisease"}],"strength":"example","description":"The vaccine preventable disease the dose is being administered for.","valueSet":"http://hl7.org/fhir/ValueSet/immunization-target-disease"},"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","definition":"The US Core Immunization Profile is based upon the core FHIR Immunization Resource and created to meet the 2015 Edition Common Clinical Data Set 'Immunizations' requirements.","mustSupport":false,"mapping":[{"identity":"quick","map":"ImmunizationPerformanceOccurrence"},{"identity":"quick","map":"ImmunizationPerformanceOccurrence"},{"identity":"argonaut-dq-dstu2","map":"Immunization"}]},{"id":"Immunization.status","path":"Immunization.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"Constrained list of immunizaiotn status","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Immunization.status"}]},{"id":"Immunization.statusReason","path":"Immunization.statusReason","min":0,"max":"1","mustSupport":true,"binding":{"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/immunization-status-reason"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Immunization.wasNotGiven"}]},{"id":"Immunization.vaccineCode","path":"Immunization.vaccineCode","short":"Vaccine Product Type (bind to CVX)","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"condition":["us-core-1"],"constraint":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-1","severity":"warning","human":"SHOULD have a translation to the NDC value set","expression":"coding.where(system='http://hl7.org/fhir/sid/ndc').empty()","xpath":"not(exists(f:coding/f:system[@value='http://hl7.org/fhir/sid/ndc']))"}],"mustSupport":true,"binding":{"strength":"extensible","description":"The CVX (vaccine administered) code system","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx"},"mapping":[{"identity":"quick","map":"vaccine"},{"identity":"quick","map":"vaccine"},{"identity":"argonaut-dq-dstu2","map":"Immunization.vaccineCode"}]},{"id":"Immunization.patient","path":"Immunization.patient","alias":["Patient"],"min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"quick","map":"subject"},{"identity":"quick","map":"subject"},{"identity":"argonaut-dq-dstu2","map":"Immunization.patient"}]},{"id":"Immunization.occurrence[x]","path":"Immunization.occurrence[x]","min":1,"max":"1","type":[{"code":"dateTime"},{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"quick","map":"performanceTime"},{"identity":"quick","map":"performanceTime"},{"identity":"argonaut-dq-dstu2","map":"Immunization.date"}]},{"id":"Immunization.primarySource","path":"Immunization.primarySource","min":1,"max":"1","type":[{"code":"boolean"}],"mustSupport":true,"mapping":[{"identity":"quick","map":"reported"},{"identity":"quick","map":"reported"},{"identity":"argonaut-dq-dstu2","map":"Immunization.reported"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-implantable-device.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-implantable-device.json new file mode 100644 index 00000000000..15cc94b99cb --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-implantable-device.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-implantable-device","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Device I0..*Deviceus-core-12: Implantable medical devices that have UDI information SHALL represent this information in either carrierAIDC or carrierHRF.
us-core-9: For implantable medical devices that have UDI information, at least one of the Production Identifiers (UDI-PI) SHALL be present.
\".\"\".\"\".\" udiCarrier S0..1BackboneElement
\".\"\".\"\".\"\".\" deviceIdentifier S1..1string
\".\"\".\"\".\"\".\" carrierAIDC SI0..1base64Binary
\".\"\".\"\".\"\".\" carrierHRF SI0..1string
\".\"\".\"\".\" distinctIdentifier SI0..1string
\".\"\".\"\".\" manufactureDate SI0..1dateTime
\".\"\".\"\".\" expirationDate SI0..1dateTime
\".\"\".\"\".\" lotNumber SI0..1string
\".\"\".\"\".\" serialNumber SI0..1string
\".\"\".\"\".\" type S1..1CodeableConceptBinding: FHIRDeviceTypes (extensible)
\".\"\".\"\".\" patient S1..1Reference(US Core Patient Profile)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device","version":"3.1.0","name":"USCoreImplantableDeviceProfile","title":"US Core Implantable Device Profile","status":"active","experimental":false,"date":"2019-09-17T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Device resource for the minimal set of data to query and retrieve a patient's implantable device(s).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"Device","path":"Device","short":"Item used in healthcare","definition":"The US Core Implantable Device Profile is based upon the core FHIR Device Resource and created to meet the 2015 Edition Common Clinical Data Set 'Unique device identifier(s) for a patient’s implantable device(s)' requirements.","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"},{"key":"us-core-12","severity":"error","human":"Implantable medical devices that have UDI information SHALL represent this information in either carrierAIDC or carrierHRF.","expression":"udiCarrier.empty() or (udiCarrier.carrierAIDC.exists() or udiCarrier.carrierHRF.exists())","xpath":"not(f:udiCarrier) or (f:carrierHRF or f:carrierAIDC)"},{"key":"us-core-9","severity":"error","human":"For implantable medical devices that have UDI information, at least one of the Production Identifiers (UDI-PI) SHALL be present.","expression":"udiCarrier.empty() or (manufactureDate.exists() or expirationDate.exists() or lotNumber.exists() or serialNumber.exists() or distinctIdentifier.exists())","xpath":"not(f:udiCarrier) or (f:manufactureDate or f:expirationDate or f:lotNumber or f:serialNumber or f:distinctIdentifier)"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Device"},{"identity":"argonaut-dq-dstu2","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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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":"Some devices may not have UDI information (for example. historical data or patient reported data).","min":0,"max":"1","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":".id and .code"},{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"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":1,"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"}],"mustSupport":true,"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."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"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","UDI","Barcode String"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.carrierAIDC","min":0,"max":"1"},"type":[{"code":"base64Binary"}],"condition":["us-core-12"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"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."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"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","UDI","Barcode String"],"min":0,"max":"1","base":{"path":"Device.udiCarrier.carrierHRF","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["us-core-12"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"rim","map":"Role.id.extension"},{"identity":"udi","map":"A unique device identifier (UDI) on a device label in plain text"},{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"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"},"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"}],"condition":["us-core-9"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"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"}],"condition":["us-core-9"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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”."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"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"}],"condition":["us-core-9"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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”."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"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"}],"condition":["us-core-9"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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."},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"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"}],"condition":["us-core-9"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":".playedRole[typeCode=MANU].id"},{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"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":0,"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","description":"Codes to identify medical devices","valueSet":"http://hl7.org/fhir/ValueSet/device-kind"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.type"}]},{"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":0,"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":1,"max":"1","base":{"path":"Device.patient","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Device.patient"}]},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or 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","definition":"The US Core Implantable Device Profile is based upon the core FHIR Device Resource and created to meet the 2015 Edition Common Clinical Data Set 'Unique device identifier(s) for a patient’s implantable device(s)' requirements.","constraint":[{"key":"us-core-12","severity":"error","human":"Implantable medical devices that have UDI information SHALL represent this information in either carrierAIDC or carrierHRF.","expression":"udiCarrier.empty() or (udiCarrier.carrierAIDC.exists() or udiCarrier.carrierHRF.exists())","xpath":"not(f:udiCarrier) or (f:carrierHRF or f:carrierAIDC)"},{"key":"us-core-9","severity":"error","human":"For implantable medical devices that have UDI information, at least one of the Production Identifiers (UDI-PI) SHALL be present.","expression":"udiCarrier.empty() or (manufactureDate.exists() or expirationDate.exists() or lotNumber.exists() or serialNumber.exists() or distinctIdentifier.exists())","xpath":"not(f:udiCarrier) or (f:manufactureDate or f:expirationDate or f:lotNumber or f:serialNumber or f:distinctIdentifier)"}],"mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device"}]},{"id":"Device.udiCarrier","path":"Device.udiCarrier","comment":"Some devices may not have UDI information (for example. historical data or patient reported data).","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"id":"Device.udiCarrier.deviceIdentifier","path":"Device.udiCarrier.deviceIdentifier","alias":["DI"],"min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.udiCarrier.carrierAIDC","path":"Device.udiCarrier.carrierAIDC","alias":["UDI","Barcode String"],"min":0,"max":"1","condition":["us-core-12"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.udiCarrier.carrierHRF","path":"Device.udiCarrier.carrierHRF","alias":["UDI","Barcode String"],"min":0,"max":"1","condition":["us-core-12"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.udi"}]},{"id":"Device.distinctIdentifier","path":"Device.distinctIdentifier","min":0,"max":"1","condition":["us-core-9"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.manufactureDate","path":"Device.manufactureDate","min":0,"max":"1","condition":["us-core-9"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.expirationDate","path":"Device.expirationDate","min":0,"max":"1","condition":["us-core-9"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.lotNumber","path":"Device.lotNumber","min":0,"max":"1","condition":["us-core-9"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.serialNumber","path":"Device.serialNumber","min":0,"max":"1","condition":["us-core-9"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA (not Supported)"}]},{"id":"Device.type","path":"Device.type","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Codes to identify medical devices","valueSet":"http://hl7.org/fhir/ValueSet/device-kind"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.type"}]},{"id":"Device.patient","path":"Device.patient","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Device.patient"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-location.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-location.json new file mode 100644 index 00000000000..a4b475e724d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-location.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-location","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-location","version":"3.1.0","name":"USCoreLocation","title":"US Core Location Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines basic constraints and extensions on the Location resource for use with other US Core resources","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"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":"Location","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Location","derivation":"constraint","snapshot":{"element":[{"id":"Location","path":"Location","short":"Details and position information for a physical place","definition":"Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.","min":0,"max":"*","base":{"path":"Location","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":".Role[classCode=SDLC]"},{"identity":"servd","map":"Organization"}]},{"id":"Location.id","path":"Location.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":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Location.meta","path":"Location.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":"Location.implicitRules","path":"Location.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":"Location.language","path":"Location.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Location.text","path":"Location.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":"Location.contained","path":"Location.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":"Location.extension","path":"Location.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":"Location.modifierExtension","path":"Location.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":"Location.identifier","path":"Location.identifier","short":"Unique code or number identifying the location to its users","definition":"Unique code or number identifying the location to its users.","requirements":"Organization label locations in registries, need to keep track of those.","min":0,"max":"*","base":{"path":"Location.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":"Location.status","path":"Location.status","short":"active | suspended | inactive","definition":"The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.","min":0,"max":"1","base":{"path":"Location.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"}],"mustSupport":true,"isModifier":true,"isModifierReason":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LocationStatus"}],"strength":"required","description":"Indicates whether the location is still in use.","valueSet":"http://hl7.org/fhir/ValueSet/location-status|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"}]},{"id":"Location.operationalStatus","path":"Location.operationalStatus","short":"The operational status of the location (typically only for a bed/room)","definition":"The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.","min":0,"max":"1","base":{"path":"Location.operationalStatus","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":"OperationalStatus"}],"strength":"preferred","description":"The operational status if the location (where typically a bed/room).","valueSet":"http://terminology.hl7.org/ValueSet/v2-0116"},"mapping":[{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"n/a"}]},{"id":"Location.name","path":"Location.name","short":"Name of the location as used by humans","definition":"Name of the location as used by humans. Does not need to be unique.","comment":"If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.","min":1,"max":"1","base":{"path":"Location.name","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".name"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Location.alias","path":"Location.alias","short":"A list of alternate names that the location is known as, or was known as, in the past","definition":"A list of alternate names that the location 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 location.","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 location was known by can be very useful.","min":0,"max":"*","base":{"path":"Location.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":"Location.description","path":"Location.description","short":"Additional details about the location that could be displayed as further information to identify the location beyond its name","definition":"Description of the Location, which helps in finding or referencing the place.","requirements":"Humans need additional information to verify a correct location has been identified.","min":0,"max":"1","base":{"path":"Location.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":".playingEntity[classCode=PLC determinerCode=INSTANCE].desc"}]},{"id":"Location.mode","path":"Location.mode","short":"instance | kind","definition":"Indicates whether a resource instance represents a specific location or a class of locations.","comment":"This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.","requirements":"When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.","min":0,"max":"1","base":{"path":"Location.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":"LocationMode"}],"strength":"required","description":"Indicates whether a resource instance represents a specific location or a class of locations.","valueSet":"http://hl7.org/fhir/ValueSet/location-mode|4.0.1"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".playingEntity[classCode=PLC].determinerCode"}]},{"id":"Location.type","path":"Location.type","short":"Type of function performed","definition":"Indicates the type of function performed at the location.","min":0,"max":"*","base":{"path":"Location.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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"LocationType"}],"strength":"extensible","description":"Indicates the type of function performed at the location.","valueSet":"http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".code"}]},{"id":"Location.telecom","path":"Location.telecom","short":"Contact details of the location","definition":"The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.","min":0,"max":"*","base":{"path":"Location.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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".telecom"}]},{"id":"Location.address","path":"Location.address","short":"Physical location","definition":"Physical location.","comment":"Additional addresses should be recorded using another instance of the Location resource, or via the Organization.","requirements":"If locations can be visited, we need to keep track of their address.","min":0,"max":"1","base":{"path":"Location.address","min":0,"max":"1"},"type":[{"code":"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".addr"},{"identity":"servd","map":"n/a"}]},{"id":"Location.address.id","path":"Location.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":"Location.address.extension","path":"Location.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":"Location.address.use","path":"Location.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":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Location.address.type","path":"Location.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":"Location.address.text","path":"Location.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":"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":"Location.address.line","path":"Location.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"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":"Location.address.city","path":"Location.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"}]},{"id":"Location.address.district","path":"Location.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":"1","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":"Location.address.state","path":"Location.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"servd","map":"./Sites"}]},{"id":"Location.address.postalCode","path":"Location.address.postalCode","short":"US Zip Codes","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"}]},{"id":"Location.address.country","path":"Location.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":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Location.address.period","path":"Location.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":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23T00:00:00+00:00","end":"2010-07-01T00:00:00+00:00"}}],"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":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"id":"Location.physicalType","path":"Location.physicalType","short":"Physical form of the location","definition":"Physical form of the location, e.g. building, room, vehicle, road.","requirements":"For purposes of showing relevant locations in queries, we need to categorize locations.","min":0,"max":"1","base":{"path":"Location.physicalType","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":"PhysicalType"}],"strength":"example","description":"Physical form of the location.","valueSet":"http://hl7.org/fhir/ValueSet/location-physical-type"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".playingEntity [classCode=PLC].code"}]},{"id":"Location.position","path":"Location.position","short":"The absolute geographic location","definition":"The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).","requirements":"For mobile applications and automated route-finding knowing the exact location of the Location is required.","min":0,"max":"1","base":{"path":"Location.position","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":".playingEntity [classCode=PLC determinerCode=INSTANCE].positionText"}]},{"id":"Location.position.id","path":"Location.position.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":"Location.position.extension","path":"Location.position.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":"Location.position.modifierExtension","path":"Location.position.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":"Location.position.longitude","path":"Location.position.longitude","short":"Longitude with WGS84 datum","definition":"Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).","min":1,"max":"1","base":{"path":"Location.position.longitude","min":1,"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":false,"mapping":[{"identity":"rim","map":"(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"}]},{"id":"Location.position.latitude","path":"Location.position.latitude","short":"Latitude with WGS84 datum","definition":"Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).","min":1,"max":"1","base":{"path":"Location.position.latitude","min":1,"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":false,"mapping":[{"identity":"rim","map":"(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"}]},{"id":"Location.position.altitude","path":"Location.position.altitude","short":"Altitude with WGS84 datum","definition":"Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).","min":0,"max":"1","base":{"path":"Location.position.altitude","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":false,"mapping":[{"identity":"rim","map":"(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"}]},{"id":"Location.managingOrganization","path":"Location.managingOrganization","short":"Organization responsible for provisioning and upkeep","definition":"The organization responsible for the provisioning and upkeep of the location.","comment":"This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.","requirements":"Need to know who manages the location.","min":0,"max":"1","base":{"path":"Location.managingOrganization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".scopingEntity[classCode=ORG determinerKind=INSTANCE]"}]},{"id":"Location.partOf","path":"Location.partOf","short":"Another Location this one is physically a part of","definition":"Another Location of which this Location is physically a part of.","requirements":"For purposes of location, display and identification, knowing which locations are located within other locations is important.","min":0,"max":"1","base":{"path":"Location.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/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":false,"mapping":[{"identity":"rim","map":".inboundLink[typeCode=PART].source[classCode=SDLC]"}]},{"id":"Location.hoursOfOperation","path":"Location.hoursOfOperation","short":"What days/times during a week is this location usually open","definition":"What days/times during a week is this location usually open.","comment":"This type of information is commonly found published in directories and on websites informing customers when the facility is available.\n\nSpecific services within the location may have their own hours which could be shorter (or longer) than the locations hours.","min":0,"max":"*","base":{"path":"Location.hoursOfOperation","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":"Location.hoursOfOperation.id","path":"Location.hoursOfOperation.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":"Location.hoursOfOperation.extension","path":"Location.hoursOfOperation.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":"Location.hoursOfOperation.modifierExtension","path":"Location.hoursOfOperation.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":"Location.hoursOfOperation.daysOfWeek","path":"Location.hoursOfOperation.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":"Location.hoursOfOperation.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":"Location.hoursOfOperation.allDay","path":"Location.hoursOfOperation.allDay","short":"The Location is open all day","definition":"The Location is open all day.","min":0,"max":"1","base":{"path":"Location.hoursOfOperation.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":"Location.hoursOfOperation.openingTime","path":"Location.hoursOfOperation.openingTime","short":"Time that the Location opens","definition":"Time that the Location opens.","min":0,"max":"1","base":{"path":"Location.hoursOfOperation.openingTime","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":"Location.hoursOfOperation.closingTime","path":"Location.hoursOfOperation.closingTime","short":"Time that the Location closes","definition":"Time that the Location closes.","min":0,"max":"1","base":{"path":"Location.hoursOfOperation.closingTime","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":"Location.availabilityExceptions","path":"Location.availabilityExceptions","short":"Description of availability exceptions","definition":"A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.","min":0,"max":"1","base":{"path":"Location.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":"n/a"}]},{"id":"Location.endpoint","path":"Location.endpoint","short":"Technical endpoints providing access to services operated for the location","definition":"Technical endpoints providing access to services operated for the location.","requirements":"Organizations may have different systems at different locations 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":"Location.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":"Location","path":"Location","mustSupport":false,"mapping":[{"identity":"servd","map":"Organization"}]},{"id":"Location.status","path":"Location.status","min":0,"max":"1","type":[{"code":"code"}],"mustSupport":true},{"id":"Location.name","path":"Location.name","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Location.telecom","path":"Location.telecom","min":0,"max":"*","type":[{"code":"ContactPoint"}],"mustSupport":true},{"id":"Location.address","path":"Location.address","min":0,"max":"1","type":[{"code":"Address"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Location.address.line","path":"Location.address.line","min":0,"max":"*","type":[{"code":"string"}],"mustSupport":true},{"id":"Location.address.city","path":"Location.address.city","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Location.address.state","path":"Location.address.state","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"servd","map":"./Sites"}]},{"id":"Location.address.postalCode","path":"Location.address.postalCode","short":"US Zip Codes","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Location.managingOrganization","path":"Location.managingOrganization","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medication.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medication.json new file mode 100644 index 00000000000..1852361ba2e --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medication.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-medication","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication","version":"3.1.0","name":"USCoreMedicationProfile","title":"US Core Medication Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Medication resource for the minimal set of data to query and retrieve patient retrieving patient's medication information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"Medication","path":"Medication","short":"Definition of a Medication","definition":"The US Core Medication Profile is based upon the core FHIR Medication Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","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"}],"mustSupport":false,"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]"},{"identity":"argonaut-dq-dstu2","map":"Medication"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"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"},{"identity":"argonaut-dq-dstu2","map":"Medication.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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance","http://hl7.org/fhir/StructureDefinition/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","definition":"The US Core Medication Profile is based upon the core FHIR Medication Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Medication"}]},{"id":"Medication.code","path":"Medication.code","min":1,"max":"1","mustSupport":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Medication.code"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medicationrequest.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medicationrequest.json new file mode 100644 index 00000000000..6afd764bc08 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-medicationrequest.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-medicationrequest","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" MedicationRequest 0..*MedicationRequest
\".\"\".\"\".\" status S1..1codeBinding: medicationrequest Status (required)
\".\"\".\"\".\" intent S1..1codeBinding: medicationRequest Intent (required)
\".\"\".\"\".\" reported[x] S0..1
\".\"\".\"\".\"\".\" reportedBooleanboolean
\".\"\".\"\".\"\".\" reportedReferenceReference(US Core Patient Profile | US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | RelatedPerson)
\".\"\".\"\".\" medication[x] S1..1Binding: US Core Medication Codes (RxNorm) (extensible)
\".\"\".\"\".\"\".\" medicationCodeableConceptCodeableConcept
\".\"\".\"\".\"\".\" medicationReferenceReference(US Core Medication Profile)
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)
\".\"\".\"\".\" encounter S0..1Reference(Encounter)
\".\"\".\"\".\" authoredOn S1..1dateTime
\".\"\".\"\".\" requester S1..1Reference(US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | US Core Patient Profile | US Core Implantable Device Profile | RelatedPerson)
\".\"\".\"\".\" dosageInstruction S0..*Dosage
\".\"\".\"\".\"\".\" text S0..1string

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest","version":"3.1.0","name":"USCoreMedicationRequestProfile","title":"US Core MedicationRequest Profile","status":"active","experimental":false,"date":"2019-08-19T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the MedicationRequest resource for the minimal set of data to query and retrieve prescription information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"MedicationRequest","path":"MedicationRequest","short":"Ordering of medication for patient or group","definition":"The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","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"}],"mustSupport":false,"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"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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"}],"mustSupport":true,"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":{"strength":"required","description":"A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-status"},"mapping":[{"identity":"workflow","map":"Request.status"},{"identity":"script10.6","map":"no mapping"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":".statusCode"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"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"},"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"}],"mustSupport":true,"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":{"strength":"required","description":"The kind of medication order.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-intent"},"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)"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"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"},"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/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".participation[typeCode=INF].role"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"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"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.medication[x]"}]},{"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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"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\"]"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":1,"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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.dateWritten"}]},{"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":1,"max":"1","base":{"path":"MedicationRequest.requester","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.requester"},{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"},{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.prescriber"}]},{"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson","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":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"},"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","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":"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"},"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","http://hl7.org/fhir/StructureDefinition/Observation"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/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":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"},"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","http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"rim","map":"see dosageInstruction mapping"}]},{"id":"MedicationRequest.dosageInstruction.id","path":"MedicationRequest.dosageInstruction.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.dosageInstruction.extension","path":"MedicationRequest.dosageInstruction.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":"MedicationRequest.dosageInstruction.modifierExtension","path":"MedicationRequest.dosageInstruction.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.dosageInstruction.sequence","path":"MedicationRequest.dosageInstruction.sequence","short":"The order of the dosage instructions","definition":"Indicates the order in which the dosage instructions should be applied or interpreted.","requirements":"If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.","min":0,"max":"1","base":{"path":"Dosage.sequence","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":true,"mapping":[{"identity":"v2","map":"TQ1-1"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.text","path":"MedicationRequest.dosageInstruction.text","short":"Free text dosage instructions e.g. SIG","definition":"Free text dosage instructions e.g. SIG.","requirements":"Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.","min":0,"max":"1","base":{"path":"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"RXO-6; RXE-21"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.additionalInstruction","path":"MedicationRequest.dosageInstruction.additionalInstruction","short":"Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"","definition":"Supplemental instructions to the patient on how to take the medication (e.g. \"with meals\" or\"take half to one hour before food\") or warnings for the patient about the medication (e.g. \"may cause drowsiness\" or \"avoid exposure of skin to direct sunlight or sunlamps\").","comment":"Information about administration or preparation of the medication (e.g. \"infuse as rapidly as possibly via intraperitoneal port\" or \"immediately following drug x\") should be populated in dosage.text.","requirements":"Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, \"Swallow with plenty of water\" which might or might not be coded.","min":0,"max":"*","base":{"path":"Dosage.additionalInstruction","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":"AdditionalInstruction"}],"strength":"example","description":"A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\".","valueSet":"http://hl7.org/fhir/ValueSet/additional-instruction-codes"},"mapping":[{"identity":"v2","map":"RXO-7"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.patientInstruction","path":"MedicationRequest.dosageInstruction.patientInstruction","short":"Patient or consumer oriented instructions","definition":"Instructions in terms that are understood by the patient or consumer.","min":0,"max":"1","base":{"path":"Dosage.patientInstruction","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":"RXO-7"},{"identity":"rim","map":".text"}]},{"id":"MedicationRequest.dosageInstruction.timing","path":"MedicationRequest.dosageInstruction.timing","short":"When medication should be administered","definition":"When medication should be administered.","comment":"This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.","requirements":"The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","min":0,"max":"1","base":{"path":"Dosage.timing","min":0,"max":"1"},"type":[{"code":"Timing"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}]},{"id":"MedicationRequest.dosageInstruction.asNeeded[x]","path":"MedicationRequest.dosageInstruction.asNeeded[x]","short":"Take \"as needed\" (for x)","definition":"Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).","comment":"Can express \"as needed\" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express \"as needed\" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\".","min":0,"max":"1","base":{"path":"Dosage.asNeeded[x]","min":0,"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":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"MedicationAsNeededReason"}],"strength":"example","description":"A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.","valueSet":"http://hl7.org/fhir/ValueSet/medication-as-needed-reason"},"mapping":[{"identity":"v2","map":"TQ1-9"},{"identity":"rim","map":".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"}]},{"id":"MedicationRequest.dosageInstruction.site","path":"MedicationRequest.dosageInstruction.site","short":"Body site to administer to","definition":"Body site to administer to.","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.","requirements":"A coded specification of the anatomic site where the medication first enters the body.","min":0,"max":"1","base":{"path":"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":true,"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"},"mapping":[{"identity":"v2","map":"RXR-2"},{"identity":"rim","map":".approachSiteCode"}]},{"id":"MedicationRequest.dosageInstruction.route","path":"MedicationRequest.dosageInstruction.route","short":"How drug should enter body","definition":"How drug should enter body.","requirements":"A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.","min":0,"max":"1","base":{"path":"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":true,"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"},"mapping":[{"identity":"v2","map":"RXR-1"},{"identity":"rim","map":".routeCode"}]},{"id":"MedicationRequest.dosageInstruction.method","path":"MedicationRequest.dosageInstruction.method","short":"Technique for administering medication","definition":"Technique for administering medication.","comment":"Terminologies used often pre-coordinate this term with the route and or form of administration.","requirements":"A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.","min":0,"max":"1","base":{"path":"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":true,"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"},"mapping":[{"identity":"v2","map":"RXR-4"},{"identity":"rim","map":".doseQuantity"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate","path":"MedicationRequest.dosageInstruction.doseAndRate","short":"Amount of medication administered","definition":"The amount of medication administered.","min":0,"max":"*","base":{"path":"Dosage.doseAndRate","min":0,"max":"*"},"type":[{"code":"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":"v2","map":"TQ1-2"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.id","path":"MedicationRequest.dosageInstruction.doseAndRate.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.dosageInstruction.doseAndRate.extension","path":"MedicationRequest.dosageInstruction.doseAndRate.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":"MedicationRequest.dosageInstruction.doseAndRate.type","path":"MedicationRequest.dosageInstruction.doseAndRate.type","short":"The kind of dose or rate specified","definition":"The kind of dose or rate specified, for example, ordered or calculated.","requirements":"If the type is not populated, assume to be \"ordered\".","min":0,"max":"1","base":{"path":"Dosage.doseAndRate.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":"DoseAndRateType"}],"strength":"example","description":"The kind of dose or rate specified.","valueSet":"http://hl7.org/fhir/ValueSet/dose-rate-type"},"mapping":[{"identity":"v2","map":"RXO-21; RXE-23"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.dose[x]","path":"MedicationRequest.dosageInstruction.doseAndRate.dose[x]","short":"Amount of medication per dose","definition":"Amount of medication per dose.","comment":"Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.","requirements":"The amount of therapeutic or other substance given at one administration event.","min":0,"max":"1","base":{"path":"Dosage.doseAndRate.dose[x]","min":0,"max":"1"},"type":[{"code":"Range"},{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"RXO-2, RXE-3"},{"identity":"rim","map":".doseQuantity"}]},{"id":"MedicationRequest.dosageInstruction.doseAndRate.rate[x]","path":"MedicationRequest.dosageInstruction.doseAndRate.rate[x]","short":"Amount of medication per unit of time","definition":"Amount of medication per unit of time.","comment":"It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.\r\rIt is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.","requirements":"Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.","min":0,"max":"1","base":{"path":"Dosage.doseAndRate.rate[x]","min":0,"max":"1"},"type":[{"code":"Ratio"},{"code":"Range"},{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"RXE22, RXE23, RXE-24"},{"identity":"rim","map":".rateQuantity"}]},{"id":"MedicationRequest.dosageInstruction.maxDosePerPeriod","path":"MedicationRequest.dosageInstruction.maxDosePerPeriod","short":"Upper limit on medication per unit of time","definition":"Upper limit on medication per unit of time.","comment":"This is intended for use as an adjunct to the dosage when there is an upper cap. For example \"2 tablets every 4 hours to a maximum of 8/day\".","requirements":"The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.","min":0,"max":"1","base":{"path":"Dosage.maxDosePerPeriod","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":"v2","map":"RXO-23, RXE-19"},{"identity":"rim","map":".maxDoseQuantity"}]},{"id":"MedicationRequest.dosageInstruction.maxDosePerAdministration","path":"MedicationRequest.dosageInstruction.maxDosePerAdministration","short":"Upper limit on medication per administration","definition":"Upper limit on medication per administration.","comment":"This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.","requirements":"The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.","min":0,"max":"1","base":{"path":"Dosage.maxDosePerAdministration","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"MedicationRequest.dosageInstruction.maxDosePerLifetime","path":"MedicationRequest.dosageInstruction.maxDosePerLifetime","short":"Upper limit on medication per lifetime of the patient","definition":"Upper limit on medication per lifetime of the patient.","requirements":"The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.","min":0,"max":"1","base":{"path":"Dosage.maxDosePerLifetime","min":0,"max":"1"},"type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","definition":"The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder"}]},{"id":"MedicationRequest.status","path":"MedicationRequest.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","description":"A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.intent","path":"MedicationRequest.intent","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","description":"The kind of medication order.","valueSet":"http://hl7.org/fhir/ValueSet/medicationrequest-intent"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.reported[x]","path":"MedicationRequest.reported[x]","min":0,"max":"1","type":[{"code":"boolean"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.status"}]},{"id":"MedicationRequest.medication[x]","path":"MedicationRequest.medication[x]","min":1,"max":"1","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"]}],"mustSupport":true,"binding":{"strength":"extensible","description":"Prescribable medications","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.medication[x]"}]},{"id":"MedicationRequest.subject","path":"MedicationRequest.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"id":"MedicationRequest.encounter","path":"MedicationRequest.encounter","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.patient"}]},{"id":"MedicationRequest.authoredOn","path":"MedicationRequest.authoredOn","min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.dateWritten"}]},{"id":"MedicationRequest.requester","path":"MedicationRequest.requester","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"MedicationOrder.prescriber"}]},{"id":"MedicationRequest.dosageInstruction","path":"MedicationRequest.dosageInstruction","mustSupport":true},{"id":"MedicationRequest.dosageInstruction.text","path":"MedicationRequest.dosageInstruction.text","mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-observation-lab.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-observation-lab.json new file mode 100644 index 00000000000..3c4761b0035 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-observation-lab.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-observation-lab","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation I0..*Observationus-core-2: If there is no component or related element then either a value[x] or a data absent reason must be present
\".\"\".\"\".\" status S1..1codeBinding: ObservationStatus (required)
\".\"\".\"\".\" category S1..*(Slice Definition)Slice: Unordered, Open by pattern:$this
\".\"\".\"\".\"\".\" category:Laboratory S1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
\".\"\".\"\".\" code S1..1CodeableConceptLaboratory Test Name
Binding: LOINCCodes (extensible)
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)
\".\"\".\"\".\" effective[x] SI0..1us-core-1: Datetime must be at least to day.
\".\"\".\"\".\"\".\" effectiveDateTimedateTime
\".\"\".\"\".\"\".\" effectivePeriodPeriod
\".\"\".\"\".\" value[x] SI0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodResult Value
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
\".\"\".\"\".\" dataAbsentReason SI0..1CodeableConceptBinding: DataAbsentReason (extensible)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab","version":"3.1.0","name":"USCoreLaboratoryResultObservationProfile","title":"US Core Laboratory Result Observation Profile","status":"active","experimental":false,"date":"2019-08-19T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test results","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"Observation","path":"Observation","short":"Measurements and simple assertions","definition":"This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.","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"},{"key":"us-core-2","severity":"error","human":"If there is no component or related element then either a value[x] or a data absent reason must be present","expression":"(component.empty() and related.empty()) implies (dataAbsentReason or value)","xpath":"exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)"}],"mustSupport":false,"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]"},{"identity":"argonaut-dq-dstu2","map":"Observation"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/observation-status"},"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\""},{"identity":"argonaut-dq-dstu2","map":"Observation.status"}]},{"id":"Observation.category","path":"Observation.category","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"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"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"},{"identity":"argonaut-dq-dstu2","map":"Observation.category"}]},{"id":"Observation.category:Laboratory","path":"Observation.category","sliceName":"Laboratory","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"}],"patternCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/observation-category","code":"laboratory"}]},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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"},"mapping":[{"identity":"w5","map":"FiveWs.class"},{"identity":"rim","map":".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"},{"identity":"argonaut-dq-dstu2","map":"Observation.category"}]},{"id":"Observation.code","path":"Observation.code","short":"Laboratory Test Name","definition":"The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.","comment":"The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.","requirements":"Knowing what kind of observation is being made is essential to understanding the observation.","alias":["Name","Test Name","Observation Identifer"],"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes"},"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|"},{"identity":"argonaut-dq-dstu2","map":"Observation.code"}]},{"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":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Observation.subject"}]},{"id":"Observation.focus","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.","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"}],"condition":["us-core-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"us-core-1","severity":"error","human":"Datetime must be at least to day.","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Observation.effective[x]"}]},{"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","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":"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":"Result Value","definition":"The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org). A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.","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","us-core-2","us-core-3","us-core-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"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-4","severity":"warning","human":"SHOULD use Snomed CT for coded Results","expression":"valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct'","xpath":"not(exists(f:valueCodeableConcept/f:coding/f:system) ) or f:valueCodeableConcept/f:coding/f:system[@value='http://snomed.info/sct']"},{"key":"us-core-3","severity":"error","human":"SHALL use UCUM for coded quantity units.","expression":"valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org'","xpath":"not(exists(f:valueQuantity/f:system) ) or f:valueQuantity/f:system[@value='http://unitsofmeasure.org']"}],"mustSupport":true,"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|"},{"identity":"argonaut-dq-dstu2","map":"Observation.value[x]"}]},{"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","us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"},{"identity":"argonaut-dq-dstu2","map":"Observation.dataAbsentReason"}]},{"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"},"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"},"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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))"}],"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"]}],"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"]}],"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"},"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"},"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","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/MolecularSequence"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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"},"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"},"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":"#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","definition":"This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.","constraint":[{"key":"us-core-2","severity":"error","human":"If there is no component or related element then either a value[x] or a data absent reason must be present","expression":"(component.empty() and related.empty()) implies (dataAbsentReason or value)","xpath":"exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)"}],"mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation"}]},{"id":"Observation.status","path":"Observation.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/observation-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.status"}]},{"id":"Observation.category","path":"Observation.category","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"min":1,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.category"}]},{"id":"Observation.category:Laboratory","path":"Observation.category","sliceName":"Laboratory","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/observation-category","code":"laboratory"}]},"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.category"}]},{"id":"Observation.code","path":"Observation.code","short":"Laboratory Test Name","definition":"The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.","comment":"The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.","alias":["Test Name","Observation Identifer"],"min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"LOINC codes","valueSet":"http://hl7.org/fhir/ValueSet/observation-codes"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.code"}]},{"id":"Observation.subject","path":"Observation.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.subject"}]},{"id":"Observation.effective[x]","path":"Observation.effective[x]","definition":"For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.","min":0,"max":"1","type":[{"code":"dateTime"},{"code":"Period"}],"condition":["us-core-1"],"constraint":[{"key":"us-core-1","severity":"error","human":"Datetime must be at least to day.","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.effective[x]"}]},{"id":"Observation.value[x]","path":"Observation.value[x]","short":"Result Value","definition":"The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org). A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.","min":0,"max":"1","condition":["us-core-2","us-core-3","us-core-4"],"constraint":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true}],"key":"us-core-4","severity":"warning","human":"SHOULD use Snomed CT for coded Results","expression":"valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct'","xpath":"not(exists(f:valueCodeableConcept/f:coding/f:system) ) or f:valueCodeableConcept/f:coding/f:system[@value='http://snomed.info/sct']"},{"key":"us-core-3","severity":"error","human":"SHALL use UCUM for coded quantity units.","expression":"valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org'","xpath":"not(exists(f:valueQuantity/f:system) ) or f:valueQuantity/f:system[@value='http://unitsofmeasure.org']"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.value[x]"}]},{"id":"Observation.dataAbsentReason","path":"Observation.dataAbsentReason","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"condition":["us-core-2"],"mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/data-absent-reason"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.dataAbsentReason"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-organization.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-organization.json new file mode 100644 index 00000000000..ca2dca73d1c --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-organization.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-organization","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Organization 0..*Organization
\".\"\".\"\".\" identifier S0..*(Slice Definition)Slice: Unordered, Open by pattern:$this
\".\"\".\"\".\"\".\" identifier:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" system S0..1uri
\".\"\".\"\".\"\".\"\".\" value S0..1string
\".\"\".\"\".\"\".\" identifier:NPI S0..1IdentifierNational Provider Identifier (NPI)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
\".\"\".\"\".\"\".\" identifier:CLIA S0..1IdentifierClinical Laboratory Improvement Amendments (CLIA) Number for laboratories
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7
\".\"\".\"\".\" active S1..1boolean
\".\"\".\"\".\" name S1..1string
\".\"\".\"\".\" telecom S0..*ContactPoint
\".\"\".\"\".\" address S0..*Address
\".\"\".\"\".\"\".\" line S0..4string
\".\"\".\"\".\"\".\" city S0..1string
\".\"\".\"\".\"\".\" state S0..1stringBinding: USPS Two Letter Alphabetic Codes (extensible)
\".\"\".\"\".\"\".\" postalCode S0..1stringUS Zip Codes
\".\"\".\"\".\"\".\" country S0..1string

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization","version":"3.1.0","name":"USCoreOrganizationProfile","title":"US Core Organization Profile","status":"active","experimental":false,"date":"2019-08-31T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines basic constraints and extensions on the Organization resource for use with other US Core resources","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"servd","uri":"http://www.omg.org/spec/ServD/1.0/","name":"ServD"},{"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":"Organization","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Organization","derivation":"constraint","snapshot":{"element":[{"id":"Organization","path":"Organization","short":"A grouping of people or organizations with a common purpose","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"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"pattern","path":"$this"}],"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.","comment":"NPI preferred.","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"}],"mustSupport":true,"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"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier.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.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.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.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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.system","path":"Organization.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"}],"mustSupport":true,"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.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":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"}],"mustSupport":true,"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.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.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:NPI","path":"Organization.identifier","sliceName":"NPI","short":"National Provider Identifier (NPI)","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"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"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"}],"mustSupport":true,"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"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier:CLIA","path":"Organization.identifier","sliceName":"CLIA","short":"Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories","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"}],"patternIdentifier":{"system":"urn:oid:2.16.840.1.113883.4.7"},"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"}],"mustSupport":true,"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"},{"identity":"servd","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":1,"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"}],"mustSupport":true,"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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"OrganizationType"}],"strength":"example","description":"Used to categorize the organization.","valueSet":"http://hl7.org/fhir/ValueSet/organization-type"},"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XON.1"},{"identity":"rim","map":".name"},{"identity":"servd","map":".PreferredName/Name"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"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"}],"mustSupport":true,"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"}],"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"ORC-23?"},{"identity":"rim","map":".address"},{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"},{"identity":"servd","map":"n/a"}]},{"id":"Organization.address.id","path":"Organization.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":"Organization.address.extension","path":"Organization.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":"Organization.address.use","path":"Organization.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":"v2","map":"XAD.7"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./AddressPurpose"}]},{"id":"Organization.address.type","path":"Organization.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":"Organization.address.text","path":"Organization.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":"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":"Organization.address.line","path":"Organization.address.line","short":"Street name, number, direction & P.O. Box etc.","definition":"This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.","min":0,"max":"4","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"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":"Organization.address.city","path":"Organization.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"}]},{"id":"Organization.address.district","path":"Organization.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":"1","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":"Organization.address.state","path":"Organization.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"servd","map":"./Sites"}]},{"id":"Organization.address.postalCode","path":"Organization.address.postalCode","short":"US Zip Codes","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"}]},{"id":"Organization.address.country","path":"Organization.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.6"},{"identity":"rim","map":"AD.part[parttype = CNT]"},{"identity":"vcard","map":"country"},{"identity":"servd","map":"./Country"}]},{"id":"Organization.address.period","path":"Organization.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":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23T00:00:00+00:00","end":"2010-07-01T00:00:00+00:00"}}],"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":"v2","map":"XAD.12 / XAD.13 + XAD.14"},{"identity":"rim","map":"./usablePeriod[type=\"IVL\"]"},{"identity":"servd","map":"./StartDate and ./EndDate"}]},{"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"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","mustSupport":false,"mapping":[{"identity":"servd","map":"Organization"}]},{"id":"Organization.identifier","path":"Organization.identifier","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"comment":"NPI preferred.","min":0,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier.system","path":"Organization.identifier.system","min":0,"max":"1","type":[{"code":"uri"}],"mustSupport":true},{"id":"Organization.identifier.value","path":"Organization.identifier.value","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.identifier:NPI","path":"Organization.identifier","sliceName":"NPI","short":"National Provider Identifier (NPI)","min":0,"max":"1","type":[{"code":"Identifier"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.identifier:CLIA","path":"Organization.identifier","sliceName":"CLIA","short":"Clinical Laboratory Improvement Amendments (CLIA) Number for laboratories","min":0,"max":"1","type":[{"code":"Identifier"}],"patternIdentifier":{"system":"urn:oid:2.16.840.1.113883.4.7"},"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.active","path":"Organization.active","min":1,"max":"1","type":[{"code":"boolean"}],"mustSupport":true},{"id":"Organization.name","path":"Organization.name","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"./PrimaryAddress and ./OtherAddresses"}]},{"id":"Organization.telecom","path":"Organization.telecom","min":0,"max":"*","type":[{"code":"ContactPoint"}],"mustSupport":true},{"id":"Organization.address","path":"Organization.address","min":0,"max":"*","type":[{"code":"Address"}],"mustSupport":true,"mapping":[{"identity":"servd","map":"n/a"}]},{"id":"Organization.address.line","path":"Organization.address.line","min":0,"max":"4","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.address.city","path":"Organization.address.city","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.address.state","path":"Organization.address.state","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Two letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"servd","map":"./Sites"}]},{"id":"Organization.address.postalCode","path":"Organization.address.postalCode","short":"US Zip Codes","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Organization.address.country","path":"Organization.address.country","min":0,"max":"1","type":[{"code":"string"}],"mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-patient.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-patient.json new file mode 100644 index 00000000000..3fd67ab5a60 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-patient.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-patient","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Patient 0..*Patient
\".\"\".\"\".\" us-core-race S0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
\".\"\".\"\".\" us-core-ethnicity S0..1(Complex)US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
\".\"\".\"\".\" us-core-birthsex S0..1codeExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required)
\".\"\".\"\".\" identifier S1..*Identifier
\".\"\".\"\".\"\".\" system S1..1uri
\".\"\".\"\".\"\".\" value S1..1stringThe value that is unique within the system.
\".\"\".\"\".\" name SI1..*HumanNameus-core-8: Patient.name.given or Patient.name.family or both SHALL be present
\".\"\".\"\".\"\".\" family SI0..1string
\".\"\".\"\".\"\".\" given SI0..*string
\".\"\".\"\".\" telecom S0..*ContactPoint
\".\"\".\"\".\"\".\" system S1..1codeBinding: ContactPointSystem (required)
\".\"\".\"\".\"\".\" value S1..1string
\".\"\".\"\".\"\".\" use S0..1codeBinding: ContactPointUse (required)
\".\"\".\"\".\" gender S1..1codeBinding: AdministrativeGender (required)
\".\"\".\"\".\" birthDate S0..1date
\".\"\".\"\".\" address S0..*Address
\".\"\".\"\".\"\".\" line S0..*string
\".\"\".\"\".\"\".\" city S0..1string
\".\"\".\"\".\"\".\" state S0..1stringBinding: USPS Two Letter Alphabetic Codes (extensible)
\".\"\".\"\".\"\".\" postalCode S0..1stringUS Zip Codes
\".\"\".\"\".\"\".\" period S0..1Period
\".\"\".\"\".\" communication S0..*BackboneElement
\".\"\".\"\".\"\".\" language S1..1CodeableConceptBinding: Language codes with language and optionally a region modifier (extensible)

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","version":"3.1.0","name":"USCorePatientProfile","title":"US Core Patient Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the patient resource for the minimal set of data to query and retrieve patient demographic information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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.org/fhir/StructureDefinition/Patient","derivation":"constraint","snapshot":{"element":[{"id":"Patient","path":"Patient","short":"Information about an individual or animal receiving health care services","definition":"The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"rim","map":"Patient[classCode=PAT]"},{"identity":"cda","map":"ClinicalDocument.recordTarget.patientRole"},{"identity":"argonaut-dq-dstu2","map":"Patient"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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:race","path":"Patient.extension","sliceName":"race","short":"US Core Race Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"]}],"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"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:ethnicity","path":"Patient.extension","sliceName":"ethnicity","short":"US Core ethnicity Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"]}],"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"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:birthsex","path":"Patient.extension","sliceName":"birthsex","short":"Extension","definition":"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).","comment":"The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex.","min":0,"max":"1","base":{"path":"DomainResource.extension","min":0,"max":"*"},"type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"]}],"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"}],"mustSupport":true,"isModifier":false,"mapping":[{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"iso11179","map":".patient.administrativeGenderCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"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","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":"id"},{"identity":"cda","map":".id"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier"}]},{"id":"Patient.identifier.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.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.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.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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"Patient.identifier.system","path":"Patient.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":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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.system"}]},{"id":"Patient.identifier.value","path":"Patient.identifier.value","short":"The value that is unique within the system.","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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.value"}]},{"id":"Patient.identifier.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.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":"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"},{"key":"us-core-8","severity":"error","human":"Patient.name.given or Patient.name.family or both SHALL be present","expression":"family.exists() or given.exists()","xpath":"f:given or f:family"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-5, PID-9"},{"identity":"rim","map":"name"},{"identity":"cda","map":".patient.name"},{"identity":"argonaut-dq-dstu2","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":0,"max":"1","base":{"path":"HumanName.family","min":0,"max":"1"},"type":[{"code":"string"}],"condition":["us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.1/FN.1"},{"identity":"rim","map":"./part[partType = FAM]"},{"identity":"servd","map":"./FamilyName"},{"identity":"argonaut-dq-dstu2","map":"Patient.name.family"}]},{"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":0,"max":"*","base":{"path":"HumanName.given","min":0,"max":"*"},"type":[{"code":"string"}],"orderMeaning":"Given Names appear in the correct order for presenting the name","condition":["us-core-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.2 + XPN.3"},{"identity":"rim","map":"./part[partType = GIV]"},{"identity":"servd","map":"./GivenNames"},{"identity":"argonaut-dq-dstu2","map":"Patient.name.given"}]},{"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":"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":"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"PID-13, PID-14, PID-40"},{"identity":"rim","map":"telecom"},{"identity":"cda","map":".telecom"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system"},"mapping":[{"identity":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use"},"mapping":[{"identity":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender"},"mapping":[{"identity":"v2","map":"PID-8"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":".patient.administrativeGenderCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.gender"}]},{"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":0,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"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"},{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.deceased[x]","path":"Patient.deceased[x]","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.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"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"PID-11"},{"identity":"rim","map":"addr"},{"identity":"cda","map":".addr"},{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"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.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":"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":"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 house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"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)"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.3"},{"identity":"rim","map":"AD.part[parttype = CTY]"},{"identity":"vcard","map":"locality"},{"identity":"servd","map":"./Jurisdiction"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":"1","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Two Letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"v2","map":"XAD.4"},{"identity":"rim","map":"AD.part[parttype = STA]"},{"identity":"vcard","map":"region"},{"identity":"servd","map":"./Region"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.postalCode","path":"Patient.address.postalCode","short":"US Zip Codes","definition":"A postal code designating a region defined by the postal service.","alias":["Zip","Zip Code"],"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XAD.5"},{"identity":"rim","map":"AD.part[parttype = ZIP]"},{"identity":"vcard","map":"code"},{"identity":"servd","map":"./PostalIdentificationCode"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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":"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":"1","base":{"path":"Address.period","min":0,"max":"1"},"type":[{"code":"Period"}],"example":[{"label":"General","valuePeriod":{"start":"2010-03-23T00:00:00+00:00","end":"2010-07-01T00:00:00+00:00"}}],"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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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.multipleBirth[x]","path":"Patient.multipleBirth[x]","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.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":"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","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"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)"}],"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.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.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.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"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"NK1-15"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"},{"identity":"cda","map":"n/a"}]},{"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":"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":"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"LanguageCommunication"},{"identity":"cda","map":"patient.languageCommunication"},{"identity":"argonaut-dq-dstu2","map":"Patient.communication"}]},{"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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/simple-language"},"mapping":[{"identity":"v2","map":"PID-15, LAN-2"},{"identity":"rim","map":"player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"},{"identity":"cda","map":".languageCode"},{"identity":"argonaut-dq-dstu2","map":"Patient.communication.language"}]},{"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":"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":"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":"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":"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":"rim","map":"typeCode"},{"identity":"cda","map":"n/a"}]}]},"differential":{"element":[{"id":"Patient","path":"Patient","definition":"The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient"}]},{"id":"Patient.extension:race","path":"Patient.extension","sliceName":"race","min":0,"max":"1","type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:ethnicity","path":"Patient.extension","sliceName":"ethnicity","min":0,"max":"1","type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.extension:birthsex","path":"Patient.extension","sliceName":"birthsex","min":0,"max":"1","type":[{"code":"Extension","profile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"]}],"mustSupport":true,"binding":{"strength":"required","description":"Code for sex assigned at birth","valueSet":"http://hl7.org/fhir/us/core/ValueSet/birthsex"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.extension"}]},{"id":"Patient.identifier","path":"Patient.identifier","min":1,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.identifier"}]},{"id":"Patient.identifier.system","path":"Patient.identifier.system","min":1,"max":"1","type":[{"code":"uri"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.system"}]},{"id":"Patient.identifier.value","path":"Patient.identifier.value","short":"The value that is unique within the system.","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.identifier.value"}]},{"id":"Patient.name","path":"Patient.name","min":1,"max":"*","type":[{"code":"HumanName"}],"constraint":[{"key":"us-core-8","severity":"error","human":"Patient.name.given or Patient.name.family or both SHALL be present","expression":"family.exists() or given.exists()","xpath":"f:given or f:family"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.name"}]},{"id":"Patient.name.family","path":"Patient.name.family","min":0,"max":"1","type":[{"code":"string"}],"condition":["us-core-8"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.name.family"}]},{"id":"Patient.name.given","path":"Patient.name.given","min":0,"max":"*","type":[{"code":"string"}],"condition":["us-core-8"],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.name.given"}]},{"id":"Patient.telecom","path":"Patient.telecom","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.system","path":"Patient.telecom.system","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","description":"Telecommunications form for contact point.","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-system"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.value","path":"Patient.telecom.value","min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.telecom.use","path":"Patient.telecom.use","min":0,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/contact-point-use"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.gender","path":"Patient.gender","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.gender"}]},{"id":"Patient.birthDate","path":"Patient.birthDate","min":0,"max":"1","type":[{"code":"date"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.address","path":"Patient.address","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.birthDate"}]},{"id":"Patient.address.line","path":"Patient.address.line","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.city","path":"Patient.address.city","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.state","path":"Patient.address.state","min":0,"max":"1","mustSupport":true,"binding":{"strength":"extensible","description":"Two Letter USPS alphabetic codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.postalCode","path":"Patient.address.postalCode","short":"US Zip Codes","alias":["Zip Code"],"min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.address.period","path":"Patient.address.period","min":0,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"NA"}]},{"id":"Patient.communication","path":"Patient.communication","min":0,"max":"*","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.communication"}]},{"id":"Patient.communication.language","path":"Patient.communication.language","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/simple-language"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Patient.communication.language"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitioner.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitioner.json new file mode 100644 index 00000000000..f9a0527d960 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitioner.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-practitioner","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Practitioner 0..*Practitioner
\".\"\".\"\".\" identifier S1..*(Slice Definition)Slice: Unordered, Open by pattern:$this
\".\"\".\"\".\"\".\" identifier:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" system S1..1uri
\".\"\".\"\".\"\".\"\".\" value S1..1string
\".\"\".\"\".\"\".\" identifier:NPI S0..1IdentifierRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" system1..1uriThe namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi
\".\"\".\"\".\" name S1..*HumanName
\".\"\".\"\".\"\".\" family S1..1string

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","version":"3.1.0","name":"USCorePractitionerProfile","title":"US Core Practitioner Profile","status":"active","experimental":false,"date":"2019-09-02T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The practitioner(s) referenced in US Core profiles.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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.org/fhir/StructureDefinition/Practitioner","derivation":"constraint","snapshot":{"element":[{"id":"Practitioner","path":"Practitioner","short":"A person with a formal responsibility in the provisioning of healthcare or related services","definition":"This is basic constraint on provider for use in US Core resources.","alias":["Provider"],"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"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":"pattern","path":"$this"}],"rules":"open"},"short":"An identifier for the person as this agent","definition":"An identifier that applies to this person in this role.","comment":"NPI must be supported as the identifier system in the US, Tax id is allowed, Local id is allowed in addition to an another identifier supplied by a jurisdictional authority such as a practitioner's *Drug Enforcement Administration (DEA)* number.","requirements":"Often, specific identities are assigned for the agent.","min":1,"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"}],"mustSupport":true,"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":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"IdentifierType"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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.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":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"}],"mustSupport":true,"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":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"}],"mustSupport":true,"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:NPI","path":"Practitioner.identifier","sliceName":"NPI","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"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"PRD-7 (or XCN.1)"},{"identity":"rim","map":"./id"},{"identity":"servd","map":"./Identifiers"}]},{"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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XCN Components"},{"identity":"rim","map":"./name"},{"identity":"servd","map":"./PreferredName (GivenNames, FamilyName, TitleCode)"}]},{"id":"Practitioner.name.id","path":"Practitioner.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":"Practitioner.name.extension","path":"Practitioner.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":"Practitioner.name.use","path":"Practitioner.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":"Practitioner.name.text","path":"Practitioner.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":"Practitioner.name.family","path":"Practitioner.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XPN.1/FN.1"},{"identity":"rim","map":"./part[partType = FAM]"},{"identity":"servd","map":"./FamilyName"}]},{"id":"Practitioner.name.given","path":"Practitioner.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":"v2","map":"XPN.2 + XPN.3"},{"identity":"rim","map":"./part[partType = GIV]"},{"identity":"servd","map":"./GivenNames"}]},{"id":"Practitioner.name.prefix","path":"Practitioner.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":"Practitioner.name.suffix","path":"Practitioner.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":"Practitioner.name.period","path":"Practitioner.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":"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"}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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","definition":"This is basic constraint on provider for use in US Core resources.","alias":["Provider"],"mustSupport":false},{"id":"Practitioner.identifier","path":"Practitioner.identifier","slicing":{"discriminator":[{"type":"pattern","path":"$this"}],"rules":"open"},"comment":"NPI must be supported as the identifier system in the US, Tax id is allowed, Local id is allowed in addition to an another identifier supplied by a jurisdictional authority such as a practitioner's *Drug Enforcement Administration (DEA)* number.","min":1,"max":"*","type":[{"code":"Identifier"}],"mustSupport":true},{"id":"Practitioner.identifier.system","path":"Practitioner.identifier.system","min":1,"max":"1","type":[{"code":"uri"}],"mustSupport":true},{"id":"Practitioner.identifier.value","path":"Practitioner.identifier.value","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"Practitioner.identifier:NPI","path":"Practitioner.identifier","sliceName":"NPI","min":0,"max":"1","type":[{"code":"Identifier"}],"patternIdentifier":{"system":"http://hl7.org/fhir/sid/us-npi"},"mustSupport":true},{"id":"Practitioner.name","path":"Practitioner.name","min":1,"max":"*","type":[{"code":"HumanName"}],"mustSupport":true},{"id":"Practitioner.name.family","path":"Practitioner.name.family","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitionerrole.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitionerrole.json new file mode 100644 index 00000000000..b5eeb05329d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-practitionerrole.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-practitionerrole","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole","version":"3.1.0","name":"USCorePractitionerRoleProfile","title":"US Core PractitionerRole Profile","status":"active","experimental":false,"date":"2019-08-11T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"The practitioner roles referenced in the US Core profiles.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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.org/fhir/StructureDefinition/PractitionerRole","derivation":"constraint","snapshot":{"element":[{"id":"PractitionerRole","path":"PractitionerRole","short":"Roles/organizations the practitioner is associated with","definition":"This is basic constraint on PractitionerRole for use in US Core resources.","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"},{"key":"pd-1","severity":"error","human":"SHALL have contact information or a reference to an Endpoint","expression":"telecom or endpoint","xpath":"exists(f:telecom) or exists(f:endpoint)"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"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":1,"max":"1","base":{"path":"PractitionerRole.practitioner","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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":1,"max":"1","base":{"path":"PractitionerRole.organization","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role"},"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Provider specialty codes consist of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty"},"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"}],"mustSupport":true,"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"}],"condition":["pd-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"rim","map":".telecom"}]},{"id":"PractitionerRole.telecom.id","path":"PractitionerRole.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":"PractitionerRole.telecom.extension","path":"PractitionerRole.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":"PractitionerRole.telecom.system","path":"PractitionerRole.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":1,"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"}],"mustSupport":true,"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":"v2","map":"XTN.3"},{"identity":"rim","map":"./scheme"},{"identity":"servd","map":"./ContactPointType"}]},{"id":"PractitionerRole.telecom.value","path":"PractitionerRole.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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"XTN.1 (or XTN.12)"},{"identity":"rim","map":"./url"},{"identity":"servd","map":"./Value"}]},{"id":"PractitionerRole.telecom.use","path":"PractitionerRole.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":"v2","map":"XTN.2 - but often indicated by field"},{"identity":"rim","map":"unique(./use)"},{"identity":"servd","map":"./ContactPointPurpose"}]},{"id":"PractitionerRole.telecom.rank","path":"PractitionerRole.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":"PractitionerRole.telecom.period","path":"PractitionerRole.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":"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"]}],"condition":["pd-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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,"mapping":[{"identity":"rim","map":"n/a"}]}]},"differential":{"element":[{"id":"PractitionerRole","path":"PractitionerRole","definition":"This is basic constraint on PractitionerRole for use in US Core resources.","constraint":[{"key":"pd-1","severity":"error","human":"SHALL have contact information or a reference to an Endpoint","expression":"telecom or endpoint","xpath":"exists(f:telecom) or exists(f:endpoint)"}],"mustSupport":false},{"id":"PractitionerRole.practitioner","path":"PractitionerRole.practitioner","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"]}],"mustSupport":true},{"id":"PractitionerRole.organization","path":"PractitionerRole.organization","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true},{"id":"PractitionerRole.code","path":"PractitionerRole.code","min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Provider role codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role"}},{"id":"PractitionerRole.specialty","path":"PractitionerRole.specialty","min":0,"max":"*","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Provider specialty codes consist of NUCC Health Care Provider Taxonomy Code Set for providers.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty"}},{"id":"PractitionerRole.location","path":"PractitionerRole.location","min":0,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}],"mustSupport":true},{"id":"PractitionerRole.telecom","path":"PractitionerRole.telecom","min":0,"max":"*","type":[{"code":"ContactPoint"}],"condition":["pd-1"],"mustSupport":true},{"id":"PractitionerRole.telecom.system","path":"PractitionerRole.telecom.system","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true},{"id":"PractitionerRole.telecom.value","path":"PractitionerRole.telecom.value","min":1,"max":"1","type":[{"code":"string"}],"mustSupport":true},{"id":"PractitionerRole.endpoint","path":"PractitionerRole.endpoint","min":0,"max":"*","condition":["pd-1"],"mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-procedure.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-procedure.json new file mode 100644 index 00000000000..b79aa5efd8e --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-procedure.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-procedure","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Procedure 0..*Procedure
\".\"\".\"\".\" status S1..1codeBinding: EventStatus (required)
\".\"\".\"\".\" code S1..1CodeableConceptProcedure codes from SNOMED CT, CPT, or HCPCS II
Binding: US Core Procedure Codes (extensible)
\".\"\".\"\".\" subject S1..1Reference(US Core Patient Profile)
\".\"\".\"\".\" performed[x] S1..1
\".\"\".\"\".\"\".\" performedDateTimedateTime
\".\"\".\"\".\"\".\" performedPeriodPeriod

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure","version":"3.1.0","name":"USCoreProcedureProfile","title":"US Core Procedure Profile","status":"active","experimental":false,"date":"2019-08-26T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Procedure resource for the minimal set of data to query and retrieve patient's procedure information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"Procedure","path":"Procedure","short":"An action that is being or was performed on a patient","definition":"The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"Procedure[moodCode=EVN]"},{"identity":"argonaut-dq-dstu2","map":"Procedure"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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","http://hl7.org/fhir/StructureDefinition/ActivityDefinition","http://hl7.org/fhir/StructureDefinition/Measure","http://hl7.org/fhir/StructureDefinition/OperationDefinition","http://hl7.org/fhir/StructureDefinition/Questionnaire"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/MedicationAdministration"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/event-status"},"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"rim","map":"statusCode"},{"identity":"argonaut-dq-dstu2","map":"Procedure.status"}]},{"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"},"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"},"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":"Procedure codes from SNOMED CT, CPT, or HCPCS II","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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"Codes describing the type of Procedure","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"OBR-44/OBR-45"},{"identity":"rim","map":".code"},{"identity":"argonaut-dq-dstu2","map":"Procedure.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":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Procedure.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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":1,"max":"1","base":{"path":"Procedure.performed[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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Procedure.performed[x]"}]},{"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","http://hl7.org/fhir/StructureDefinition/RelatedPerson","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":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","http://hl7.org/fhir/StructureDefinition/RelatedPerson","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":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"},"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":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","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.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":["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":".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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"example","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"},"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","http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/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":".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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/Medication","http://hl7.org/fhir/StructureDefinition/Substance"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"mapping":[{"identity":"rim","map":"participation[typeCode=Dev].role[classCode=MANU]"}]}]},"differential":{"element":[{"id":"Procedure","path":"Procedure","definition":"The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.","mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure"}]},{"id":"Procedure.status","path":"Procedure.status","min":1,"max":"1","type":[{"code":"code"}],"mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/event-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.status"}]},{"id":"Procedure.code","path":"Procedure.code","short":"Procedure codes from SNOMED CT, CPT, or HCPCS II","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"Codes describing the type of Procedure","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.code"}]},{"id":"Procedure.subject","path":"Procedure.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.subject"}]},{"id":"Procedure.performed[x]","path":"Procedure.performed[x]","min":1,"max":"1","type":[{"code":"dateTime"},{"code":"Period"}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Procedure.performed[x]"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-provenance.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-provenance.json new file mode 100644 index 00000000000..77745b71818 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-provenance.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-provenance","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Provenance 0..*ProvenanceUS Core Provenance
\".\"\".\"\".\" target S1..*Reference(Resource)The Resource this Provenance record supports
\".\"\".\"\".\" recorded S1..1instantTimestamp when the activity was recorded / updated
\".\"\".\"\".\" agent S1..*(Slice Definition)Slice: Unordered, Open by pattern:type
\".\"\".\"\".\"\".\" agent:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" type S0..1CodeableConceptBinding: US Core Provenance Participant Type Codes (extensible)
\".\"\".\"\".\"\".\"\".\" who S1..1Reference(US Core Practitioner Profile | PractitionerRole | RelatedPerson | US Core Patient Profile | Device | US Core Organization Profile)
\".\"\".\"\".\"\".\"\".\" onBehalfOf SI0..1Reference(US Core Organization Profile)provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
\".\"\".\"\".\"\".\" agent:ProvenanceAuthor S0..*BackboneElement
\".\"\".\"\".\"\".\"\".\" type S1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: author
\".\"\".\"\".\"\".\" agent:ProvenanceTransmitter S0..1BackboneElement
\".\"\".\"\".\"\".\"\".\" type S1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: transmitter

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance","version":"3.1.0","name":"USCoreProvenance","title":"US Core Provenance Profile","status":"active","date":"2019-08-05T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Draft set of requirements to satisfy Basic Provenance Requirements.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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":"w3c.prov","uri":"http://www.w3.org/ns/prov","name":"W3C PROV"},{"identity":"w5","uri":"http://hl7.org/fhir/fivews","name":"FiveWs Pattern Mapping"},{"identity":"fhirauditevent","uri":"http://hl7.org/fhir/auditevent","name":"FHIR AuditEvent Mapping"}],"kind":"resource","abstract":false,"type":"Provenance","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Provenance","derivation":"constraint","snapshot":{"element":[{"id":"Provenance","path":"Provenance","short":"US Core Provenance","definition":"The US Core Provenance Profile is based upon the Argonaut Data Query requirements.","comment":"Some parties may be duplicated between the target resource and its provenance. For instance, the prescriber is usually (but not always) the author of the prescription resource. This resource is defined with close consideration for W3C Provenance.","alias":["History","Event","Activity","Basic Provenance"],"min":0,"max":"*","base":{"path":"Provenance","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"}],"mustSupport":false,"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"workflow","map":"Event"},{"identity":"rim","map":"ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]"},{"identity":"w3c.prov","map":"Activity"}]},{"id":"Provenance.id","path":"Provenance.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":"string"}],"code":"http://hl7.org/fhirpath/System.String"}],"isModifier":false,"isSummary":true},{"id":"Provenance.meta","path":"Provenance.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":"Provenance.implicitRules","path":"Provenance.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":"Provenance.language","path":"Provenance.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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"id":"Provenance.text","path":"Provenance.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":"Provenance.contained","path":"Provenance.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":"Provenance.extension","path":"Provenance.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":"Provenance.modifierExtension","path":"Provenance.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":"Provenance.target","path":"Provenance.target","short":"The Resource this Provenance record supports","definition":"The Reference(s) that were generated or updated by the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.","comment":"Target references are usually version specific, but might not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource might not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion.","min":1,"max":"*","base":{"path":"Provenance.target","min":1,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"w5","map":"FiveWs.what[x]"},{"identity":"rim","map":"./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target OR ./participation[isNormalParticipation() and typeCode=SBJ]/role OR ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player"},{"identity":"fhirauditevent","map":"AuditEvent.entity.reference"},{"identity":"w3c.prov","map":"Entity Created/Updated"}]},{"id":"Provenance.occurred[x]","path":"Provenance.occurred[x]","short":"When the activity occurred","definition":"The period during which the activity occurred.","comment":"The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","min":0,"max":"1","base":{"path":"Provenance.occurred[x]","min":0,"max":"1"},"type":[{"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":false,"mapping":[{"identity":"workflow","map":"Event.occurred[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"rim","map":"./effectiveTime[type=IVL_TS]"},{"identity":"w3c.prov","map":"Activity.startTime & Activity.endTime"}]},{"id":"Provenance.recorded","path":"Provenance.recorded","short":"Timestamp when the activity was recorded / updated","definition":"The instant of time at which the activity was recorded.","comment":"This can be a little different from the time stamp on the resource if there is a delay between recording the event and updating the provenance and target resource.","min":1,"max":"1","base":{"path":"Provenance.recorded","min":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":"unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])"},{"identity":"fhirauditevent","map":"AuditEvent.recorded"},{"identity":"w3c.prov","map":"Activity.when"}]},{"id":"Provenance.policy","path":"Provenance.policy","short":"Policy or plan the activity was defined by","definition":"Policy or plan the activity was defined by. Typically, a single activity may have multiple applicable policy documents, such as patient consent, guarantor funding, etc.","comment":"For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","min":0,"max":"*","base":{"path":"Provenance.policy","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":"rim","map":"./inboundRelationship[isNormalActRelationship() and typeCode=\"SUBJ\"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel"},{"identity":"fhirauditevent","map":"AuditEvent.agent.policy"}]},{"id":"Provenance.location","path":"Provenance.location","short":"Where the activity occurred, if relevant","definition":"Where the activity occurred, if relevant.","min":0,"max":"1","base":{"path":"Provenance.location","min":0,"max":"1"},"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":false,"mapping":[{"identity":"workflow","map":"Event.location"},{"identity":"w5","map":"FiveWs.where[x]"},{"identity":"rim","map":"unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode=\"LOC\" and determinerCode=\"INST\"]"},{"identity":"fhirauditevent","map":"AuditEvent.agent.location"},{"identity":"w3c.prov","map":"Activity.location"}]},{"id":"Provenance.reason","path":"Provenance.reason","short":"Reason the activity is occurring","definition":"The reason that the activity was taking place.","min":0,"max":"*","base":{"path":"Provenance.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":"ProvenanceReason"}],"strength":"extensible","description":"The reason the activity took place.","valueSet":"http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"},"mapping":[{"identity":"workflow","map":"Event.reasonCode"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":"unique(./reasonCode)"},{"identity":"fhirauditevent","map":"AuditEvent.purposeOfEvent"},{"identity":"w3c.prov","map":"Activity.Activity"}]},{"id":"Provenance.activity","path":"Provenance.activity","short":"Activity that occurred","definition":"An activity is something that occurs over a period of time and acts upon or with entities; it may include consuming, processing, transforming, modifying, relocating, using, or generating entities.","min":0,"max":"1","base":{"path":"Provenance.activity","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":"ProvenanceActivity"}],"strength":"extensible","description":"The activity that took place.","valueSet":"http://hl7.org/fhir/ValueSet/provenance-activity-type"},"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":"Act.code"},{"identity":"w3c.prov","map":"Activity.Activity"}]},{"id":"Provenance.agent","path":"Provenance.agent","slicing":{"discriminator":[{"type":"pattern","path":"type"}],"rules":"open"},"short":"Actor involved","definition":"An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.","comment":"Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.","requirements":"An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.","min":1,"max":"*","base":{"path":"Provenance.agent","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"}],"mustSupport":true,"isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"w5","map":"FiveWs.who"},{"identity":"rim","map":"./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']"},{"identity":"fhirauditevent","map":"AuditEvent.agent"},{"identity":"w3c.prov","map":"Agent"}]},{"id":"Provenance.agent.id","path":"Provenance.agent.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":"Provenance.agent.extension","path":"Provenance.agent.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":"Provenance.agent.modifierExtension","path":"Provenance.agent.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":"Provenance.agent.type","path":"Provenance.agent.type","short":"How the agent participated","definition":"The participation the agent had with respect to the activity.","comment":"For example: author, performer, enterer, attester, etc.","min":0,"max":"1","base":{"path":"Provenance.agent.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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type"},"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"rim","map":".role"},{"identity":"fhirauditevent","map":"AuditEvent.agent.type"},{"identity":"w3c.prov","map":"Agent.Attribution"}]},{"id":"Provenance.agent.role","path":"Provenance.agent.role","short":"What the agents role was","definition":"The function of the agent with respect to the activity. 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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":"Provenance.entity.extension","path":"Provenance.entity.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":"Provenance.entity.modifierExtension","path":"Provenance.entity.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":"Provenance.entity.role","path":"Provenance.entity.role","short":"derivation | revision | quotation | source | removal","definition":"How the entity was used during the activity.","min":1,"max":"1","base":{"path":"Provenance.entity.role","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":"ProvenanceEntityRole"}],"strength":"required","description":"How an entity was used in an activity.","valueSet":"http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1"},"mapping":[{"identity":"rim","map":"./typeCode"},{"identity":"fhirauditevent","map":"AuditEvent.entity.lifecycle"},{"identity":"w3c.prov","map":"Entity.role"}]},{"id":"Provenance.entity.what","path":"Provenance.entity.what","short":"Identity of entity","definition":"Identity of the Entity used. May be a logical or physical uri and maybe absolute or relative.","comment":"whatIdentity should be used for entities that are not a Resource type.","min":1,"max":"1","base":{"path":"Provenance.entity.what","min":1,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/reference"},{"identity":"fhirauditevent","map":"AuditEvent.entity.reference"},{"identity":"w3c.prov","map":"Entity.Identity"}]},{"id":"Provenance.entity.agent","path":"Provenance.entity.agent","short":"Entity is attributed to this agent","definition":"The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which generated the entity.","comment":"A usecase where one Provenance.entity.agent is used where the Entity that was used in the creation/updating of the Target, is not in the context of the same custodianship as the Target, and thus the meaning of Provenance.entity.agent is to say that the entity referenced is managed elsewhere and that this Agent provided access to it. This would be similar to where the Entity being referenced is managed outside FHIR, such as through HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another FHIR resource server. Thus it explains the Provenance of that Entity's use in the context of this Provenance activity.","min":0,"max":"*","base":{"path":"Provenance.entity.agent","min":0,"max":"*"},"contentReference":"#Provenance.agent:ProvenanceTransmitter","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"./author/role"}]},{"id":"Provenance.signature","path":"Provenance.signature","short":"Signature on target","definition":"A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated.","min":0,"max":"*","base":{"path":"Provenance.signature","min":0,"max":"*"},"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":false,"mapping":[{"identity":"rim","map":"./signatureText"}]}]},"differential":{"element":[{"id":"Provenance","path":"Provenance","short":"US Core Provenance","definition":"The US Core Provenance Profile is based upon the Argonaut Data Query requirements.","alias":["Basic Provenance"],"mustSupport":false,"isModifier":false},{"id":"Provenance.target","path":"Provenance.target","short":"The Resource this Provenance record supports","min":1,"max":"*","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"mustSupport":true,"isModifier":false},{"id":"Provenance.recorded","path":"Provenance.recorded","short":"Timestamp when the activity was recorded / updated","definition":"The instant of time at which the activity was recorded.","min":1,"max":"1","type":[{"code":"instant"}],"mustSupport":true,"isModifier":false},{"id":"Provenance.agent","path":"Provenance.agent","slicing":{"discriminator":[{"type":"pattern","path":"type"}],"rules":"open"},"min":1,"max":"*","mustSupport":true,"isModifier":false},{"id":"Provenance.agent.type","path":"Provenance.agent.type","min":0,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"isModifier":false,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type"}},{"id":"Provenance.agent.who","path":"Provenance.agent.who","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"mustSupport":true,"isModifier":false},{"id":"Provenance.agent.onBehalfOf","path":"Provenance.agent.onBehalfOf","min":0,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"]}],"constraint":[{"key":"provenance-1","severity":"error","human":"onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device","expression":"($this.agent.who.resolve().is Practitioner or Device) implies exists()"}],"mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceAuthor","path":"Provenance.agent","sliceName":"ProvenanceAuthor","min":0,"max":"*","mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceAuthor.type","path":"Provenance.agent.type","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author"}]},"mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceTransmitter","path":"Provenance.agent","sliceName":"ProvenanceTransmitter","definition":"The entity that provided the copy to your system.","min":0,"max":"1","mustSupport":true,"isModifier":false},{"id":"Provenance.agent:ProvenanceTransmitter.type","path":"Provenance.agent.type","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type","code":"transmitter"}]},"mustSupport":true,"isModifier":false}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-pulse-oximetry.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-pulse-oximetry.json new file mode 100644 index 00000000000..0d11c7fd32c --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-pulse-oximetry.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-pulse-oximetry","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation 0..*observation-oxygensat
\".\"\".\"\".\" code S1..1CodeableConceptOxygen Saturation by Pulse Oximetry
\".\"\".\"\".\"\".\" coding S0..*(Slice Definition)Slice: Unordered, Open by value:code, value:system
\".\"\".\"\".\"\".\"\".\" coding:PulseOx S1..1Coding
\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriFixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeFixed Value: 59408-5
\".\"\".\"\".\" component S0..*(Slice Definition)Slice: Unordered, Open by pattern:code
\".\"\".\"\".\"\".\" component:FlowRate S0..1BackboneElementInhaled oxygen flow rate
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 3151-8
\".\"\".\"\".\"\".\"\".\" valueQuantity S0..1Quantity
\".\"\".\"\".\"\".\"\".\"\".\" value S0..1decimal
\".\"\".\"\".\"\".\"\".\"\".\" unit S0..1string
\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriFixed Value: http://unitsofmeasure.org
\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeFixed Value: l/min
\".\"\".\"\".\"\".\" component:Concentration S0..1BackboneElementInhaled oxygen concentration
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptRequired Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 3150-0
\".\"\".\"\".\"\".\"\".\" valueQuantity S0..1Quantity
\".\"\".\"\".\"\".\"\".\"\".\" value S0..1decimal
\".\"\".\"\".\"\".\"\".\"\".\" unit S0..1string
\".\"\".\"\".\"\".\"\".\"\".\" system S1..1uriFixed Value: http://unitsofmeasure.org
\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeFixed Value: %

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry","version":"3.1.0","name":"USCorePulseOximetryProfile","title":"US Core Pulse Oximetry Profile","status":"active","experimental":false,"date":"2019-08-20T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for use in querying and retrieving inspired O2 by pulse oximetry observations.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"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/oxygensat","derivation":"constraint","snapshot":{"element":[{"id":"Observation","path":"Observation","short":"FHIR Oxygen Saturation Profile","definition":"This profile defines how to represent pulse oximetry and inspired oxygen concentration based on the FHIR Core Vitals Profile.\nINSPIRED OXYGEN CONCENTRATION observations in FHIR using a standard LOINC code and UCUM units of measure.","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"},{"key":"vs-2","severity":"error","human":"If there is no component or hasMember element then either a value[x] or a data absent reason must be present.","expression":"(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())","xpath":"f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"http://hl7.org/fhir/StructureDefinition/vitalsigns"}],"mustSupport":false,"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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/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","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/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","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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":"Status"}],"strength":"required","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"},"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"},"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":"Oxygen Saturation by Pulse Oximetry","definition":"Oxygen Saturation.","comment":"The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood -).","requirements":"5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301).","alias":["Name","Test"],"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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.code.id","path":"Observation.code.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.code.extension","path":"Observation.code.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.code.coding","path":"Observation.code.coding","slicing":{"discriminator":[{"type":"value","path":"code"},{"type":"value","path":"system"}],"ordered":false,"rules":"open"},"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"}],"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.code.coding:OxygenSatCode","path":"Observation.code.coding","sliceName":"OxygenSatCode","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":"1","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":"Observation.code.coding:OxygenSatCode.id","path":"Observation.code.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.code.coding:OxygenSatCode.extension","path":"Observation.code.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.code.coding:OxygenSatCode.system","path":"Observation.code.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://loinc.org","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"Observation.code.coding:OxygenSatCode.version","path":"Observation.code.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.code.coding:OxygenSatCode.code","path":"Observation.code.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":"2708-6","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":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.code.coding:OxygenSatCode.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.code.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.code.coding:OxygenSatCode.userSelected","path":"Observation.code.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.code.coding:PulseOx","path":"Observation.code.coding","sliceName":"PulseOx","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":"1","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.code.coding:PulseOx.id","path":"Observation.code.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.code.coding:PulseOx.extension","path":"Observation.code.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.code.coding:PulseOx.system","path":"Observation.code.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://loinc.org","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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.code.coding:PulseOx.version","path":"Observation.code.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.code.coding:PulseOx.code","path":"Observation.code.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":"59408-5","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"}],"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.code.coding:PulseOx.display","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.code.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.code.coding:PulseOx.userSelected","path":"Observation.code.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.code.text","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.code.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.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":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"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/extension-observation-focuscode.html).","min":0,"max":"*","base":{"path":"Observation.focus","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":"Often just a dateTime for Vital Signs","definition":"Often just a dateTime for Vital Signs.","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/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":1,"max":"1","base":{"path":"Observation.effective[x]","min":0,"max":"1"},"type":[{"code":"dateTime"},{"code":"Period"}],"condition":["vs-1"],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"hasValue() or (children().count() > id.count())","xpath":"@value|f:*|h:div","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"key":"vs-1","severity":"error","human":"if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day","expression":"($this as dateTime).toString().length() >= 8","xpath":"f:effectiveDateTime[matches(@value, '^\\d{4}-\\d{2}-\\d{2}')]"}],"mustSupport":true,"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/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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","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":"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":"closed"},"short":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7","vs-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"}],"mustSupport":true,"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":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","definition":"Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["obs-7","vs-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"}],"mustSupport":true,"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.id","path":"Observation.value[x].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.value[x]:valueQuantity.extension","path":"Observation.value[x].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.value[x]:valueQuantity.value","path":"Observation.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":1,"max":"1","base":{"path":"Quantity.value","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2 / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.value[x]:valueQuantity.comparator","path":"Observation.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have 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 the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"},"mapping":[{"identity":"v2","map":"SN.1 / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.value[x]:valueQuantity.unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":1,"max":"1","base":{"path":"Quantity.unit","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.value[x]:valueQuantity.system","path":"Observation.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.value[x]:valueQuantity.code","path":"Observation.value[x].code","short":"Coded responses from the common UCUM units for vital signs value set.","definition":"Coded responses from the common UCUM units for vital signs value set.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"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","vs-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"}],"mustSupport":true,"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"},"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"},"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/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"},"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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))"}],"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/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"]}],"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"]}],"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"},"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"},"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":"Used when reporting vital signs panel components","definition":"Used when reporting vital signs panel components.","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/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](http://hl7.org/fhir/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/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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/observation.html#obsgrouping) below.","min":0,"max":"*","base":{"path":"Observation.derivedFrom","min":0,"max":"*"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DocumentReference","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence","http://hl7.org/fhir/StructureDefinition/vitalsigns"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","slicing":{"discriminator":[{"type":"pattern","path":"code"}],"rules":"open"},"short":"Used when reporting systolic and diastolic blood pressure.","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/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"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"http://hl7.org/fhir/StructureDefinition/oxygensat"}],"mustSupport":true,"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/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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","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"}],"condition":["vs-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1"},"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","vs-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"}],"mustSupport":true,"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"},"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"},"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":"#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]"}]},{"id":"Observation.component:FlowRate","path":"Observation.component","sliceName":"FlowRate","short":"Inhaled oxygen flow rate","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/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":"1","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"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"http://hl7.org/fhir/StructureDefinition/oxygensat"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component:FlowRate.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:FlowRate.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:FlowRate.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/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:FlowRate.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"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3151-8"}]},"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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:FlowRate.value[x]","path":"Observation.component.value[x]","short":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["vs-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1"},"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:FlowRate.value[x].id","path":"Observation.component.value[x].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:FlowRate.value[x].extension","path":"Observation.component.value[x].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.component:FlowRate.value[x].value","path":"Observation.component.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":0,"max":"1","base":{"path":"Quantity.value","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2 / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.component:FlowRate.value[x].comparator","path":"Observation.component.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have 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 the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"},"mapping":[{"identity":"v2","map":"SN.1 / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.component:FlowRate.value[x].unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.component.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":0,"max":"1","base":{"path":"Quantity.unit","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.component:FlowRate.value[x].system","path":"Observation.component.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.component:FlowRate.value[x].code","path":"Observation.component.value[x].code","short":"Coded form of the unit","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"l/min","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"id":"Observation.component:FlowRate.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","vs-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"}],"mustSupport":true,"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"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component:FlowRate.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"},"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:FlowRate.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":"#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]"}]},{"id":"Observation.component:Concentration","path":"Observation.component","sliceName":"Concentration","short":"Inhaled oxygen concentration","definition":"Used when reporting systolic and diastolic blood pressure.","comment":"For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/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":"1","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"},{"key":"vs-3","severity":"error","human":"If there is no a value a data absent reason must be present","expression":"value.exists() or dataAbsentReason.exists()","xpath":"f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason","source":"http://hl7.org/fhir/StructureDefinition/oxygensat"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"containment by OBX-4?"},{"identity":"rim","map":"outBoundRelationship[typeCode=COMP]"}]},{"id":"Observation.component:Concentration.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:Concentration.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:Concentration.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/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:Concentration.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"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3150-0"}]},"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSigns"}],"strength":"extensible","description":"This identifies the vital sign result type.","valueSet":"http://hl7.org/fhir/ValueSet/observation-vitalsignresult"},"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:Concentration.value[x]","path":"Observation.component.value[x]","short":"Vital Sign Value recorded with UCUM","definition":"Vital Sign Value recorded with UCUM.","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/observation.html#notes) below.","requirements":"9. SHALL contain exactly one [1..1] value with @xsi:type=\"PQ\" (CONF:7305).","min":0,"max":"1","base":{"path":"Observation.component.value[x]","min":0,"max":"1"},"type":[{"code":"Quantity"}],"condition":["vs-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"VitalSignsUnits"}],"strength":"required","description":"Common UCUM units for recording Vital Signs.","valueSet":"http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1"},"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:Concentration.value[x].id","path":"Observation.component.value[x].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:Concentration.value[x].extension","path":"Observation.component.value[x].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.component:Concentration.value[x].value","path":"Observation.component.value[x].value","short":"Numerical value (with implicit precision)","definition":"The value of the measured amount. The value includes an implicit precision in the presentation of the value.","comment":"The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).","requirements":"Precision is handled implicitly in almost all cases of measurement.","min":0,"max":"1","base":{"path":"Quantity.value","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"SN.2 / CQ - N/A"},{"identity":"rim","map":"PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"}]},{"id":"Observation.component:Concentration.value[x].comparator","path":"Observation.component.value[x].comparator","short":"< | <= | >= | > - how to understand the value","definition":"How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.","requirements":"Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.","min":0,"max":"1","base":{"path":"Quantity.comparator","min":0,"max":"1"},"type":[{"code":"code"}],"meaningWhenMissing":"If there is no comparator, then there is no modification of the value","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have 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 the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value","isSummary":true,"binding":{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"QuantityComparator"}],"strength":"required","description":"How the Quantity should be understood and represented.","valueSet":"http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"},"mapping":[{"identity":"v2","map":"SN.1 / CQ.1"},{"identity":"rim","map":"IVL properties"}]},{"id":"Observation.component:Concentration.value[x].unit","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"path":"Observation.component.value[x].unit","short":"Unit representation","definition":"A human-readable form of the unit.","requirements":"There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.","min":0,"max":"1","base":{"path":"Quantity.unit","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.unit"}]},{"id":"Observation.component:Concentration.value[x].system","path":"Observation.component.value[x].system","short":"System that defines coded unit form","definition":"The identification of the system that provides the coded form of the unit.","requirements":"Need to know the system that defines the coded form of the unit.","min":1,"max":"1","base":{"path":"Quantity.system","min":0,"max":"1"},"type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","condition":["qty-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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"CO.codeSystem, PQ.translation.codeSystem"}]},{"id":"Observation.component:Concentration.value[x].code","path":"Observation.component.value[x].code","short":"Coded form of the unit","definition":"A computer processable form of the unit in some unit representation system.","comment":"The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.","requirements":"Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.","min":1,"max":"1","base":{"path":"Quantity.code","min":0,"max":"1"},"type":[{"code":"code"}],"fixedCode":"%","constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must 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":"(see OBX.6 etc.) / CQ.2"},{"identity":"rim","map":"PQ.code, MO.currency, PQ.translation.code"}]},{"id":"Observation.component:Concentration.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","vs-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"}],"mustSupport":true,"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"},"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":"value.nullFlavor"}]},{"id":"Observation.component:Concentration.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"},"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:Concentration.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":"#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","definition":"This profile defines how to represent pulse oximetry and inspired oxygen concentration based on the FHIR Core Vitals Profile.\nINSPIRED OXYGEN CONCENTRATION observations in FHIR using a standard LOINC code and UCUM units of measure.","mustSupport":false},{"id":"Observation.code","path":"Observation.code","short":"Oxygen Saturation by Pulse Oximetry","comment":"The code (59408-5 Oxygen saturation in Arterial blood by Pulse oximetry) is included as an additional observation code to FHIR Core vital Oxygen Saturation code (2708-6 Oxygen saturation in Arterial blood -).","mustSupport":true},{"id":"Observation.code.coding","path":"Observation.code.coding","slicing":{"discriminator":[{"type":"value","path":"code"},{"type":"value","path":"system"}],"rules":"open"},"mustSupport":true},{"id":"Observation.code.coding:PulseOx","path":"Observation.code.coding","sliceName":"PulseOx","min":1,"max":"1","mustSupport":true},{"id":"Observation.code.coding:PulseOx.system","path":"Observation.code.coding.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://loinc.org","mustSupport":true},{"id":"Observation.code.coding:PulseOx.code","path":"Observation.code.coding.code","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"59408-5","mustSupport":true},{"id":"Observation.component","path":"Observation.component","slicing":{"discriminator":[{"type":"pattern","path":"code"}],"rules":"open"},"mustSupport":true},{"id":"Observation.component:FlowRate","path":"Observation.component","sliceName":"FlowRate","short":"Inhaled oxygen flow rate","min":0,"max":"1","mustSupport":true},{"id":"Observation.component:FlowRate.code","path":"Observation.component.code","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3151-8"}]},"mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity","path":"Observation.component.valueQuantity","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.value","path":"Observation.component.valueQuantity.value","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.unit","path":"Observation.component.valueQuantity.unit","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.system","path":"Observation.component.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.component:FlowRate.valueQuantity.code","path":"Observation.component.valueQuantity.code","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"l/min","mustSupport":true},{"id":"Observation.component:Concentration","path":"Observation.component","sliceName":"Concentration","short":"Inhaled oxygen concentration","min":0,"max":"1","mustSupport":true},{"id":"Observation.component:Concentration.code","path":"Observation.component.code","type":[{"code":"CodeableConcept"}],"patternCodeableConcept":{"coding":[{"system":"http://loinc.org","code":"3150-0"}]},"mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity","path":"Observation.component.valueQuantity","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.value","path":"Observation.component.valueQuantity.value","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.unit","path":"Observation.component.valueQuantity.unit","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.system","path":"Observation.component.valueQuantity.system","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"http://unitsofmeasure.org","mustSupport":true},{"id":"Observation.component:Concentration.valueQuantity.code","path":"Observation.component.valueQuantity.code","min":1,"max":"1","type":[{"code":"code"}],"fixedCode":"%","mustSupport":true}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-race.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-race.json new file mode 100644 index 00000000000..447a5b409b4 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-race.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-race","text":{"status":"generated","div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..1ExtensionUS Core Race Extension
\".\"\".\"\".\" extension:ombCategory S0..5ExtensionAmerican Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White
\".\"\".\"\".\"\".\" url 1..1uri"ombCategory"
\".\"\".\"\".\"\".\" valueCoding 1..1CodingBinding: OMB Race Categories (required)
\".\"\".\"\".\" extension:detailed 0..*ExtensionExtended race codes
\".\"\".\"\".\"\".\" url 1..1uri"detailed"
\".\"\".\"\".\"\".\" valueCoding 1..1CodingBinding: Detailed Race (required)
\".\"\".\"\".\" extension:text S1..1ExtensionRace Text
\".\"\".\"\".\"\".\" url 1..1uri"text"
\".\"\".\"\".\"\".\" valueString 1..1string
\".\"\".\"\".\" url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
\".\"\".\"\".\" value[x] 0..0

\"doco\" Documentation for this format
"},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race","version":"3.1.0","name":"USCoreRaceExtension","title":"US Core Race Extension","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Complies with 2015 Edition Common Clinical Data Set for patient race.","fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"Patient"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"element":[{"id":"Extension","path":"Extension","short":"US Core Race Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.","min":0,"max":"1","base":{"path":"Extension","min":0,"max":"*"},"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":"Extension.id","path":"Extension.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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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"}],"isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension.extension:text.extension.value[x]","path":"Extension.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/R4/extensibility.html) for a list).","min":0,"max":"1","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":"Contributor"},{"code":"DataRequirement"},{"code":"Expression"},{"code":"ParameterDefinition"},{"code":"RelatedArtifact"},{"code":"TriggerDefinition"},{"code":"UsageContext"},{"code":"Dosage"},{"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":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension.extension:text.url","path":"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":"text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension.extension:text.value[x]","path":"Extension.extension.value[x]","slicing":{"discriminator":[{"type":"type","path":"$this"}],"ordered":false,"rules":"closed"},"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":"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":"Extension.extension:text.value[x]:valueString","path":"Extension.extension.value[x]","sliceName":"valueString","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":"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":"Extension.url","path":"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/us/core/StructureDefinition/us-core-race","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}]},{"id":"Extension.value[x]","path":"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":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":"Contributor"},{"code":"DataRequirement"},{"code":"Expression"},{"code":"ParameterDefinition"},{"code":"RelatedArtifact"},{"code":"TriggerDefinition"},{"code":"UsageContext"},{"code":"Dosage"},{"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":false,"mapping":[{"identity":"rim","map":"N/A"}]}]},"differential":{"element":[{"id":"Extension","path":"Extension","short":"US Core Race Extension","definition":"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.","min":0,"max":"1"},{"id":"Extension.extension:ombCategory","path":"Extension.extension","sliceName":"ombCategory","short":"American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White","definition":"The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","min":0,"max":"5","type":[{"code":"Extension"}],"mustSupport":true,"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/raceCode"}]},{"id":"Extension.extension:ombCategory.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"ombCategory"},{"id":"Extension.extension:ombCategory.valueCoding","path":"Extension.extension.valueCoding","min":1,"max":"1","type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","valueSet":"http://hl7.org/fhir/us/core/ValueSet/omb-race-category"}},{"id":"Extension.extension:detailed","path":"Extension.extension","sliceName":"detailed","short":"Extended race codes","definition":"The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.","min":0,"max":"*","type":[{"code":"Extension"}],"mapping":[{"identity":"iso11179","map":"/ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode"}]},{"id":"Extension.extension:detailed.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"detailed"},{"id":"Extension.extension:detailed.valueCoding","path":"Extension.extension.valueCoding","min":1,"max":"1","type":[{"code":"Coding"}],"binding":{"strength":"required","description":"The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.","valueSet":"http://hl7.org/fhir/us/core/ValueSet/detailed-race"}},{"id":"Extension.extension:text","path":"Extension.extension","sliceName":"text","short":"Race Text","definition":"Plain text representation of the race concept(s).","min":1,"max":"1","type":[{"code":"Extension"}],"mustSupport":true},{"id":"Extension.extension:text.url","path":"Extension.extension.url","min":1,"max":"1","type":[{"code":"uri"}],"fixedUri":"text"},{"id":"Extension.extension:text.valueString","path":"Extension.extension.valueString","min":1,"max":"1","type":[{"code":"string"}]},{"id":"Extension.url","path":"Extension.url","min":1,"max":"1","fixedUri":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"},{"id":"Extension.value[x]","path":"Extension.value[x]","min":0,"max":"0"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-smokingstatus.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-smokingstatus.json new file mode 100644 index 00000000000..c15126a22df --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/structuredefinition/StructureDefinition-us-core-smokingstatus.json @@ -0,0 +1 @@ +{"resourceType":"StructureDefinition","id":"us-core-smokingstatus","text":{"status":"generated","div":""},"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus","version":"3.1.0","name":"USCoreSmokingStatusProfile","title":"US Core Smoking Status Observation Profile","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.healthit.gov"}]}],"description":"Defines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve patient's Smoking Status information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"argonaut-dq-dstu2","uri":"http://unknown.org/Argonaut-DQ-DSTU2","name":"Argonaut-DQ-DSTU2"},{"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":{"element":[{"id":"Observation","path":"Observation","short":"Measurements and simple assertions","definition":"The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.","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","Obs"],"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"}],"mustSupport":false,"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]"},{"identity":"argonaut-dq-dstu2","map":"Observation"}]},{"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":"string"}],"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"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","description":"A human language.","valueSet":"http://hl7.org/fhir/ValueSet/languages"}},{"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","http://hl7.org/fhir/StructureDefinition/DeviceRequest","http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/NutritionOrder","http://hl7.org/fhir/StructureDefinition/ServiceRequest"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationStatement","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/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"}],"mustSupport":true,"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":{"strength":"required","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smoking-status-status"},"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\""},{"identity":"argonaut-dq-dstu2","map":"Observation.status"}]},{"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"},"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":"Smoking Status","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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-smoking-status-observation-codes"},"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|"},{"identity":"argonaut-dq-dstu2","map":"Observation.code"}]},{"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":1,"max":"1","base":{"path":"Observation.subject","min":0,"max":"1"},"type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Observation.subject"}]},{"id":"Observation.focus","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"}],"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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":1,"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"}],"mustSupport":true,"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"},{"identity":"argonaut-dq-dstu2","map":"Observation.issued"}]},{"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","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","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":"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":"closed"},"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":1,"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,"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":"Coded Responses from Smoking Status Value Set","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":1,"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"}],"mustSupport":true,"isModifier":false,"isSummary":true,"binding":{"strength":"extensible","description":"This value set indicates the current smoking status of a patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smokingstatus"},"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|"},{"identity":"argonaut-dq-dstu2","map":"Observation.valueCodeableConcept"}]},{"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"},"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"},"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"},"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"},"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"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/DeviceMetric"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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))"}],"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"]}],"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"]}],"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"},"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"},"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","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/MolecularSequence"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Media","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/MolecularSequence"]}],"constraint":[{"key":"ele-1","severity":"error","human":"All FHIR elements must have a @value or children","expression":"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"},"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"},"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"},"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":"#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","definition":"The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.","alias":["Obs"],"mustSupport":false,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation"}]},{"id":"Observation.status","path":"Observation.status","min":1,"max":"1","mustSupport":true,"binding":{"strength":"required","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smoking-status-status"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.status"}]},{"id":"Observation.code","path":"Observation.code","short":"Smoking Status","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-smoking-status-observation-codes"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.code"}]},{"id":"Observation.subject","path":"Observation.subject","min":1,"max":"1","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]}],"mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.subject"}]},{"id":"Observation.issued","path":"Observation.issued","min":1,"max":"1","mustSupport":true,"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.issued"}]},{"id":"Observation.valueCodeableConcept","path":"Observation.valueCodeableConcept","short":"Coded Responses from Smoking Status Value Set","min":1,"max":"1","type":[{"code":"CodeableConcept"}],"mustSupport":true,"binding":{"strength":"extensible","description":"This value set indicates the current smoking status of a patient","valueSet":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smokingstatus"},"mapping":[{"identity":"argonaut-dq-dstu2","map":"Observation.valueCodeableConcept"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-birthsex.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-birthsex.json new file mode 100644 index 00000000000..53861876f6a --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-birthsex.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"birthsex","text":{"status":"generated","div":"

Birth Sex

This value set includes codes from the following code systems:

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender
    CodeDisplay
    FFemaleFemale
    MMaleMale
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplay
    UNKUnknownDescription:A proper value is applicable, but not known.
    \n \n Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
    \n \n Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')\n Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
"},"url":"http://hl7.org/fhir/us/core/ValueSet/birthsex","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1021.24"}],"version":"3.1.0","name":"BirthSex","title":"Birth Sex","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Codes for assigning sex at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender","concept":[{"code":"F","display":"Female"},{"code":"M","display":"Male"}]},{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","concept":[{"code":"UNK","display":"Unknown"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-ethnicity.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-ethnicity.json new file mode 100644 index 00000000000..788e7cf0081 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-ethnicity.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"detailed-ethnicity","text":{"status":"generated","div":"

Detailed ethnicity

The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity","version":"3.1.0","name":"DetailedEthnicity","title":"Detailed ethnicity","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The 41 [CDC ethnicity codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 2 OMB ethnicity category codes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","filter":[{"property":"concept","op":"is-a","value":"2133-7"}]}],"exclude":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"2135-2"},{"code":"2186-5"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-race.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-race.json new file mode 100644 index 00000000000..0682f4b95dd --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-detailed-race.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"detailed-race","text":{"status":"generated","div":"

Detailed Race

The 900+ CDC Race codes that are grouped under one of the 5 OMB race category codes.

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/detailed-race","version":"3.1.0","name":"DetailedRace","title":"Detailed Race","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The 900+ [CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","filter":[{"property":"concept","op":"is-a","value":"1000-9"}]}],"exclude":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"1002-5"},{"code":"2028-9"},{"code":"2054-5"},{"code":"2076-8"},{"code":"2106-3"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-ethnicity-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-ethnicity-category.json new file mode 100644 index 00000000000..e9b1c841866 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-ethnicity-category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"omb-ethnicity-category","text":{"status":"generated","div":"

OMB Ethnicity Categories

The codes for the ethnicity categories - 'Hispanic or Latino' and 'Non Hispanic or Latino' - as defined by the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.

\n

This value set includes codes from the following code systems:

  • Include these codes as defined in urn:oid:2.16.840.1.113883.6.238
    CodeDisplay
    2135-2Hispanic or LatinoHispanic or Latino
    2186-5Non Hispanic or LatinoNote that this term remains in the table for completeness, even though within HL7, the notion of "not otherwise coded" term is deprecated.
"},"url":"http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category","version":"3.1.0","name":"OmbEthnicityCategories","title":"OMB Ethnicity Categories","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The codes for the ethnicity categories - 'Hispanic or Latino' and 'Non Hispanic or Latino' - as defined by the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"2135-2","display":"Hispanic or Latino"},{"code":"2186-5","display":"Non Hispanic or Latino"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-race-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-race-category.json new file mode 100644 index 00000000000..a46efb6eba9 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-omb-race-category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"omb-race-category","text":{"status":"generated","div":"

OMB Race Categories

The codes for the concepts 'Unknown' and 'Asked but no answer' and the the codes for the five race categories - 'American Indian' or 'Alaska Native', 'Asian', 'Black or African American', 'Native Hawaiian or Other Pacific Islander', and 'White' - as defined by the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997 .

\n

This value set includes codes from the following code systems:

  • Include these codes as defined in urn:oid:2.16.840.1.113883.6.238
    CodeDisplay
    1002-5American Indian or Alaska NativeAmerican Indian or Alaska Native
    2028-9AsianAsian
    2054-5Black or African AmericanBlack or African American
    2076-8Native Hawaiian or Other Pacific IslanderNative Hawaiian or Other Pacific Islander
    2106-3WhiteWhite
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplay
    UNKUnknownDescription:A proper value is applicable, but not known.
    \n \n Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
    \n \n Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')\n Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
    ASKUAsked but no answerInformation was sought but not found (e.g., patient was asked but didn't know)
"},"url":"http://hl7.org/fhir/us/core/ValueSet/omb-race-category","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.575"}],"version":"3.1.0","name":"OmbRaceCategories","title":"OMB Race Categories","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]},{"telecom":[{"system":"other","value":"http://wiki.siframework.org/Data+Access+Framework+Homepage"}]}],"description":"The codes for the concepts 'Unknown' and 'Asked but no answer' and the the codes for the five race categories - 'American Indian' or 'Alaska Native', 'Asian', 'Black or African American', 'Native Hawaiian or Other Pacific Islander', and 'White' - as defined by the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards) .","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:oid:2.16.840.1.113883.6.238","concept":[{"code":"1002-5","display":"American Indian or Alaska Native"},{"code":"2028-9","display":"Asian"},{"code":"2054-5","display":"Black or African American"},{"code":"2076-8","display":"Native Hawaiian or Other Pacific Islander"},{"code":"2106-3","display":"White"}]},{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","concept":[{"code":"UNK","display":"Unknown"},{"code":"ASKU","display":"Asked but no answer"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-simple-language.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-simple-language.json new file mode 100644 index 00000000000..8e727671453 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-simple-language.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"simple-language","text":{"status":"generated","div":"

Language codes with language and optionally a region modifier

This value set includes codes from BCP-47. This value set matches the ONC 2015 Edition LanguageCommunication data element value set within C-CDA to use a 2 character language code if one exists, and a 3 character code if a 2 character code does not exist. It points back to RFC 5646, however only the language codes are required, all other elements are optional.

\n

This value set includes codes from the following code systems:

  • Include codes from urn:ietf:bcp:47 where ext-lang doesn't exist, script doesn't exist, variant doesn't exist, extension doesn't exist and private-use doesn't exist
"},"url":"http://hl7.org/fhir/us/core/ValueSet/simple-language","version":"3.1.0","name":"LanguageCodesWithLanguageAndOptionallyARegionModifier","title":"Language codes with language and optionally a region modifier","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes codes from [BCP-47](http://tools.ietf.org/html/bcp47). This value set matches the ONC 2015 Edition LanguageCommunication data element value set within C-CDA to use a 2 character language code if one exists, and a 3 character code if a 2 character code does not exist. It points back to [RFC 5646](https://tools.ietf.org/html/rfc5646), however only the language codes are required, all other elements are optional.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"urn:ietf:bcp:47","filter":[{"property":"ext-lang","op":"exists","value":"false"},{"property":"script","op":"exists","value":"false"},{"property":"variant","op":"exists","value":"false"},{"property":"extension","op":"exists","value":"false"},{"property":"private-use","op":"exists","value":"false"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-allergy-substance.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-allergy-substance.json new file mode 100644 index 00000000000..cae7325fd8d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-allergy-substance.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-allergy-substance","text":{"status":"generated","div":"

US Core Common substances for allergy and intolerance documentation including refutations

Documentation of substances suspected of (or not suspected of) causing an allergy or intolerance reaction in an individual. Inclusion Criteria: specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction; assertions refuting these suspicions. This includes: 1. Common dietary substances for allergy and intolerance documentation (SNOMEDCT) 2. Common drug classes for allergy and intolerance documentation (SNOMEDCT) 3. Common drug substances for allergy and intolerance documentation (RXNORM) 4. Common environmental substances for allergy and intolerance documentation (SNOMEDCT) 5. Common refutations and null values for substance causes for allergy and intolerance documentation (SNOMEDCT) Exclusion Criteria: actual conditions caused by exposure (reactions, allergies)

\n

Copyright Statement: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

This value set includes codes from the following code systems:

  • Include these codes as defined in http://www.nlm.nih.gov/research/umls/rxnorm
    CodeDisplay
    1002293formoterol / Mometasone
    1007388Lactase / rennet
    1008298Acetaminophen / Caffeine / Chlorpheniramine / Hydrocodone / Phenylephrine
    1008519guaiacolsulfonate / Hydrocodone
    1009148Ampicillin / Sulbactam
    10109Streptomycin
    10154Succinylcholine
    10156Sucralfate
    10169Sulfacetamide
    10171Sulfadiazine
    10180Sulfamethoxazole
    10207Sulfisoxazole
    10223Sulfur
    10237Sulindac
    10324Tamoxifen
    10355Temazepam
    10368Terbutaline
    1037042dabigatran etexilate
    10379Testosterone
    10395Tetracycline
    103990Carbidopa / Levodopa
    1040028lurasidone
    10438Theophylline
    10472Thimerosal
    10493Thiopental
    10502Thioridazine
    10510Thiothixene
    10582levothyroxine
    10594Ticlopidine
    10600Timolol
    10627Tobramycin
    10636Tolmetin
    10689Tramadol
    10737Trazodone
    10759Triamcinolone
    107602Epinephrine / Lidocaine
    10763Triamterene
    10767Triazolam
    10800Trifluoperazine
    108118Mometasone
    10829Trimethoprim
    10831Sulfamethoxazole / Trimethoprim
    11124Vancomycin
    1114195rivaroxaban
    1116632Ticagrelor
    11170Verapamil
    11248Vitamin B 12
    11253Vitamin D
    11256Vitamin E
    11289Warfarin
    113588Erythromycin / Sulfisoxazole
    11416Zinc
    11423Zinc Oxide
    114477Levetiracetam
    114970zafirlukast
    114979rabeprazole
    1151Ascorbic Acid
    115264Ibandronate
    115552trovafloxacin
    115698ziprasidone
    1191Aspirin
    119565tolterodine
    1202Atenolol
    121191rituximab
    1223Atropine
    1256Azathioprine
    1272Aztreonam
    1291Bacitracin
    1292Baclofen
    1310171Gadolinium
    1311085xanthine
    1311524Aspartame
    1311629nickel
    1314891Latex
    1331Barium Sulfate
    134615brimonidine
    1347Beclomethasone
    135447donepezil
    135775zolmitriptan
    1359Belladonna Alkaloids
    1362879Sulfur Dioxide
    1363043ethyl ether
    136411sildenafil
    1364430apixaban
    138099gemifloxacin
    139462moxifloxacin
    1399Benzocaine
    140587celecoxib
    1406benzoin resin
    141626colesevelam
    1418Benzoyl Peroxide
    1424Benztropine
    1514Betamethasone
    153970Hyoscyamine
    1596450Gentamicin
    15996Mirtazapine
    161Acetaminophen
    16681Acarbose
    167Acetazolamide
    17128lansoprazole
    1727875Tetanus immune globulin
    17300alfuzosin
    17767Amlodipine
    1827Buspirone
    183379rivastigmine
    1841Butorphanol
    18631Azithromycin
    187832pregabalin
    1886Caffeine
    18867benazepril
    1895Calcium
    1897Calcium Carbonate
    18993benzonatate
    190376linezolid
    191831infliximab
    19478bismuth subsalicylate
    19552cefprozil
    19711Amoxicillin / Clavulanate
    19831Budesonide
    1998Captopril
    2002Carbamazepine
    20352carvedilol
    20481cefepime
    20489cefpodoxime
    20610Cetirizine
    2101Carisoprodol
    21107cilostazol
    21183Citric Acid
    21212Clarithromycin
    214130Acetaminophen / butalbital / Caffeine
    214153Acetaminophen / dichloralphenazone / isometheptene
    214159Aspirin / butalbital / Caffeine
    214160Aspirin / butalbital / Caffeine / Codeine
    214181Acetaminophen / Diphenhydramine
    214182Acetaminophen / Hydrocodone
    214183Acetaminophen / Oxycodone
    214199Albuterol / Ipratropium
    214223Amlodipine / benazepril
    214250Aspirin / Caffeine
    214256Aspirin / Oxycodone
    214257Aspirin / Pentazocine
    214317Bisoprolol / Hydrochlorothiazide
    214336Caffeine / Ergotamine
    214354candesartan
    214364carbinoxamine / Pseudoephedrine
    214392Chlorpheniramine / Hydrocodone
    214442Codeine / Guaifenesin
    214445Codeine / Pseudoephedrine
    214488Dextromethorphan / Guaifenesin
    214502Diclofenac / Misoprostol
    214555Etanercept
    214558Ethinyl Estradiol / Levonorgestrel
    214565fexofenadine / Pseudoephedrine
    214599Guaifenesin / Pseudoephedrine
    214614homatropine / Hydrocodone
    214617Hydrochlorothiazide / irbesartan
    214618Hydrochlorothiazide / Lisinopril
    214619Hydrochlorothiazide / Losartan
    214626Hydrochlorothiazide / valsartan
    214627Hydrocodone / Ibuprofen
    214631Hydrocodone / Pseudoephedrine
    214682Loratadine / Pseudoephedrine
    214721Naloxone / Pentazocine
    214807Pseudoephedrine / Triprolidine
    2176Cefaclor
    217627Hydrocortisone / Neomycin / Polymyxin B
    2177Cefadroxil
    2180Cefazolin
    2189Cefoxitin
    2191Ceftazidime
    2193Ceftriaxone
    219314Polymyxin B / Trimethoprim
    219315Iron polysaccharide
    2194Cefuroxime
    21949cyclobenzaprine
    221147POLYETHYLENE GLYCOL 3350
    22299Daptomycin
    2231Cephalexin
    226716Aspirin / Dipyridamole
    228476gatifloxacin
    228790Dutasteride
    232158rofecoxib
    233698dronedarone
    2348Chloramphenicol
    2356Chlordiazepoxide
    2358Chlorhexidine
    236778Trospium
    237159Levalbuterol
    2393Chloroquine
    2400Chlorpheniramine
    2403Chlorpromazine
    2409Chlorthalidone
    2410Chlorzoxazone
    2418Cholecalciferol
    2447Cholestyramine Resin
    24605Etodolac
    24947ferrous sulfate
    25025Finasteride
    25033Cefixime
    25037cefdinir
    25120flunisolide
    25255formoterol
    253157Bee pollen
    2541Cimetidine
    25480gabapentin
    2551Ciprofloxacin
    2556Citalopram
    25789glimepiride
    2582Clindamycin
    258337Hydrochlorothiazide / Triamterene
    2598Clonazepam
    2599Clonidine
    260101Oseltamivir
    26225Ondansetron
    2623Clotrimazole
    2670Codeine
    2683Colchicine
    2685Colestipol
    27169leflunomide
    274783Insulin Glargine
    274786telithromycin
    27723iodinated glycerol
    278567valdecoxib
    28031Itraconazole
    281Acyclovir
    283742Esomeprazole
    283809travoprost
    28439lamotrigine
    284635fluticasone / salmeterol
    2878Cortisone
    28889Loratadine
    28981loracarbef
    29046Lisinopril
    29542Mercury, Ammoniated
    29561meropenem
    296Adenosine
    3008Cyclosporine
    301542rosuvastatin
    306674vardenafil
    3108Dapsone
    3143prasterone
    31448nabumetone
    31555nebivolol
    31565nefazodone
    31738nickel sulfate
    318340Aloe vera preparation
    321064olmesartan
    321988Escitalopram
    322167Solifenacin
    3247Desipramine
    325642ertapenem
    32592oxaliplatin
    32613oxaprozin
    32624oxcarbazepine
    3264Dexamethasone
    32675oxybutynin
    327361adalimumab
    3289Dextromethorphan
    32937Paroxetine
    32968clopidogrel
    3322Diazepam
    33408phenyltoloxamine
    3355Diclofenac
    3356Dicloxacillin
    3361Dicyclomine
    33738pioglitazone
    3393Diflunisal
    3407Digoxin
    341248ezetimibe
    3418Dihydroergotamine
    3423Hydromorphone
    3443Diltiazem
    3444Dimenhydrinate
    3498Diphenhydramine
    35208quinapril
    3521Dipyridamole
    352362Acetaminophen / Tramadol
    35296Ramipril
    35382resorcinol
    35636Risperidone
    358263tadalafil
    35827Ketorolac
    35829ranolazine
    36108Salsalate
    36117salmeterol
    3616Dobutamine
    3638Doxepin
    3640Doxycycline
    36437Sertraline
    3648Droperidol
    36567Simvastatin
    37418Sumatriptan
    37617tazobactam
    37798Terazosin
    37801terbinafine
    3827Enalapril
    3829Enalaprilat
    38400atomoxetine
    38404topiramate
    38413torsemide
    38574trichloroacetaldehyde
    38685trimethobenzamide
    389132Budesonide / formoterol
    3966Ephedrine
    39786venlafaxine
    3992Epinephrine
    39993zolpidem
    39998zonisamide
    40048Carboplatin
    400674dexbrompheniramine / Pseudoephedrine
    4025Ergotamine
    40254Valproate
    4053Erythromycin
    40575zileuton
    40790pantoprazole
    4083Estradiol
    4099Estrogens, Conjugated (USP)
    41126fluticasone
    41127fluvastatin
    4124Ethinyl Estradiol
    41397Lactase
    41493meloxicam
    42330Terfenadine
    42331Misoprostol
    42347Bupropion
    42351Lithium Carbonate
    42372Mupirocin
    42463Pravastatin
    4278Famotidine
    4316Felodipine
    4337Fentanyl
    435Albuterol
    43611latanoprost
    4419Fish Oils
    4441Flecainide
    4450Fluconazole
    448Ethanol
    4492Fluorouracil
    4493Fluoxetine
    4496Fluphenazine
    4500Flurandrenolide
    4530Formaldehyde
    4603Furosemide
    46041Alendronate
    461016Eszopiclone
    4637Galantamine
    465397Ciprofloxacin / Dexamethasone
    466522Diphenhydramine / Zinc Acetate
    466541Neomycin / Polymyxin B
    466549Aspirin / Caffeine / Orphenadrine
    466553penicillin G benzathine / penicillin G procaine
    466566Acetaminophen / Dextromethorphan / Diphenhydramine / Pseudoephedrine
    466584Acetaminophen / Aspirin / Caffeine
    4719Gemfibrozil
    475968liraglutide
    4815Glyburide
    48203Clavulanate
    4821Glipizide
    48274Acetaminophen / Propoxyphene
    484139Chlorhexidine / Isopropyl Alcohol
    484211ezetimibe / Simvastatin
    4850Glucose
    4917Nitroglycerin
    49276Doxazosin
    50166Fosinopril
    5021Griseofulvin
    5032Guaifenesin
    5093Haloperidol
    51272quetiapine
    519Allopurinol
    52175Losartan
    5224heparin
    52582mesalamine
    5470Hydralazine
    5487Hydrochlorothiazide
    5489Hydrocodone
    5492Hydrocortisone
    5499Hydrogen Peroxide
    5521Hydroxychloroquine
    5553Hydroxyzine
    5640Ibuprofen
    5691Imipramine
    56946Paclitaxel
    57258tizanidine
    5764Indapamide
    5781Indomethacin
    588250milnacipran
    59078metaxalone
    591622varenicline
    5933Iodine
    593411sitagliptin
    594040Atropine / Diphenoxylate
    5956Iohexol
    596Alprazolam
    596723cerivastatin
    597142brimonidine / Timolol
    5992Iron-Dextran Complex
    60207dorzolamide
    6038isoniazid
    60548exenatide
    6057Isosorbide
    6058Isosorbide Dinitrate
    611854Chlordiazepoxide / clidinium
    6130Ketamine
    6135Ketoconazole
    61381olanzapine
    6142Ketoprofen
    6185Labetalol
    620Amantadine
    6218Lactulose
    6227Lanolin
    6387Lidocaine
    6398Lincomycin
    6448Lithium
    645555Bacitracin / Polymyxin B
    6468Loperamide
    6470Lorazepam
    6472Lovastatin
    6574Magnesium
    6585Magnesium Sulfate
    662263dorzolamide / Timolol
    6676Meclizine
    6691Medroxyprogesterone
    67108Enoxaparin
    6711Melatonin
    6719Memantine
    6750Menthol
    6754Meperidine
    6809Metformin
    6813Methadone
    6835Methimazole
    6845Methocarbamol
    6851Methotrexate
    6876Methyldopa
    689Aminophylline
    689467Oxytetracycline / Polymyxin B
    689518Aspirin / Caffeine / Propoxyphene
    689556Acetaminophen / Aspirin / Phenylpropanolamine
    689558Acetaminophen / Brompheniramine / Pseudoephedrine
    689561Acetaminophen / butalbital / Caffeine / Codeine
    689582Acetaminophen / Chlorpheniramine / Dextromethorphan / Pseudoephedrine
    689606Atropine / Hyoscyamine / Phenobarbital / Scopolamine
    689623Bacitracin / Hydrocortisone / Neomycin / Polymyxin B
    690077Benzalkonium / Lidocaine
    6901Methylphenidate
    6902Methylprednisolone
    690693Diphenhydramine / Phenylephrine
    690808Brompheniramine / Dextromethorphan / Pseudoephedrine
    69120tiotropium
    6915Metoclopramide
    6916Metolazone
    6918Metoprolol
    6922Metronidazole
    692572Bacitracin / Neomycin / Polymyxin B
    692794Gramicidin / Neomycin / Polymyxin B
    6932Miconazole
    6960Midazolam
    69749valsartan
    6980Minocycline
    6984Minoxidil
    703Amiodarone
    704Amitriptyline
    7052Morphine
    705258Acetaminophen / Dextromethorphan / Doxylamine
    7213Ipratropium
    72143Raloxifene
    72236fosphenytoin
    723Amoxicillin
    72302ropinirole
    7233Nafcillin
    7238Nalbuphine
    7243Naltrexone
    725Amphetamine
    7258Naproxen
    72625duloxetine
    7299Neomycin
    73056Risedronate
    733Ampicillin
    73494telmisartan
    73645valacyclovir
    7393Niacin
    7407Nicotine
    74169Piperacillin / tazobactam
    7417Nifedipine
    7454Nitrofurantoin
    746741Pramipexole
    7486Nitrous Oxide
    7517Norfloxacin
    7531Nortriptyline
    7597Nystatin
    7623Ofloxacin
    7646Omeprazole
    7676Opium
    7715Orphenadrine
    77492tamsulosin
    7804Oxycodone
    7821Oxytetracycline
    787390tapentadol
    7975Penicillamine
    797541Isopropyl Alcohol
    7980Penicillin G
    7984Penicillin V
    7994Pentamidine
    8001Pentazocine
    8120Phenazopyridine
    8134Phenobarbital
    815166Dextromethorphan / Doxylamine
    8163Phenylephrine
    816346dexlansoprazole
    8175Phenylpropanolamine
    817579Acetaminophen / Codeine
    817958Aspirin / Calcium Carbonate
    8183Phenytoin
    82122Levofloxacin
    822929Amphetamine aspartate / Amphetamine Sulfate / Dextroamphetamine saccharate / Dextroamphetamine Sulfate
    83367atorvastatin
    8356Piroxicam
    83818irbesartan
    84108rosiglitazone
    8536Polymyxin B
    857974saxagliptin
    8588Potassium
    8591Potassium Chloride
    8610Povidone
    8611Povidone-Iodine
    861634pitavastatin
    8629Prazosin
    8638prednisolone
    8640Prednisone
    8687Primaquine
    8691Primidone
    8698Probenecid
    8700Procainamide
    8701Procaine
    8703Fenofibrate
    8704Prochlorperazine
    8727Progesterone
    8745Promethazine
    8754Propafenone
    87636fexofenadine
    8782Propofol
    8785Propoxyphene
    8787Propranolol
    8794Propylthiouracil
    88014rizatriptan
    88249montelukast
    883815Dexamethasone / Tobramycin
    8896Pseudoephedrine
    89013aripiprazole
    8928Psyllium
    8948Purified Protein Derivative of Tuberculin
    90176Iron
    9068Quinidine
    9071Quinine
    91263Aloe Extract
    9143Ranitidine
    9384Rifampin
    9524Sulfasalazine
    9601Scopolamine
    9778Silicones
    9793silver sulfadiazine
    9947Sotalol
    9997Spironolactone
  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    102259006Citrus fruit (substance)
    102261002Strawberry (substance)
    102262009Chocolate (substance)
    102263004Eggs (edible) (substance)
    102264005Cheese (substance)
    111088007Latex (substance)
    111151007Anabolic steroid (substance)
    11526002Aspartame (substance)
    116274004Artificial sweetener (substance)
    116566001Steroid (substance)
    13577000Nut (substance)
    14443002Substance with aminoglycoside structure and antibacterial mechanism of action (substance)
    226723006Buckwheat - cereal (substance)
    226734009Wheatgerm (substance)
    226760005Dairy foods (substance)
    226915003Red meat (substance)
    226916002Beef (substance)
    226934003Pork (substance)
    226955001Chicken - meat (substance)
    226967004Turkey - meat (substance)
    227144008Tuna fish (substance)
    227151004Prawns (substance)
    227208008Abalone canned in brine (substance)
    227219006Aubergine (substance)
    227313005Pulse vegetables (substance)
    227388008Cinnamon (substance)
    227400003Ginger (substance)
    227421003Cranberries (substance)
    227444000Raspberries (substance)
    227493005Cashew nut (substance)
    227512001Pistachio nut (substance)
    227598003Honey (substance)
    228102000Sodium nitrate (substance)
    255632006Anticonvulsant (substance)
    255637000Salicylate (substance)
    255641001Caffeine (substance)
    256259004Pollen (substance)
    256277009Grass pollen (substance)
    256306003Orange - fruit (substance)
    256307007Banana (substance)
    256313003Pineapple (substance)
    256315005Grapefruit (substance)
    256317002Grapes (substance)
    256319004Carrot (substance)
    256326004Celery (substance)
    256329006Spinach (substance)
    256350002Almond (substance)
    256351003Brazil nut (substance)
    256352005Walnut - nut (substance)
    256353000Hazelnut (substance)
    256354006Bean (substance)
    256417003Horse dander (substance)
    256440004Wasp venom (substance)
    259858000Varicella-zoster virus antibody (substance)
    260152009Cat dander (substance)
    260154005Dog dander (substance)
    260167008Sesame seed (substance)
    260176001Kiwi fruit (substance)
    260177005Melon (substance)
    260179008Mango fruit (substance)
    260184002Peas (substance)
    260189007Pecan nut (substance)
    260205009Sunflower seed (substance)
    264287008Animal dander (substance)
    264337003Seed (substance)
    28230009Poultry (substance)
    288328004Bee venom (substance)
    28942008Coconut oil (substance)
    29263009Coffee (substance)
    304275008Corticosteroid and corticosteroid derivative (substance)
    33008008Dust (substance)
    350327004Diphtheria + tetanus vaccine (product)
    35748005Wine (substance)
    360201004Nitrofuran derivative (substance)
    3692009Sodium sulfite (substance)
    372480009Substance with macrolide structure and antibacterial mechanism of action (substance)
    372664007Benzodiazepine (substance)
    372665008Non-steroidal anti-inflammatory agent (substance)
    372711004Sulfonylurea (substance)
    372722000Substance with quinolone structure and antibacterial mechanism of action (substance)
    372733002Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)
    372747003Thiazide diuretic (substance)
    372783007Antiparkinsonian agent (substance)
    372798009Barbiturate (substance)
    372806008Substance with histamine receptor antagonist mechanism of action (substance)
    372889003First generation cephalosporin (substance)
    372912004Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)
    372913009Substance with angiotensin II receptor antagonist mechanism of action (substance)
    373206009Substance with tetracycline structure and antibacterial mechanism of action (substance)
    373253007Tricyclic antidepressant (substance)
    373254001Substance with beta adrenergic receptor antagonist mechanism of action (substance)
    373262009Substance with cephalosporin structure and antibacterial mechanism of action (substance)
    373270004Substance with penicillin structure and antibacterial mechanism of action (substance)
    373297006Substance with beta-lactam structure and antibacterial mechanism of action (substance)
    373304005Substance with calcium channel blocker mechanism of action (substance)
    373531009Gelatin (substance)
    385420005Contrast media (substance)
    386127005Formula milk (substance)
    386962001Plasma protein fraction (substance)
    387050005Substance with prostaglandin-endoperoxide synthase isoform 2 inhibitor mechanism of action (substance)
    387406002Sulfonamide (substance)
    391737006Almond oil (substance)
    391739009Aloe (substance)
    396345004Carbapenem (substance)
    396420001Anthrax vaccine (substance)
    396425006Influenza virus vaccine (substance)
    396433007Pertussis vaccine (substance)
    396439006Smallpox vaccine (substance)
    396441007Typhoid vaccine (substance)
    396442000Varicella virus vaccine (substance)
    398730001Pneumococcal vaccine (substance)
    400872007Hydrocolloid (substance)
    404642006Substance with opioid receptor agonist mechanism of action (substance)
    406748003Carbamate (substance)
    409137002No known drug allergy (situation)
    412061001Blueberries (substance)
    412062008Cantaloupe (substance)
    412066006Pepper (substance)
    412068007Rye (substance)
    412071004Wheat (substance)
    412138001Horse serum protein (substance)
    412357001Corn (substance)
    412373007Diphtheria + pertussis + tetanus + Haemophilus influenzae type b vaccine (product)
    412375000Tetanus vaccine (substance)
    412533000Wheat bran (substance)
    412534006Yeast (substance)
    412583005Bee pollen (substance)
    41598000Estrogen (substance)
    417889008Arachis oil (substance)
    418000008Methadone analog (substance)
    418504009Oats (substance)
    418920007Adhesive agent (substance)
    419420009Watermelon (substance)
    419933005Glucocorticoid (substance)
    421245007Diphtheria + pertussis + tetanus vaccine (product)
    424369009Product containing beta-galactosidase (medicinal product)
    426722004Iodinated contrast media (substance)
    428607008No known environmental allergy (situation)
    429625007No known food allergy (situation)
    43735007Sulfur (substance)
    43921001Nickel compound (substance)
    44027008Seafood (substance)
    442381000124103Blue food coloring (substance)
    442571000124108Tree nut (substance)
    442771000124102Pepperoni (substance)
    44588005Iodine (substance)
    446273004Red food coloring (substance)
    446274005Yellow food coloring (substance)
    47703008Lactose (substance)
    51386004Food preservative (substance)
    51905005Mustard (substance)
    53041004Alcohol (substance)
    61789006Dye (substance)
    63045006Berry (substance)
    67324005Rice (substance)
    67866001Insulin (substance)
    70813002Milk (substance)
    710179004Lupine seed (substance)
    716184000No known latex allergy (situation)
    716186003No known allergy (situation)
    720687003Dust mite protein (substance)
    72511004Fruit (substance)
    726730005Yam (substance)
    734881000Tomato (substance)
    735006003Squid (substance)
    735009005Salmon (substance)
    735029006Shellfish (substance)
    735030001Garlic (substance)
    735043001Mackerel (substance)
    735045008Mushroom (substance)
    735047000Onion (substance)
    735049002Peach (substance)
    735050002Pear (substance)
    735051003Plum (substance)
    735053000Potato (substance)
    735123009Broccoli (substance)
    735124003Barley (substance)
    735211005Coconut (substance)
    735212003Papaya (substance)
    735213008Cucumber (substance)
    735214002Apricot (substance)
    735215001Apple (substance)
    735248001Cherry (substance)
    735249009Avocado (substance)
    735340006Lemon (substance)
    735959004Marine mollusk (substance)
    735971005Fish (substance)
    735977009Marine crustacean (substance)
    736027000Scallop (substance)
    736030007Clam (substance)
    736031006Oyster (substance)
    736159005Crab (substance)
    736162008Lobster (substance)
    74801000Sugar (substance)
    75665004Monosodium glutamate (substance)
    762952008Peanut (substance)
    7791007Soy protein (substance)
    80259003Food flavoring agent (substance)
    84489001Mold (organism)
    89119000Nitrate salt (substance)
    89707004Sesame oil (substance)
    89811004Gluten (substance)
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-allergy-substance","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1186.8"}],"version":"3.1.0","name":"USCoreAllergySubstance","title":"US Core Common substances for allergy and intolerance documentation including refutations","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/usrealm/index.cfm"}]}],"description":"Documentation of substances suspected of (or not suspected of) causing an allergy or intolerance reaction in an individual. **Inclusion Criteria:** specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction; assertions refuting these suspicions. This includes: 1. Common dietary substances for allergy and intolerance documentation (SNOMEDCT) 2. Common drug classes for allergy and intolerance documentation (SNOMEDCT) 3. Common drug substances for allergy and intolerance documentation (RXNORM) 4. Common environmental substances for allergy and intolerance documentation (SNOMEDCT) 5. Common refutations and null values for substance causes for allergy and intolerance documentation (SNOMEDCT) **Exclusion Criteria:** actual conditions caused by exposure (reactions, allergies)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. 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Chloride"},{"code":"8610","display":"Povidone"},{"code":"8611","display":"Povidone-Iodine"},{"code":"861634","display":"pitavastatin"},{"code":"8629","display":"Prazosin"},{"code":"8638","display":"prednisolone"},{"code":"8640","display":"Prednisone"},{"code":"8687","display":"Primaquine"},{"code":"8691","display":"Primidone"},{"code":"8698","display":"Probenecid"},{"code":"8700","display":"Procainamide"},{"code":"8701","display":"Procaine"},{"code":"8703","display":"Fenofibrate"},{"code":"8704","display":"Prochlorperazine"},{"code":"8727","display":"Progesterone"},{"code":"8745","display":"Promethazine"},{"code":"8754","display":"Propafenone"},{"code":"87636","display":"fexofenadine"},{"code":"8782","display":"Propofol"},{"code":"8785","display":"Propoxyphene"},{"code":"8787","display":"Propranolol"},{"code":"8794","display":"Propylthiouracil"},{"code":"88014","display":"rizatriptan"},{"code":"88249","display":"montelukast"},{"code":"883815","display":"Dexamethasone / Tobramycin"},{"code":"8896","display":"Pseudoephedrine"},{"code":"89013","display":"aripiprazole"},{"code":"8928","display":"Psyllium"},{"code":"8948","display":"Purified Protein Derivative of Tuberculin"},{"code":"90176","display":"Iron"},{"code":"9068","display":"Quinidine"},{"code":"9071","display":"Quinine"},{"code":"91263","display":"Aloe Extract"},{"code":"9143","display":"Ranitidine"},{"code":"9384","display":"Rifampin"},{"code":"9524","display":"Sulfasalazine"},{"code":"9601","display":"Scopolamine"},{"code":"9778","display":"Silicones"},{"code":"9793","display":"silver sulfadiazine"},{"code":"9947","display":"Sotalol"},{"code":"9997","display":"Spironolactone"}]},{"system":"http://snomed.info/sct","concept":[{"code":"102259006","display":"Citrus fruit (substance)"},{"code":"102261002","display":"Strawberry (substance)"},{"code":"102262009","display":"Chocolate (substance)"},{"code":"102263004","display":"Eggs (edible) (substance)"},{"code":"102264005","display":"Cheese (substance)"},{"code":"111088007","display":"Latex (substance)"},{"code":"111151007","display":"Anabolic steroid (substance)"},{"code":"11526002","display":"Aspartame (substance)"},{"code":"116274004","display":"Artificial sweetener (substance)"},{"code":"116566001","display":"Steroid (substance)"},{"code":"13577000","display":"Nut (substance)"},{"code":"14443002","display":"Substance with aminoglycoside structure and antibacterial mechanism of action (substance)"},{"code":"226723006","display":"Buckwheat - cereal (substance)"},{"code":"226734009","display":"Wheatgerm (substance)"},{"code":"226760005","display":"Dairy foods (substance)"},{"code":"226915003","display":"Red meat (substance)"},{"code":"226916002","display":"Beef (substance)"},{"code":"226934003","display":"Pork (substance)"},{"code":"226955001","display":"Chicken - meat (substance)"},{"code":"226967004","display":"Turkey - meat (substance)"},{"code":"227144008","display":"Tuna fish (substance)"},{"code":"227151004","display":"Prawns (substance)"},{"code":"227208008","display":"Abalone canned in brine (substance)"},{"code":"227219006","display":"Aubergine (substance)"},{"code":"227313005","display":"Pulse vegetables (substance)"},{"code":"227388008","display":"Cinnamon (substance)"},{"code":"227400003","display":"Ginger (substance)"},{"code":"227421003","display":"Cranberries (substance)"},{"code":"227444000","display":"Raspberries (substance)"},{"code":"227493005","display":"Cashew nut (substance)"},{"code":"227512001","display":"Pistachio nut (substance)"},{"code":"227598003","display":"Honey (substance)"},{"code":"228102000","display":"Sodium nitrate (substance)"},{"code":"255632006","display":"Anticonvulsant (substance)"},{"code":"255637000","display":"Salicylate (substance)"},{"code":"255641001","display":"Caffeine (substance)"},{"code":"256259004","display":"Pollen (substance)"},{"code":"256277009","display":"Grass pollen (substance)"},{"code":"256306003","display":"Orange - fruit (substance)"},{"code":"256307007","display":"Banana (substance)"},{"code":"256313003","display":"Pineapple (substance)"},{"code":"256315005","display":"Grapefruit (substance)"},{"code":"256317002","display":"Grapes (substance)"},{"code":"256319004","display":"Carrot (substance)"},{"code":"256326004","display":"Celery (substance)"},{"code":"256329006","display":"Spinach (substance)"},{"code":"256350002","display":"Almond (substance)"},{"code":"256351003","display":"Brazil nut (substance)"},{"code":"256352005","display":"Walnut - nut (substance)"},{"code":"256353000","display":"Hazelnut (substance)"},{"code":"256354006","display":"Bean (substance)"},{"code":"256417003","display":"Horse dander (substance)"},{"code":"256440004","display":"Wasp venom (substance)"},{"code":"259858000","display":"Varicella-zoster virus antibody (substance)"},{"code":"260152009","display":"Cat dander (substance)"},{"code":"260154005","display":"Dog dander (substance)"},{"code":"260167008","display":"Sesame seed (substance)"},{"code":"260176001","display":"Kiwi fruit (substance)"},{"code":"260177005","display":"Melon (substance)"},{"code":"260179008","display":"Mango fruit (substance)"},{"code":"260184002","display":"Peas (substance)"},{"code":"260189007","display":"Pecan nut (substance)"},{"code":"260205009","display":"Sunflower seed (substance)"},{"code":"264287008","display":"Animal dander (substance)"},{"code":"264337003","display":"Seed (substance)"},{"code":"28230009","display":"Poultry (substance)"},{"code":"288328004","display":"Bee venom (substance)"},{"code":"28942008","display":"Coconut oil (substance)"},{"code":"29263009","display":"Coffee (substance)"},{"code":"304275008","display":"Corticosteroid and corticosteroid derivative (substance)"},{"code":"33008008","display":"Dust (substance)"},{"code":"350327004","display":"Diphtheria + tetanus vaccine (product)"},{"code":"35748005","display":"Wine (substance)"},{"code":"360201004","display":"Nitrofuran derivative (substance)"},{"code":"3692009","display":"Sodium sulfite (substance)"},{"code":"372480009","display":"Substance with macrolide structure and antibacterial mechanism of action (substance)"},{"code":"372664007","display":"Benzodiazepine (substance)"},{"code":"372665008","display":"Non-steroidal anti-inflammatory agent (substance)"},{"code":"372711004","display":"Sulfonylurea (substance)"},{"code":"372722000","display":"Substance with quinolone structure and antibacterial mechanism of action (substance)"},{"code":"372733002","display":"Substance with angiotensin-converting enzyme inhibitor mechanism of action (substance)"},{"code":"372747003","display":"Thiazide diuretic (substance)"},{"code":"372783007","display":"Antiparkinsonian agent (substance)"},{"code":"372798009","display":"Barbiturate (substance)"},{"code":"372806008","display":"Substance with histamine receptor antagonist mechanism of action (substance)"},{"code":"372889003","display":"First generation cephalosporin (substance)"},{"code":"372912004","display":"Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)"},{"code":"372913009","display":"Substance with angiotensin II receptor antagonist mechanism of action (substance)"},{"code":"373206009","display":"Substance with tetracycline structure and antibacterial mechanism of action (substance)"},{"code":"373253007","display":"Tricyclic antidepressant (substance)"},{"code":"373254001","display":"Substance with beta adrenergic receptor antagonist mechanism of action (substance)"},{"code":"373262009","display":"Substance with cephalosporin structure and antibacterial mechanism of action (substance)"},{"code":"373270004","display":"Substance with penicillin structure and antibacterial mechanism of action (substance)"},{"code":"373297006","display":"Substance with beta-lactam structure and antibacterial mechanism of action (substance)"},{"code":"373304005","display":"Substance with calcium channel blocker mechanism of action (substance)"},{"code":"373531009","display":"Gelatin (substance)"},{"code":"385420005","display":"Contrast media (substance)"},{"code":"386127005","display":"Formula milk (substance)"},{"code":"386962001","display":"Plasma protein fraction (substance)"},{"code":"387050005","display":"Substance with prostaglandin-endoperoxide synthase isoform 2 inhibitor mechanism of action (substance)"},{"code":"387406002","display":"Sulfonamide (substance)"},{"code":"391737006","display":"Almond oil (substance)"},{"code":"391739009","display":"Aloe (substance)"},{"code":"396345004","display":"Carbapenem (substance)"},{"code":"396420001","display":"Anthrax vaccine (substance)"},{"code":"396425006","display":"Influenza virus vaccine (substance)"},{"code":"396433007","display":"Pertussis vaccine (substance)"},{"code":"396439006","display":"Smallpox vaccine (substance)"},{"code":"396441007","display":"Typhoid vaccine (substance)"},{"code":"396442000","display":"Varicella virus vaccine (substance)"},{"code":"398730001","display":"Pneumococcal vaccine (substance)"},{"code":"400872007","display":"Hydrocolloid (substance)"},{"code":"404642006","display":"Substance with opioid receptor agonist mechanism of action (substance)"},{"code":"406748003","display":"Carbamate (substance)"},{"code":"409137002","display":"No known drug allergy (situation)"},{"code":"412061001","display":"Blueberries (substance)"},{"code":"412062008","display":"Cantaloupe (substance)"},{"code":"412066006","display":"Pepper (substance)"},{"code":"412068007","display":"Rye (substance)"},{"code":"412071004","display":"Wheat (substance)"},{"code":"412138001","display":"Horse serum protein (substance)"},{"code":"412357001","display":"Corn (substance)"},{"code":"412373007","display":"Diphtheria + pertussis + tetanus + Haemophilus influenzae type b vaccine (product)"},{"code":"412375000","display":"Tetanus vaccine (substance)"},{"code":"412533000","display":"Wheat bran (substance)"},{"code":"412534006","display":"Yeast (substance)"},{"code":"412583005","display":"Bee pollen (substance)"},{"code":"41598000","display":"Estrogen (substance)"},{"code":"417889008","display":"Arachis oil (substance)"},{"code":"418000008","display":"Methadone analog (substance)"},{"code":"418504009","display":"Oats (substance)"},{"code":"418920007","display":"Adhesive agent (substance)"},{"code":"419420009","display":"Watermelon (substance)"},{"code":"419933005","display":"Glucocorticoid (substance)"},{"code":"421245007","display":"Diphtheria + pertussis + tetanus vaccine (product)"},{"code":"424369009","display":"Product containing beta-galactosidase (medicinal product)"},{"code":"426722004","display":"Iodinated contrast media (substance)"},{"code":"428607008","display":"No known environmental allergy (situation)"},{"code":"429625007","display":"No known food allergy (situation)"},{"code":"43735007","display":"Sulfur (substance)"},{"code":"43921001","display":"Nickel compound (substance)"},{"code":"44027008","display":"Seafood (substance)"},{"code":"442381000124103","display":"Blue food coloring (substance)"},{"code":"442571000124108","display":"Tree nut (substance)"},{"code":"442771000124102","display":"Pepperoni (substance)"},{"code":"44588005","display":"Iodine (substance)"},{"code":"446273004","display":"Red food coloring (substance)"},{"code":"446274005","display":"Yellow food coloring (substance)"},{"code":"47703008","display":"Lactose (substance)"},{"code":"51386004","display":"Food preservative (substance)"},{"code":"51905005","display":"Mustard (substance)"},{"code":"53041004","display":"Alcohol (substance)"},{"code":"61789006","display":"Dye (substance)"},{"code":"63045006","display":"Berry (substance)"},{"code":"67324005","display":"Rice (substance)"},{"code":"67866001","display":"Insulin (substance)"},{"code":"70813002","display":"Milk (substance)"},{"code":"710179004","display":"Lupine seed (substance)"},{"code":"716184000","display":"No known latex allergy (situation)"},{"code":"716186003","display":"No known allergy (situation)"},{"code":"720687003","display":"Dust mite protein (substance)"},{"code":"72511004","display":"Fruit (substance)"},{"code":"726730005","display":"Yam (substance)"},{"code":"734881000","display":"Tomato (substance)"},{"code":"735006003","display":"Squid (substance)"},{"code":"735009005","display":"Salmon (substance)"},{"code":"735029006","display":"Shellfish (substance)"},{"code":"735030001","display":"Garlic (substance)"},{"code":"735043001","display":"Mackerel (substance)"},{"code":"735045008","display":"Mushroom (substance)"},{"code":"735047000","display":"Onion (substance)"},{"code":"735049002","display":"Peach (substance)"},{"code":"735050002","display":"Pear (substance)"},{"code":"735051003","display":"Plum (substance)"},{"code":"735053000","display":"Potato (substance)"},{"code":"735123009","display":"Broccoli (substance)"},{"code":"735124003","display":"Barley (substance)"},{"code":"735211005","display":"Coconut (substance)"},{"code":"735212003","display":"Papaya (substance)"},{"code":"735213008","display":"Cucumber (substance)"},{"code":"735214002","display":"Apricot (substance)"},{"code":"735215001","display":"Apple (substance)"},{"code":"735248001","display":"Cherry (substance)"},{"code":"735249009","display":"Avocado (substance)"},{"code":"735340006","display":"Lemon (substance)"},{"code":"735959004","display":"Marine mollusk (substance)"},{"code":"735971005","display":"Fish (substance)"},{"code":"735977009","display":"Marine crustacean (substance)"},{"code":"736027000","display":"Scallop (substance)"},{"code":"736030007","display":"Clam (substance)"},{"code":"736031006","display":"Oyster (substance)"},{"code":"736159005","display":"Crab (substance)"},{"code":"736162008","display":"Lobster (substance)"},{"code":"74801000","display":"Sugar (substance)"},{"code":"75665004","display":"Monosodium glutamate (substance)"},{"code":"762952008","display":"Peanut (substance)"},{"code":"7791007","display":"Soy protein (substance)"},{"code":"80259003","display":"Food flavoring agent (substance)"},{"code":"84489001","display":"Mold (organism)"},{"code":"89119000","display":"Nitrate salt (substance)"},{"code":"89707004","display":"Sesame oil (substance)"},{"code":"89811004","display":"Gluten (substance)"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-careteam-provider-roles.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-careteam-provider-roles.json new file mode 100644 index 00000000000..d651d6ccbd3 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-careteam-provider-roles.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-careteam-provider-roles","text":{"status":"generated","div":"

US Core CareTeam Provider Roles

Provider roles codes consist of NUCC Health Care Provider Taxonomy Code Set for providers and SNOMED-CT for - non clinical and organization roles including codes from the SCTID 223366009 Healthcare professional (occupation) heirarchy and the SCTID 224930009 Services (qualifier value) heirarchy.

\n

Copyright Statement: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association. For commercial use, including sales or licensing, a license must be obtained.

This value set includes codes from the following code systems:

  • Include all codes defined in http://nucc.org/provider-taxonomy
  • Include codes from http://snomed.info/sct where concept is-a 223366009 (Healthcare professional)
  • Include codes from http://snomed.info/sct where concept is-a 224930009 (Services)
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles","version":"3.1.0","name":"USCoreCareTeamProviderRoles","title":"US Core CareTeam Provider Roles","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Provider roles codes consist of NUCC Health Care Provider Taxonomy Code Set for providers and SNOMED-CT for - non clinical and organization roles including codes from the SCTID 223366009 Healthcare professional (occupation) heirarchy and the SCTID 224930009 Services (qualifier value) heirarchy.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Codes that may be used for implementation of the Argonaut Procedures IG and MU2015 certification.","copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association. For commercial use, including sales or licensing, a license must be obtained.","compose":{"include":[{"system":"http://nucc.org/provider-taxonomy"},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"223366009"}]},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"224930009"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-clinical-note-type.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-clinical-note-type.json new file mode 100644 index 00000000000..88b3b769407 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-clinical-note-type.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-clinical-note-type","text":{"status":"generated","div":"

US Core Clinical Note Type

The US Core Clinical Note Type Value Set is a 'starter set' of types supported for fetching and storing clinical notes.

\n

Copyright Statement: This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type","version":"3.1.0","name":"USCoreClinicalNoteType","title":"US Core Clinical Note Type","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core Clinical Note Type Value Set is a 'starter set' of types supported for fetching and storing clinical notes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":" This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use","compose":{"include":[{"system":"http://loinc.org","concept":[{"code":"18842-5"},{"code":"11488-4"},{"code":"34117-2"},{"code":"11506-3"},{"code":"28570-0"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-category.json new file mode 100644 index 00000000000..bf31c9362fd --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-condition-category","text":{"status":"generated","div":"

US Core Condition Category Codes

The US Core Condition Category Codes support the separate concepts of problems and health concerns in Condition.category in order for API consumers to be able to separate health concerns and problems. However this is not mandatory for 2015 certification

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category","version":"3.1.0","name":"USCoreConditionCategoryCodes","title":"US Core Condition Category Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The US Core Condition Category Codes support the separate concepts of problems and health concerns in Condition.category in order for API consumers to be able to separate health concerns and problems. However this is not mandatory for 2015 certification","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"So API consumers can separate health concerns and problems.","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/condition-category"},{"system":"http://hl7.org/fhir/us/core/CodeSystem/condition-category","concept":[{"code":"health-concern","display":"Health Concern"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-code.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-code.json new file mode 100644 index 00000000000..de802ecf81e --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-condition-code.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-condition-code","text":{"status":"generated","div":"

US Core Condition Code

This describes the problem. Diagnosis/Problem List is broadly defined as a series of brief statements that catalog a patient's medical, nursing, dental, social, preventative and psychiatric events and issues that are relevant to that patient's healthcare (e.g., signs, symptoms, and defined conditions). ICD-10 is appropriate for Diagnosis information, and ICD-9 for historical information.

\n

Copyright Statement: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. ICD-9 and ICD-10 are copyrighted by the World Health Organization (WHO) which owns and publishes the classification. See https://www.who.int/classifications/icd/en. WHO has authorized the development of an adaptation of ICD-9 and ICD-10 to ICD-9-CM to ICD-10-CM for use in the United States for U.S. government purposes.

This value set includes codes from the following code systems:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    160245001No current problems or disability
  • Include codes from http://snomed.info/sct where concept is-a 404684003 (Clinical finding (finding))
  • Include codes from http://snomed.info/sct where concept is-a 243796009 (Context-dependent categories)
  • Include all codes defined in http://hl7.org/fhir/sid/icd-10-cm
  • Include all codes defined in http://hl7.org/fhir/sid/icd-9-cm
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code","version":"3.1.0","name":"USCoreConditionCode","title":"US Core Condition Code","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This describes the problem. Diagnosis/Problem List is broadly defined as a series of brief statements that catalog a patient's medical, nursing, dental, social, preventative and psychiatric events and issues that are relevant to that patient's healthcare (e.g., signs, symptoms, and defined conditions). ICD-10 is appropriate for Diagnosis information, and ICD-9 for historical information.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. ICD-9 and ICD-10 are copyrighted by the World Health Organization (WHO) which owns and publishes the classification. See https://www.who.int/classifications/icd/en. WHO has authorized the development of an adaptation of ICD-9 and ICD-10 to ICD-9-CM to ICD-10-CM for use in the United States for U.S. government purposes. ","compose":{"include":[{"system":"http://snomed.info/sct","concept":[{"code":"160245001"}]},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"404684003"}]},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"243796009"}]},{"system":"http://hl7.org/fhir/sid/icd-10-cm"},{"system":"http://hl7.org/fhir/sid/icd-9-cm"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-category.json new file mode 100644 index 00000000000..76caed007e5 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-diagnosticreport-category","text":{"status":"generated","div":"

US Core DiagnosticReport Category

The US Core Diagnostic Report Category Value Set is a 'starter set' of categories supported for fetching and Diagnostic Reports and notes.

\n

Copyright Statement: This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category","version":"3.1.0","name":"USCoreDiagnosticReportCategory","title":"US Core DiagnosticReport Category","status":"active","date":"2019-05-21T00:00:00+00:00","description":"The US Core Diagnostic Report Category Value Set is a 'starter set' of categories supported for fetching and Diagnostic Reports and notes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":" This content LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use","compose":{"include":[{"system":"http://loinc.org","concept":[{"code":"LP29684-5","display":"Radiology"},{"code":"LP29708-2","display":"Cardiology"},{"code":"LP7839-6","display":"Pathology"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-lab-codes.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-lab-codes.json new file mode 100644 index 00000000000..71faab5ddcf --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-lab-codes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-diagnosticreport-lab-codes","text":{"status":"generated","div":"

US Core Diagnostic Report Laboratory Codes

The Document Type value set includes all LOINC values whose CLASSTYPE is LABORATORY in the LOINC database

\n

Copyright Statement: This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes","version":"3.1.0","name":"USCoreDiagnosticReportLabCodes","title":"US Core Diagnostic Report Laboratory Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The Document Type value set includes all LOINC values whose CLASSTYPE is LABORATORY in the LOINC database","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.","compose":{"include":[{"system":"http://loinc.org","filter":[{"property":"CLASSTYPE","op":"=","value":"1"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-report-and-note-codes.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-report-and-note-codes.json new file mode 100644 index 00000000000..5aaea28c60c --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-diagnosticreport-report-and-note-codes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-diagnosticreport-report-and-note-codes","text":{"status":"generated","div":"

US Core Diagnosticreport Report And Note Codes

This value set currently contains all of LOINC. The codes selected should represent discrete and narrative diagnostic observations and reports

\n

Copyright Statement: This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes","version":"3.1.0","name":"USCoreDiagnosticreportReportAndNoteCodes","title":"US Core Diagnosticreport Report And Note Codes","status":"active","experimental":false,"date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set currently contains all of LOINC. The codes selected should represent discrete and narrative diagnostic observations and reports","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.","compose":{"include":[{"system":"http://loinc.org"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-category.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-category.json new file mode 100644 index 00000000000..2a2bb67cf9c --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-category.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-documentreference-category","text":{"status":"generated","div":"

US Core DocumentReference Category

The US Core DocumentReferences Category Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category","version":"3.1.0","name":"USCoreDocumentReferenceCategory","title":"US Core DocumentReference Category","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core DocumentReferences Category Value Set is a 'starter set' of categories supported for fetching and storing clinical notes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-type.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-type.json new file mode 100644 index 00000000000..d40a31a75b6 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-documentreference-type.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-documentreference-type","text":{"status":"generated","div":"

US Core DocumentReference Type

The US Core DocumentReference Type Value Set includes all LOINC values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'

\n

Copyright Statement: This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.

This value set includes codes from the following code systems:

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplay
    UNKunknownDescription:A proper value is applicable, but not known.
    \n \n Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
    \n \n Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')\n Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
  • Include codes from http://loinc.org where SCALE_TYP = DOC
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-type","version":"3.1.0","name":"USCoreDocumentReferenceType","title":"US Core DocumentReference Type","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core DocumentReference Type Value Set includes all LOINC values whose SCALE is DOC in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.","compose":{"include":[{"system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor","concept":[{"code":"UNK","display":"unknown"}]},{"system":"http://loinc.org","filter":[{"property":"SCALE_TYP","op":"=","value":"DOC"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-encounter-type.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-encounter-type.json new file mode 100644 index 00000000000..27b42f61a67 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-encounter-type.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-encounter-type","text":{"status":"generated","div":"

US Core Encounter Type

The type of encounter: a specific code indicating type of service provided. This value set includes codes from SNOMED CT decending from the concept 308335008 (Patient encounter procedure (procedure)) and from the Current Procedure and Terminology(CPT) designated for Evaluation and Management (99200 – 99607) (subscription to AMA Required)

\n

Copyright Statement: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from CPT copyright 2014 American Medical Association. All rights reserved.

This value set includes codes from the following code systems:

  • Include codes from http://snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)
  • Include all codes defined in http://www.ama-assn.org/go/cpt
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.3.88.12.80.32"}],"version":"3.1.0","name":"USCoreEncounterType","title":"US Core Encounter Type","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The type of encounter: a specific code indicating type of service provided. This value set includes codes from SNOMED CT decending from the concept 308335008 (Patient encounter procedure (procedure)) and from the Current Procedure and Terminology(CPT) designated for Evaluation and Management (99200 – 99607) (subscription to AMA Required)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement. This value set includes content from CPT copyright 2014 American Medical Association. All rights reserved.","compose":{"include":[{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"308335008"}]},{"system":"http://www.ama-assn.org/go/cpt"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-medication-codes.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-medication-codes.json new file mode 100644 index 00000000000..ecf86cfcae9 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-medication-codes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-medication-codes","text":{"status":"generated","div":"
\n\t\t\t

Medication Clinical Drug (RxNorm)

\n\t\t\t

All prescribable medication formulations represented using either a 'generic' or 'brand-specific' concept. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack), SCDG (semantic clinical drug group), SBDG (semantic brand drug group), SCDF (semantic clinical drug form), or SBDF (semantic brand drug form)

\n\t\t\t

This value set includes codes from the following code systems:

\n\t\t\t
    \n\t\t\t\t
  • Include codes from http://www.nlm.nih.gov/research/umls/rxnorm where TTY in SCD,SBD,GPCK,BPCK,SCDG,SBDG,SCDF,SBDF
    • \n\t\t\t
\n\t\t
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-medication-codes","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1010.4"}],"version":"3.1.0","name":"USCoreMedicationCodes","title":"US Core Medication Codes (RxNorm)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"All prescribable medication formulations represented using either a 'generic' or 'brand-specific' concept. This includes RxNorm codes whose Term Type is SCD (semantic clinical drug), SBD (semantic brand drug), GPCK (generic pack), BPCK (brand pack), SCDG (semantic clinical drug group), SBDG (semantic brand drug group), SCDF (semantic clinical drug form), or SBDF (semantic brand drug form)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://www.nlm.nih.gov/research/umls/rxnorm","filter":[{"property":"TTY","op":"in","value":"SCD,SBD,GPCK,BPCK,SCDG,SBDG,SCDF,SBDF"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-narrative-status.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-narrative-status.json new file mode 100644 index 00000000000..2b0c1ff37d9 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-narrative-status.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-narrative-status","text":{"status":"generated","div":"

US Core Narrative Status

The US Core Narrative Status Value Set limits the text status for the resource narrative.

\n

Copyright Statement: HL7

This value set includes codes from the following code systems:

  • Include these codes as defined in http://hl7.org/fhir/narrative-status
    CodeDisplay
    additionaladditionalThe contents of the narrative may contain additional information not found in the structured data. Note that there is no computable way to determine what the extra information is, other than by human inspection.
    generatedgeneratedThe contents of the narrative are entirely generated from the core elements in the content.
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-narrative-status","version":"3.1.0","name":"NarrativeStatus","title":"US Core Narrative Status","status":"active","date":"2019-12-17T21:39:14+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core Narrative Status Value Set limits the text status for the resource narrative.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"HL7","compose":{"include":[{"system":"http://hl7.org/fhir/narrative-status","concept":[{"code":"additional","display":"additional"},{"code":"generated","display":"generated"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-ndc-vaccine-codes.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-ndc-vaccine-codes.json new file mode 100644 index 00000000000..cbd82955694 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-ndc-vaccine-codes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-ndc-vaccine-codes","text":{"status":"generated","div":"

US Core Vaccine National Drug Codes (NDC)

This value set includes all the Vaccine National Drug Codes (NDC). This source of this data is provided by the CDC

\n

This value set includes codes from the following code systems:

  • Include these codes as defined in http://hl7.org/fhir/sid/ndc
    CodeDisplay
    49281-0703-55FLUZONE INTRADERMAL
    49281-0790-20Typhim Vi
    33332-0316-01AFLURIA QUADRIVALENT
    49281-0712-40FLUZONE INTRADERMAL QUADRIVALENT
    66521-0112-02Fluvirin
    58160-0816-05Hiberix
    00006-4837-02PNEUMOVAX 23
    58160-0808-15Influenza A (H5N1) Monovalent Vaccine, Adjuvanted
    58160-0842-51BOOSTRIX
    49281-0418-50FLUZONE QUADRIVALENT
    00006-4943-00PNEUMOVAX 23
    49281-0708-40FLUZONE INTRADERMAL QUADRIVALENT
    54868-0734-00ENGERIX-B
    58160-0819-12Shingrix
    49281-0517-25FLUZONE QUADRIVALENT
    00006-4133-41Tetanus and Diphtheria Toxoids Adsorbed
    50090-3096-00RabAvert
    33332-0118-10AFLURIA
    19515-0909-52Flulaval Quadrivalent
    49281-0650-10INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE
    58160-0820-11ENGERIX-B
    42515-0001-01IXIARO
    49281-0625-15FLUZONE QUADRIVALENT
    49281-0516-25FLUZONE QUADRIVALENT
    66521-0114-02FLUVIRIN
    19515-0896-11Flulaval Quadrivalent
    33332-0117-10AFLURIA
    33332-0416-10AFLURIA QUADRIVALENT
    66521-0118-02Fluvirin
    58160-0821-11ENGERIX-B
    00005-1971-05PREVNAR 13
    66019-0109-10FLUMIST
    49281-0278-10DIPHTHERIA AND TETANUS TOXOIDS ADSORBED
    49281-0011-10FLUZONE
    54868-2219-00RECOMBIVAX HB
    49281-0415-10FLUZONE QUADRIVALENT
    33332-0016-01AFLURIA
    49281-0705-55FLUZONE
    49281-0621-15FLUZONE QUADRIVALENT
    58160-0842-34BOOSTRIX
    49281-0010-10FLUZONE
    66521-0113-02FLUVIRIN
    49281-0514-25FLUZONE QUADRIVALENT
    58160-0842-52BOOSTRIX
    19515-0901-52Flulaval Quadrivalent
    62577-0613-01Flucelvax
    66019-0303-10FluMist Quadrivalent
    49281-0388-15FLUZONE
    00006-4841-41VAQTA
    58160-0900-52FLUARIX QUADRIVALENT
    70461-0200-01FLUCELVAX QUADRIVALENT
    49281-0915-05YF-VAX
    49281-0650-50INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE
    33332-0116-10AFLURIA
    54868-3339-01PNEUMOVAX 23
    49281-0418-10FLUZONE QUADRIVALENT
    58160-0812-52KINRIX
    49281-0286-05DAPTACEL
    63851-0612-01Flucelvax
    19515-0908-52Flulaval Quadrivalent
    54868-0980-00M-M-R II
    58160-0830-52CERVARIX
    49281-0113-25FLUZONE
    49281-0650-70INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE
    66521-0115-10FLUVIRIN
    49281-0417-50FLUZONE QUADRIVALENT
    33332-0113-10AFLURIA
    49281-0629-15FLUZONE QUADRIVALENT
    58160-0823-11Shingrix
    00006-4897-00PedvaxHIB
    58160-0821-34ENGERIX-B
    66521-0115-02FLUVIRIN
    33332-0014-01AFLURIA
    49281-0562-10QUADRACEL
    42874-0014-10Flublok
    42874-0013-10Flublok
    33332-0115-10AFLURIA
    00006-4963-00ZOSTAVAX
    49281-0010-25FLUZONE
    33332-0519-01Influenza A
    58160-0898-52FLUARIX QUADRIVALENT
    49281-0112-25FLUZONE
    19515-0898-11Flulaval Quadrivalent
    00006-4109-09GARDASIL
    49281-0414-50FLUZONE QUADRIVALENT
    00006-4095-09VAQTA
    00006-4045-00GARDASIL
    19515-0912-52Flulaval Quadrivalent
    58160-0801-11Menhibrix
    49281-0489-01MENOMUNE - A/C/Y/W-135 COMBINED
    42874-0017-10Flublok
    66521-0116-02Fluvirin
    46028-0208-01Menveo
    49281-0627-15FLUZONE QUADRIVALENT
    00005-0100-02Trumenba
    69401-0000-01Vivotif
    21695-0413-01Tetanus and Diphtheria Toxoids Adsorbed
    49281-0416-10FLUZONE QUADRIVALENT
    49281-0650-25INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE
    49281-0800-83TETANUS TOXOID ADSORBED
    49281-0291-83DECAVAC
    00006-4095-02VAQTA
    58160-0854-52ROTARIX
    19515-0889-07FLULAVAL
    49281-0392-15FLUZONE
    19515-0891-11Flulaval Quadrivalent
    49281-0400-05Adacel
    49281-0913-01STAMARIL
    49281-0640-15INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE
    49281-0513-25FLUZONE QUADRIVALENT
    00006-4171-00ProQuad
    00006-4096-09VAQTA
    58160-0830-34CERVARIX
    00006-4980-00RECOMBIVAX HB
    17478-0131-01Tetanus and Diphtheria Toxoids Adsorbed
    49281-0414-10FLUZONE QUADRIVALENT
    43528-0002-05HEPLISAV-B
    66521-0200-02Influenza A (H1N1) 2009 Monovalent Vaccine
    49281-0011-50FLUZONE
    70461-0120-10Fluvirin
    66019-0304-10FluMist Quadrivalent
    58160-0976-20Bexsero
    00006-4826-00VARIVAX
    66521-0116-10Fluvirin
    00006-4963-41ZOSTAVAX
    49281-0510-05PENTACEL
    42874-0012-10Flublok
    58160-0955-09Menveo
    00005-0100-05Trumenba
    49281-0707-55FLUZONE
    14362-0111-04Tetanus and Diphtheria Toxoids Adsorbed
    66521-0112-10Fluvirin
    66521-0117-10Fluvirin
    00006-4045-41GARDASIL
    49281-0389-65FLUZONE HIGH DOSE
    69401-0000-02Vivotif
    49281-0915-01YF-VAX
    00006-4093-02RECOMBIVAX HB
    58160-0815-48TWINRIX
    70460-0001-01Vaxchora
    58160-0826-11HAVRIX
    00006-4992-00RECOMBIVAX HB
    49281-0111-25FLUZONE
    00006-4093-09RECOMBIVAX HB
    50090-3469-00HEPLISAV-B
    49281-0403-65FLUZONE High-Dose
    70461-0119-10Fluvirin
    00006-4995-00RECOMBIVAX HB
    58160-0815-34TWINRIX
    49281-0393-65FLUZONE High-Dose
    00005-1970-50Prevnar
    33332-0017-01AFLURIA
    63851-0501-01RabAvert
    58160-0881-52FLUARIX
    64678-0211-01BioThrax
    49281-0394-15FLUZONE
    00006-4827-00VARIVAX
    58160-0806-05HIBERIX
    49281-0518-25FLUZONE QUADRIVALENT
    62195-0051-10Ixiaro
    63361-0245-10VAXELIS
    49281-0709-55FLUZONE Intradermal
    66019-0300-10FluMist Quadrivalent
    49281-0215-15TENIVAC
    58160-0825-52HAVRIX
    00005-0100-10Trumenba
    66521-0117-02Fluvirin
    49281-0650-90INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE
    42874-0015-10Flublok
    33332-0018-01AFLURIA
    00006-4999-00ProQuad
    00005-1971-04PREVNAR 13
    19515-0850-52FLULAVAL
    00005-1971-02PREVNAR 13
    00006-4094-02RECOMBIVAX HB
    00006-4096-02VAQTA
    58160-0825-11HAVRIX
    58160-0811-52PEDIARIX
    42515-0002-01IXIARO
    49281-0013-50FLUZONE
    76420-0483-01Medical Provider Single Use EZ Flu Shot 2013-2014
    66521-0118-10Fluvirin
    49281-0399-65FLUZONE High-Dose
    49281-0396-15FLUZONE
    66019-0107-01FLUMIST
    19515-0890-07FLULAVAL
    76420-0482-01Medical Provider Single Use EZ Flu Shot 2013-2014
    33332-0015-01AFLURIA
    66019-0302-10FluMist Quadrivalent
    49281-0012-10FLUZONE
    49281-0710-40FLUZONE INTRADERMAL QUADRIVALENT
    63851-0501-02RabAvert
    58160-0879-52FLUARIX
    49281-0397-65FLUZONE High-Dose
    00006-4831-41VAQTA
    58160-0815-46TWINRIX
    33332-0110-10AFLURIA
    54868-4320-00PNEUMOVAX 23
    42874-0016-10Flublok
    49281-0012-50FLUZONE
    58160-0818-11Hiberix
    49281-0386-15FLUZONE
    46028-0114-01Bexsero
    00006-4898-00COMVAX
    58160-0826-52HAVRIX
    49281-0545-05ActHIB
    66019-0108-10FLUMIST
    70461-0418-10FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)
    00006-4094-09RECOMBIVAX HB
    49281-0298-10TRIPEDIA
    33332-0629-10Influenza A
    58160-0880-52FLUARIX
    00006-4047-20RotaTeq
    00006-4119-02GARDASIL 9
    58160-0842-11BOOSTRIX
    19515-0903-11Flulaval Quadrivalent
    00006-4981-00RECOMBIVAX HB
    58160-0905-52FLUARIX QUADRIVALENT
    49281-0401-65FLUZONE High-Dose
    33332-0114-10AFLURIA
    49281-0860-10IPOL
    70461-0318-03FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)
    54868-2219-01RECOMBIVAX HB
    49281-0718-10Flublok Quadrivalent
    49281-0400-15Adacel
    70461-0120-02Fluvirin
    49281-0416-50FLUZONE QUADRIVALENT
    49281-0413-50FLUZONE QUADRIVALENT
    58160-0883-52FLUARIX
    49281-0790-51Typhim Vi
    49281-0286-10DAPTACEL
    66019-0110-10FluMist
    46028-0114-02Bexsero
    58160-0821-52ENGERIX-B
    49281-0013-10FLUZONE
    19515-0894-52Flulaval Quadrivalent
    66019-0305-10FluMist Quadrivalent
    49281-0400-10Adacel
    49281-0390-15FLUZONE
    00052-0603-02BCG VACCINE
    51285-0138-50Adenovirus Type 4 and Type 7 Vaccine, Live
    33332-0417-10AFLURIA QUADRIVALENT
    49281-0395-65FLUZONE High-Dose
    66019-0301-10FluMist Quadrivalent
    49281-0215-10TENIVAC
    19515-0895-11Flulaval Quadrivalent
    70461-0201-01FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)
    58160-0907-52FLUARIX QUADRIVALENT
    55045-3841-01HAVRIX
    50090-2883-00INFANRIX
    49281-0820-10TETANUS TOXOID ADSORBED
    49281-0417-10FLUZONE QUADRIVALENT
    33332-0010-01AFLURIA
    33332-0013-01AFLURIA
    66521-0200-10Influenza A (H1N1) 2009 Monovalent Vaccine
    58160-0976-06Bexsero
    58160-0809-05MENHIBRIX
    00006-4739-00PNEUMOVAX 23
    70461-0018-03FLUAD
    49281-0413-10FLUZONE QUADRIVALENT
    13533-0131-01Tetanus and Diphtheria Toxoids Adsorbed
    58160-0812-11KINRIX
    49281-0391-65FLUZONE High-Dose
    19515-0845-11FLULAVAL
    58160-0811-51PEDIARIX
    58160-0815-52TWINRIX
    70461-0119-02Fluvirin
    58160-0810-52INFANRIX
    62577-0614-01Flucelvax
    42874-0117-10Flublok Quadrivalent
    49281-0489-91MENOMUNE - A/C/Y/W-135 COMBINED
    58160-0964-12RabAvert
    49281-0014-50FLUZONE
    00006-4109-02GARDASIL
    70461-0002-01FLUAD
    49281-0286-01DAPTACEL
    58160-0810-11INFANRIX
    19515-0900-11Flulaval Quadrivalent
    00006-4837-03PNEUMOVAX 23
    66521-0113-10FLUVIRIN
    58160-0826-34HAVRIX
    58160-0903-52FLUARIX QUADRIVALENT
    00006-4841-00VAQTA
    54868-6180-00FLUZONE
    00006-4681-00M-M-R II
    33332-0317-01AFLURIA QUADRIVALENT
    70461-0001-01FLUAD
    49281-0589-05Menactra
    49281-0387-65FLUZONE
    49281-0860-55IPOL
    19515-0893-07FLULAVAL
    33332-0519-25Influenza A
    70461-0301-10FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)
    66019-0200-10Influenza A H1N1 Intranasal
    43528-0003-05HEPLISAV-B
    58160-0820-52ENGERIX-B
    66521-0000-01FLUAD
    49281-0250-51IMOVAX RABIES
    49281-0291-10DECAVAC
    33332-0418-10AFLURIA QUADRIVALENT
    00006-4121-02GARDASIL 9
    63851-0613-01FLUCELVAX
    66521-0114-10FLUVIRIN
    00006-4047-41RotaTeq
    58160-0901-52FLUARIX QUADRIVALENT
    33332-0318-01AFLURIA QUADRIVALENT
    00006-4119-03GARDASIL 9
    49281-0225-10DIPHTHERIA AND TETANUS TOXOIDS ADSORBED
    58160-0815-11TWINRIX
    54868-6177-00FLUZONE
    49281-0010-50FLUZONE
    49281-0400-20Adacel
    49281-0545-03ActHIB
    50090-1693-09IPOL
    00006-4995-41RECOMBIVAX HB
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-ndc-vaccine-codes","version":"3.1.0","name":"USCoreVaccineNationalDrugCode","title":"US Core Vaccine National Drug Codes (NDC)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"This value set includes all the Vaccine National Drug Codes (NDC). This source of this data is provided by the [CDC](https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp)","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"Codes that are used as translations for CVS code for implementation of the Argonaut Immunization IG and MU2015 certification.","compose":{"include":[{"system":"http://hl7.org/fhir/sid/ndc","concept":[{"code":"49281-0703-55","display":"FLUZONE INTRADERMAL"},{"code":"49281-0790-20","display":"Typhim Vi"},{"code":"33332-0316-01","display":"AFLURIA QUADRIVALENT"},{"code":"49281-0712-40","display":"FLUZONE INTRADERMAL QUADRIVALENT"},{"code":"66521-0112-02","display":"Fluvirin"},{"code":"58160-0816-05","display":"Hiberix"},{"code":"00006-4837-02","display":"PNEUMOVAX 23"},{"code":"58160-0808-15","display":"Influenza A (H5N1) Monovalent Vaccine, Adjuvanted"},{"code":"58160-0842-51","display":"BOOSTRIX"},{"code":"49281-0418-50","display":"FLUZONE QUADRIVALENT"},{"code":"00006-4943-00","display":"PNEUMOVAX 23"},{"code":"49281-0708-40","display":"FLUZONE INTRADERMAL QUADRIVALENT"},{"code":"54868-0734-00","display":"ENGERIX-B"},{"code":"58160-0819-12","display":"Shingrix"},{"code":"49281-0517-25","display":"FLUZONE QUADRIVALENT"},{"code":"00006-4133-41","display":"Tetanus and Diphtheria Toxoids Adsorbed"},{"code":"50090-3096-00","display":"RabAvert"},{"code":"33332-0118-10","display":"AFLURIA"},{"code":"19515-0909-52","display":"Flulaval Quadrivalent"},{"code":"49281-0650-10","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"58160-0820-11","display":"ENGERIX-B"},{"code":"42515-0001-01","display":"IXIARO"},{"code":"49281-0625-15","display":"FLUZONE QUADRIVALENT"},{"code":"49281-0516-25","display":"FLUZONE QUADRIVALENT"},{"code":"66521-0114-02","display":"FLUVIRIN"},{"code":"19515-0896-11","display":"Flulaval Quadrivalent"},{"code":"33332-0117-10","display":"AFLURIA"},{"code":"33332-0416-10","display":"AFLURIA QUADRIVALENT"},{"code":"66521-0118-02","display":"Fluvirin"},{"code":"58160-0821-11","display":"ENGERIX-B"},{"code":"00005-1971-05","display":"PREVNAR 13"},{"code":"66019-0109-10","display":"FLUMIST"},{"code":"49281-0278-10","display":"DIPHTHERIA AND TETANUS TOXOIDS ADSORBED"},{"code":"49281-0011-10","display":"FLUZONE"},{"code":"54868-2219-00","display":"RECOMBIVAX HB"},{"code":"49281-0415-10","display":"FLUZONE QUADRIVALENT"},{"code":"33332-0016-01","display":"AFLURIA"},{"code":"49281-0705-55","display":"FLUZONE"},{"code":"49281-0621-15","display":"FLUZONE QUADRIVALENT"},{"code":"58160-0842-34","display":"BOOSTRIX"},{"code":"49281-0010-10","display":"FLUZONE"},{"code":"66521-0113-02","display":"FLUVIRIN"},{"code":"49281-0514-25","display":"FLUZONE QUADRIVALENT"},{"code":"58160-0842-52","display":"BOOSTRIX"},{"code":"19515-0901-52","display":"Flulaval Quadrivalent"},{"code":"62577-0613-01","display":"Flucelvax"},{"code":"66019-0303-10","display":"FluMist 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QUADRIVALENT"},{"code":"33332-0113-10","display":"AFLURIA"},{"code":"49281-0629-15","display":"FLUZONE QUADRIVALENT"},{"code":"58160-0823-11","display":"Shingrix"},{"code":"00006-4897-00","display":"PedvaxHIB"},{"code":"58160-0821-34","display":"ENGERIX-B"},{"code":"66521-0115-02","display":"FLUVIRIN"},{"code":"33332-0014-01","display":"AFLURIA"},{"code":"49281-0562-10","display":"QUADRACEL"},{"code":"42874-0014-10","display":"Flublok"},{"code":"42874-0013-10","display":"Flublok"},{"code":"33332-0115-10","display":"AFLURIA"},{"code":"00006-4963-00","display":"ZOSTAVAX"},{"code":"49281-0010-25","display":"FLUZONE"},{"code":"33332-0519-01","display":"Influenza A"},{"code":"58160-0898-52","display":"FLUARIX QUADRIVALENT"},{"code":"49281-0112-25","display":"FLUZONE"},{"code":"19515-0898-11","display":"Flulaval Quadrivalent"},{"code":"00006-4109-09","display":"GARDASIL"},{"code":"49281-0414-50","display":"FLUZONE 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QUADRIVALENT"},{"code":"62195-0051-10","display":"Ixiaro"},{"code":"63361-0245-10","display":"VAXELIS"},{"code":"49281-0709-55","display":"FLUZONE Intradermal"},{"code":"66019-0300-10","display":"FluMist Quadrivalent"},{"code":"49281-0215-15","display":"TENIVAC"},{"code":"58160-0825-52","display":"HAVRIX"},{"code":"00005-0100-10","display":"Trumenba"},{"code":"66521-0117-02","display":"Fluvirin"},{"code":"49281-0650-90","display":"INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE"},{"code":"42874-0015-10","display":"Flublok"},{"code":"33332-0018-01","display":"AFLURIA"},{"code":"00006-4999-00","display":"ProQuad"},{"code":"00005-1971-04","display":"PREVNAR 13"},{"code":"19515-0850-52","display":"FLULAVAL"},{"code":"00005-1971-02","display":"PREVNAR 13"},{"code":"00006-4094-02","display":"RECOMBIVAX HB"},{"code":"00006-4096-02","display":"VAQTA"},{"code":"58160-0825-11","display":"HAVRIX"},{"code":"58160-0811-52","display":"PEDIARIX"},{"code":"42515-0002-01","display":"IXIARO"},{"code":"49281-0013-50","display":"FLUZONE"},{"code":"76420-0483-01","display":"Medical Provider Single Use EZ Flu Shot 2013-2014"},{"code":"66521-0118-10","display":"Fluvirin"},{"code":"49281-0399-65","display":"FLUZONE High-Dose"},{"code":"49281-0396-15","display":"FLUZONE"},{"code":"66019-0107-01","display":"FLUMIST"},{"code":"19515-0890-07","display":"FLULAVAL"},{"code":"76420-0482-01","display":"Medical Provider Single Use EZ Flu Shot 2013-2014"},{"code":"33332-0015-01","display":"AFLURIA"},{"code":"66019-0302-10","display":"FluMist Quadrivalent"},{"code":"49281-0012-10","display":"FLUZONE"},{"code":"49281-0710-40","display":"FLUZONE INTRADERMAL QUADRIVALENT"},{"code":"63851-0501-02","display":"RabAvert"},{"code":"58160-0879-52","display":"FLUARIX"},{"code":"49281-0397-65","display":"FLUZONE 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Vi"},{"code":"49281-0286-10","display":"DAPTACEL"},{"code":"66019-0110-10","display":"FluMist"},{"code":"46028-0114-02","display":"Bexsero"},{"code":"58160-0821-52","display":"ENGERIX-B"},{"code":"49281-0013-10","display":"FLUZONE"},{"code":"19515-0894-52","display":"Flulaval Quadrivalent"},{"code":"66019-0305-10","display":"FluMist Quadrivalent"},{"code":"49281-0400-10","display":"Adacel"},{"code":"49281-0390-15","display":"FLUZONE"},{"code":"00052-0603-02","display":"BCG VACCINE"},{"code":"51285-0138-50","display":"Adenovirus Type 4 and Type 7 Vaccine, Live"},{"code":"33332-0417-10","display":"AFLURIA QUADRIVALENT"},{"code":"49281-0395-65","display":"FLUZONE High-Dose"},{"code":"66019-0301-10","display":"FluMist Quadrivalent"},{"code":"49281-0215-10","display":"TENIVAC"},{"code":"19515-0895-11","display":"Flulaval Quadrivalent"},{"code":"70461-0201-01","display":"FLUCELVAX QUADRIVALENT (PREFILLED SYRINGE)"},{"code":"58160-0907-52","display":"FLUARIX QUADRIVALENT"},{"code":"55045-3841-01","display":"HAVRIX"},{"code":"50090-2883-00","display":"INFANRIX"},{"code":"49281-0820-10","display":"TETANUS TOXOID ADSORBED"},{"code":"49281-0417-10","display":"FLUZONE QUADRIVALENT"},{"code":"33332-0010-01","display":"AFLURIA"},{"code":"33332-0013-01","display":"AFLURIA"},{"code":"66521-0200-10","display":"Influenza A (H1N1) 2009 Monovalent Vaccine"},{"code":"58160-0976-06","display":"Bexsero"},{"code":"58160-0809-05","display":"MENHIBRIX"},{"code":"00006-4739-00","display":"PNEUMOVAX 23"},{"code":"70461-0018-03","display":"FLUAD"},{"code":"49281-0413-10","display":"FLUZONE QUADRIVALENT"},{"code":"13533-0131-01","display":"Tetanus and Diphtheria Toxoids Adsorbed"},{"code":"58160-0812-11","display":"KINRIX"},{"code":"49281-0391-65","display":"FLUZONE High-Dose"},{"code":"19515-0845-11","display":"FLULAVAL"},{"code":"58160-0811-51","display":"PEDIARIX"},{"code":"58160-0815-52","display":"TWINRIX"},{"code":"70461-0119-02","display":"Fluvirin"},{"code":"58160-0810-52","display":"INFANRIX"},{"code":"62577-0614-01","display":"Flucelvax"},{"code":"42874-0117-10","display":"Flublok Quadrivalent"},{"code":"49281-0489-91","display":"MENOMUNE - A/C/Y/W-135 COMBINED"},{"code":"58160-0964-12","display":"RabAvert"},{"code":"49281-0014-50","display":"FLUZONE"},{"code":"00006-4109-02","display":"GARDASIL"},{"code":"70461-0002-01","display":"FLUAD"},{"code":"49281-0286-01","display":"DAPTACEL"},{"code":"58160-0810-11","display":"INFANRIX"},{"code":"19515-0900-11","display":"Flulaval Quadrivalent"},{"code":"00006-4837-03","display":"PNEUMOVAX 23"},{"code":"66521-0113-10","display":"FLUVIRIN"},{"code":"58160-0826-34","display":"HAVRIX"},{"code":"58160-0903-52","display":"FLUARIX QUADRIVALENT"},{"code":"00006-4841-00","display":"VAQTA"},{"code":"54868-6180-00","display":"FLUZONE"},{"code":"00006-4681-00","display":"M-M-R II"},{"code":"33332-0317-01","display":"AFLURIA QUADRIVALENT"},{"code":"70461-0001-01","display":"FLUAD"},{"code":"49281-0589-05","display":"Menactra"},{"code":"49281-0387-65","display":"FLUZONE"},{"code":"49281-0860-55","display":"IPOL"},{"code":"19515-0893-07","display":"FLULAVAL"},{"code":"33332-0519-25","display":"Influenza A"},{"code":"70461-0301-10","display":"FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL)"},{"code":"66019-0200-10","display":"Influenza A H1N1 Intranasal"},{"code":"43528-0003-05","display":"HEPLISAV-B"},{"code":"58160-0820-52","display":"ENGERIX-B"},{"code":"66521-0000-01","display":"FLUAD"},{"code":"49281-0250-51","display":"IMOVAX RABIES"},{"code":"49281-0291-10","display":"DECAVAC"},{"code":"33332-0418-10","display":"AFLURIA QUADRIVALENT"},{"code":"00006-4121-02","display":"GARDASIL 9"},{"code":"63851-0613-01","display":"FLUCELVAX"},{"code":"66521-0114-10","display":"FLUVIRIN"},{"code":"00006-4047-41","display":"RotaTeq"},{"code":"58160-0901-52","display":"FLUARIX QUADRIVALENT"},{"code":"33332-0318-01","display":"AFLURIA QUADRIVALENT"},{"code":"00006-4119-03","display":"GARDASIL 9"},{"code":"49281-0225-10","display":"DIPHTHERIA AND TETANUS TOXOIDS ADSORBED"},{"code":"58160-0815-11","display":"TWINRIX"},{"code":"54868-6177-00","display":"FLUZONE"},{"code":"49281-0010-50","display":"FLUZONE"},{"code":"49281-0400-20","display":"Adacel"},{"code":"49281-0545-03","display":"ActHIB"},{"code":"50090-1693-09","display":"IPOL"},{"code":"00006-4995-41","display":"RECOMBIVAX HB"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smoking-status-status.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smoking-status-status.json new file mode 100644 index 00000000000..0cd5df7db35 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smoking-status-status.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-observation-smoking-status-status","text":{"status":"generated","div":"

US Core Status for Smoking Status Observation

Codes providing the status of an observation for smoking status. Constrained to finaland entered-in-error.

\n

This value set includes codes from the following code systems:

  • Include these codes as defined in http://hl7.org/fhir/observation-status
    CodeDisplay
    finalFinalThe observation is complete and there are no further actions needed. Additional information such "released", "signed", etc would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied.
    entered-in-errorEntered in ErrorThe observation has been withdrawn following previous final release. This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be "cancelled" rather than "entered-in-error".).
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smoking-status-status","version":"3.1.0","name":"USCoreObservationSmokingStatusStatus","title":"US Core Status for Smoking Status Observation","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Codes providing the status of an observation for smoking status. Constrained to `final`and `entered-in-error`.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://hl7.org/fhir/observation-status","concept":[{"code":"final"},{"code":"entered-in-error"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smokingstatus.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smokingstatus.json new file mode 100644 index 00000000000..8d6aca19166 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-smokingstatus.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-observation-smokingstatus","text":{"status":"generated","div":"

US Core Smoking Status

This value set indicates the current smoking status of a patient.

\n

Copyright Statement: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-smokingstatus","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.2.602"}],"version":"3.1.0","name":"USCoreSmokingStatus","title":"US Core Smoking Status","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set indicates the current smoking status of a patient.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://snomed.info/sct","concept":[{"code":"449868002","display":"Current every day smoker"},{"code":"428041000124106","display":"Current some day smoker"},{"code":"8517006","display":"Former smoker"},{"code":"266919005","display":"Never smoker"},{"code":"77176002","display":"Smoker, current status unknown"},{"code":"266927001","display":"Unknown if ever smoked"},{"code":"428071000124103","display":"Current Heavy tobacco smoker"},{"code":"428061000124105","display":"Current Light tobacco smoker"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-value-codes.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-value-codes.json new file mode 100644 index 00000000000..edf6b930200 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-observation-value-codes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-observation-value-codes","text":{"status":"generated","div":"

US Core Observation Value Codes (SNOMED-CT)

Snomed-CT concept codes for coded results

\n

Copyright Statement: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes","version":"3.1.0","name":"USCoreObservationValueCodes","title":"US Core Observation Value Codes (SNOMED-CT)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"description":"[Snomed-CT](http://www.ihtsdo.org/) concept codes for coded results","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://snomed.info/sct"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-code.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-code.json new file mode 100644 index 00000000000..19573af6e99 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-code.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-procedure-code","text":{"status":"generated","div":"

US Core Procedure Codes

This example value set defines a set of codes that can be used to indicate the type of procedure: a specific code indicating type of procedure performed, from CPT, SNOMED CT, or HCPCS Level II Alphanumeric Codes.

\n

Copyright Statement: CPT copyright 2014 American Medical Association. All rights reserved. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

This value set includes codes from the following code systems:

  • Include all codes defined in http://www.ama-assn.org/go/cpt
  • Include codes from http://snomed.info/sct where concept is-a 71388002 (Procedure)
  • Include all codes defined in urn:oid:2.16.840.1.113883.6.285
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code","version":"3.1.0","name":"USCoreProcedureCodes","title":"US Core Procedure Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This example value set defines a set of codes that can be used to indicate the type of procedure: a specific code indicating type of procedure performed, from CPT, SNOMED CT, or HCPCS Level II Alphanumeric Codes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"CPT copyright 2014 American Medical Association. All rights reserved. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement","compose":{"include":[{"system":"http://www.ama-assn.org/go/cpt"},{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"is-a","value":"71388002"}]},{"system":"urn:oid:2.16.840.1.113883.6.285"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-icd10pcs.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-icd10pcs.json new file mode 100644 index 00000000000..4458224a04d --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-procedure-icd10pcs.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-procedure-icd10pcs","text":{"status":"generated","div":"

US Core ICD-10-PCS Procedure Codes

This value set defines a set of codes from ICD10-PCS that can be used to indicate a type of procedure performed

\n

Copyright Statement: The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS). CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS.

This value set includes codes from the following code systems:

  • Include all codes defined in http://www.icd10data.com/icd10pcs
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-icd10pcs","version":"3.1.0","name":"USCoreIcd_10PcsProcedureCodes","title":"US Core ICD-10-PCS Procedure Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set defines a set of codes from ICD10-PCS that can be used to indicate a type of procedure performed","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS). CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS.","compose":{"include":[{"system":"http://www.icd10data.com/icd10pcs"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provenance-participant-type.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provenance-participant-type.json new file mode 100644 index 00000000000..1ed25f57ee7 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provenance-participant-type.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-provenance-participant-type","text":{"status":"generated","div":"

US Core Provenance Participant Type Codes

The type of participation a provenance agent played for a given target.

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type","version":"3.1.0","name":"USCoreProvenancePaticipantTypeCodes","title":"US Core Provenance Participant Type Codes","status":"active","date":"2019-08-28T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","description":"The type of participation a provenance agent played for a given target.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"purpose":"So API consumers can identify the provenance participant type.","compose":{"include":[{"system":"http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"},{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-role.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-role.json new file mode 100644 index 00000000000..8208f852404 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-role.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-provider-role","text":{"status":"generated","div":"

US Core Provider Role (NUCC)

Provider roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set classification codes for providers. Only concepts with a classification and no specialization are included.

\n

Copyright Statement: This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association. For commercial use, including sales or licensing, a license must be obtained.

This value set includes codes from the following code systems:

  • Include these codes as defined in http://nucc.org/provider-taxonomy
    CodeDisplay
    101Y00000XCounselor
    102L00000XPsychoanalyst
    102X00000XPoetry Therapist
    103G00000XClinical Neuropsychologist
    103K00000XBehavior Analyst
    103T00000XPsychologist
    104100000XSocial Worker
    106E00000XAssistant Behavior Analyst
    106H00000XMarriage & Family Therapist
    106S00000XBehavior Technician
    111N00000XChiropractor
    122300000XDentist
    122400000XDenturist
    124Q00000XDental Hygienist
    125J00000XDental Therapist
    125K00000XAdvanced Practice Dental Therapist
    125Q00000XOral Medicinist
    126800000XDental Assistant
    126900000XDental Laboratory Technician
    132700000XDietary Manager
    133N00000XNutritionist
    133V00000XDietitian, Registered
    136A00000XDietetic Technician, Registered
    146D00000XPersonal Emergency Response Attendant
    146L00000XEmergency Medical Technician, Paramedic
    146M00000XEmergency Medical Technician, Intermediate
    146N00000XEmergency Medical Technician, Basic
    152W00000XOptometrist
    156F00000XTechnician/Technologist
    163W00000XRegistered Nurse
    164W00000XLicensed Practical Nurse
    164X00000XLicensed Vocational Nurse
    167G00000XLicensed Psychiatric Technician
    170100000XMedical Genetics, Ph.D. Medical Genetics
    170300000XGenetic Counselor, MS
    171000000XMilitary Health Care Provider
    171100000XAcupuncturist
    171M00000XCase Manager/Care Coordinator
    171R00000XInterpreter
    171W00000XContractor
    172A00000XDriver
    172M00000XMechanotherapist
    172P00000XNaprapath
    172V00000XCommunity Health Worker
    173000000XLegal Medicine
    173C00000XReflexologist
    173F00000XSleep Specialist, PhD
    174200000XMeals
    174400000XSpecialist
    174H00000XHealth Educator
    174M00000XVeterinarian
    174N00000XLactation Consultant, Non-RN
    174V00000XClinical Ethicist
    175F00000XNaturopath
    175L00000XHomeopath
    175M00000XMidwife, Lay
    175T00000XPeer Specialist
    176B00000XMidwife
    176P00000XFuneral Director
    177F00000XLodging
    183500000XPharmacist
    183700000XPharmacy Technician
    193200000XMulti-Specialty
    193400000XSingle Specialty
    202C00000XIndependent Medical Examiner
    202K00000XPhlebology
    204C00000XNeuromusculoskeletal Medicine, Sports Medicine
    204D00000XNeuromusculoskeletal Medicine & OMM
    204E00000XOral & Maxillofacial Surgery
    204F00000XTransplant Surgery
    204R00000XElectrodiagnostic Medicine
    207K00000XAllergy & Immunology
    207L00000XAnesthesiology
    207N00000XDermatology
    207P00000XEmergency Medicine
    207Q00000XFamily Medicine
    207R00000XInternal Medicine
    207T00000XNeurological Surgery
    207U00000XNuclear Medicine
    207V00000XObstetrics & Gynecology
    207W00000XOphthalmology
    207X00000XOrthopaedic Surgery
    207Y00000XOtolaryngology
    208000000XPediatrics
    208100000XPhysical Medicine & Rehabilitation
    208200000XPlastic Surgery
    208600000XSurgery
    208800000XUrology
    208C00000XColon & Rectal Surgery
    208D00000XGeneral Practice
    208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)
    208M00000XHospitalist
    208U00000XClinical Pharmacology
    209800000XLegal Medicine
    211D00000XAssistant, Podiatric
    213E00000XPodiatrist
    221700000XArt Therapist
    222Q00000XDevelopmental Therapist
    222Z00000XOrthotist
    224900000XMastectomy Fitter
    224L00000XPedorthist
    224P00000XProsthetist
    224Y00000XClinical Exercise Physiologist
    224Z00000XOccupational Therapy Assistant
    225000000XOrthotic Fitter
    225100000XPhysical Therapist
    225200000XPhysical Therapy Assistant
    225400000XRehabilitation Practitioner
    225500000XSpecialist/Technologist
    225600000XDance Therapist
    225700000XMassage Therapist
    225800000XRecreation Therapist
    225A00000XMusic Therapist
    225B00000XPulmonary Function Technologist
    225C00000XRehabilitation Counselor
    225X00000XOccupational Therapist
    226000000XRecreational Therapist Assistant
    226300000XKinesiotherapist
    227800000XRespiratory Therapist, Certified
    227900000XRespiratory Therapist, Registered
    229N00000XAnaplastologist
    231H00000XAudiologist
    235500000XSpecialist/Technologist
    235Z00000XSpeech-Language Pathologist
    237600000XAudiologist-Hearing Aid Fitter
    237700000XHearing Instrument Specialist
    242T00000XPerfusionist
    243U00000XRadiology Practitioner Assistant
    246Q00000XSpecialist/Technologist, Pathology
    246R00000XTechnician, Pathology
    246W00000XTechnician, Cardiology
    246X00000XSpecialist/Technologist Cardiovascular
    246Y00000XSpecialist/Technologist, Health Information
    246Z00000XSpecialist/Technologist, Other
    247000000XTechnician, Health Information
    247100000XRadiologic Technologist
    247200000XTechnician, Other
    251300000XLocal Education Agency (LEA)
    251B00000XCase Management
    251C00000XDay Training, Developmentally Disabled Services
    251E00000XHome Health
    251F00000XHome Infusion
    251G00000XHospice Care, Community Based
    251J00000XNursing Care
    251K00000XPublic Health or Welfare
    251S00000XCommunity/Behavioral Health
    251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
    251V00000XVoluntary or Charitable
    251X00000XSupports Brokerage
    252Y00000XEarly Intervention Provider Agency
    253J00000XFoster Care Agency
    253Z00000XIn Home Supportive Care
    261Q00000XClinic/Center
    273100000XEpilepsy Unit
    273R00000XPsychiatric Unit
    273Y00000XRehabilitation Unit
    275N00000XMedicare Defined Swing Bed Unit
    276400000XRehabilitation, Substance Use Disorder Unit
    281P00000XChronic Disease Hospital
    282E00000XLong Term Care Hospital
    282J00000XReligious Nonmedical Health Care Institution
    282N00000XGeneral Acute Care Hospital
    283Q00000XPsychiatric Hospital
    283X00000XRehabilitation Hospital
    284300000XSpecial Hospital
    286500000XMilitary Hospital
    287300000XChristian Science Sanitorium
    291900000XMilitary Clinical Medical Laboratory
    291U00000XClinical Medical Laboratory
    292200000XDental Laboratory
    293D00000XPhysiological Laboratory
    302F00000XExclusive Provider Organization
    302R00000XHealth Maintenance Organization
    305R00000XPreferred Provider Organization
    305S00000XPoint of Service
    310400000XAssisted Living Facility
    310500000XIntermediate Care Facility, Mental Illness
    311500000XAlzheimer Center (Dementia Center)
    311Z00000XCustodial Care Facility
    313M00000XNursing Facility/Intermediate Care Facility
    314000000XSkilled Nursing Facility
    315D00000XHospice, Inpatient
    315P00000XIntermediate Care Facility, Mentally Retarded
    317400000XChristian Science Facility
    320600000XResidential Treatment Facility, Mental Retardation and/or Developmental Disabilities
    320700000XResidential Treatment Facility, Physical Disabilities
    320800000XCommunity Based Residential Treatment Facility, Mental Illness
    320900000XCommunity Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
    322D00000XResidential Treatment Facility, Emotionally Disturbed Children
    323P00000XPsychiatric Residential Treatment Facility
    324500000XSubstance Abuse Rehabilitation Facility
    331L00000XBlood Bank
    332000000XMilitary/U.S. Coast Guard Pharmacy
    332100000XDepartment of Veterans Affairs (VA) Pharmacy
    332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
    332900000XNon-Pharmacy Dispensing Site
    332B00000XDurable Medical Equipment & Medical Supplies
    332G00000XEye Bank
    332H00000XEyewear Supplier
    332S00000XHearing Aid Equipment
    332U00000XHome Delivered Meals
    333300000XEmergency Response System Companies
    333600000XPharmacy
    335E00000XProsthetic/Orthotic Supplier
    335G00000XMedical Foods Supplier
    335U00000XOrgan Procurement Organization
    335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
    341600000XAmbulance
    341800000XMilitary/U.S. Coast Guard Transport
    343800000XSecured Medical Transport (VAN)
    343900000XNon-emergency Medical Transport (VAN)
    344600000XTaxi
    344800000XAir Carrier
    347B00000XBus
    347C00000XPrivate Vehicle
    347D00000XTrain
    347E00000XTransportation Broker
    363A00000XPhysician Assistant
    363L00000XNurse Practitioner
    364S00000XClinical Nurse Specialist
    367500000XNurse Anesthetist, Certified Registered
    367A00000XAdvanced Practice Midwife
    367H00000XAnesthesiologist Assistant
    372500000XChore Provider
    372600000XAdult Companion
    373H00000XDay Training/Habilitation Specialist
    374700000XTechnician
    374J00000XDoula
    374K00000XReligious Nonmedical Practitioner
    374T00000XReligious Nonmedical Nursing Personnel
    374U00000XHome Health Aide
    376G00000XNursing Home Administrator
    376J00000XHomemaker
    376K00000XNurse's Aide
    385H00000XRespite Care
    390200000XStudent in an Organized Health Care Education/Training Program
    405300000XPrevention Professional
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role","version":"3.1.0","name":"USCoreProviderRoleNucc","title":"US Core Provider Role (NUCC)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Provider roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set classification codes for providers. Only concepts with a classification and no specialization are included. ","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association. For commercial use, including sales or licensing, a license must be obtained.","compose":{"include":[{"system":"http://nucc.org/provider-taxonomy","concept":[{"code":"101Y00000X","display":"Counselor"},{"code":"102L00000X","display":"Psychoanalyst"},{"code":"102X00000X","display":"Poetry Therapist"},{"code":"103G00000X","display":"Clinical Neuropsychologist"},{"code":"103K00000X","display":"Behavior Analyst"},{"code":"103T00000X","display":"Psychologist"},{"code":"104100000X","display":"Social Worker"},{"code":"106E00000X","display":"Assistant Behavior Analyst"},{"code":"106H00000X","display":"Marriage & Family Therapist"},{"code":"106S00000X","display":"Behavior Technician"},{"code":"111N00000X","display":"Chiropractor"},{"code":"122300000X","display":"Dentist"},{"code":"122400000X","display":"Denturist"},{"code":"124Q00000X","display":"Dental Hygienist"},{"code":"125J00000X","display":"Dental Therapist"},{"code":"125K00000X","display":"Advanced Practice Dental Therapist"},{"code":"125Q00000X","display":"Oral Medicinist"},{"code":"126800000X","display":"Dental Assistant"},{"code":"126900000X","display":"Dental Laboratory Technician"},{"code":"132700000X","display":"Dietary Manager"},{"code":"133N00000X","display":"Nutritionist"},{"code":"133V00000X","display":"Dietitian, Registered"},{"code":"136A00000X","display":"Dietetic Technician, Registered"},{"code":"146D00000X","display":"Personal Emergency Response Attendant"},{"code":"146L00000X","display":"Emergency Medical Technician, Paramedic"},{"code":"146M00000X","display":"Emergency Medical Technician, Intermediate"},{"code":"146N00000X","display":"Emergency Medical Technician, Basic"},{"code":"152W00000X","display":"Optometrist"},{"code":"156F00000X","display":"Technician/Technologist"},{"code":"163W00000X","display":"Registered Nurse"},{"code":"164W00000X","display":"Licensed Practical Nurse"},{"code":"164X00000X","display":"Licensed Vocational Nurse"},{"code":"167G00000X","display":"Licensed Psychiatric Technician"},{"code":"170100000X","display":"Medical Genetics, Ph.D. Medical Genetics"},{"code":"170300000X","display":"Genetic Counselor, MS"},{"code":"171000000X","display":"Military Health Care Provider"},{"code":"171100000X","display":"Acupuncturist"},{"code":"171M00000X","display":"Case Manager/Care Coordinator"},{"code":"171R00000X","display":"Interpreter"},{"code":"171W00000X","display":"Contractor"},{"code":"172A00000X","display":"Driver"},{"code":"172M00000X","display":"Mechanotherapist"},{"code":"172P00000X","display":"Naprapath"},{"code":"172V00000X","display":"Community Health Worker"},{"code":"173000000X","display":"Legal Medicine"},{"code":"173C00000X","display":"Reflexologist"},{"code":"173F00000X","display":"Sleep Specialist, PhD"},{"code":"174200000X","display":"Meals"},{"code":"174400000X","display":"Specialist"},{"code":"174H00000X","display":"Health Educator"},{"code":"174M00000X","display":"Veterinarian"},{"code":"174N00000X","display":"Lactation Consultant, Non-RN"},{"code":"174V00000X","display":"Clinical Ethicist"},{"code":"175F00000X","display":"Naturopath"},{"code":"175L00000X","display":"Homeopath"},{"code":"175M00000X","display":"Midwife, Lay"},{"code":"175T00000X","display":"Peer Specialist"},{"code":"176B00000X","display":"Midwife"},{"code":"176P00000X","display":"Funeral Director"},{"code":"177F00000X","display":"Lodging"},{"code":"183500000X","display":"Pharmacist"},{"code":"183700000X","display":"Pharmacy Technician"},{"code":"193200000X","display":"Multi-Specialty"},{"code":"193400000X","display":"Single Specialty"},{"code":"202C00000X","display":"Independent Medical Examiner"},{"code":"202K00000X","display":"Phlebology"},{"code":"204C00000X","display":"Neuromusculoskeletal Medicine, Sports Medicine"},{"code":"204D00000X","display":"Neuromusculoskeletal Medicine & OMM"},{"code":"204E00000X","display":"Oral & Maxillofacial Surgery"},{"code":"204F00000X","display":"Transplant Surgery"},{"code":"204R00000X","display":"Electrodiagnostic Medicine"},{"code":"207K00000X","display":"Allergy & Immunology"},{"code":"207L00000X","display":"Anesthesiology"},{"code":"207N00000X","display":"Dermatology"},{"code":"207P00000X","display":"Emergency Medicine"},{"code":"207Q00000X","display":"Family Medicine"},{"code":"207R00000X","display":"Internal Medicine"},{"code":"207T00000X","display":"Neurological Surgery"},{"code":"207U00000X","display":"Nuclear Medicine"},{"code":"207V00000X","display":"Obstetrics & Gynecology"},{"code":"207W00000X","display":"Ophthalmology"},{"code":"207X00000X","display":"Orthopaedic Surgery"},{"code":"207Y00000X","display":"Otolaryngology"},{"code":"208000000X","display":"Pediatrics"},{"code":"208100000X","display":"Physical Medicine & Rehabilitation"},{"code":"208200000X","display":"Plastic Surgery"},{"code":"208600000X","display":"Surgery"},{"code":"208800000X","display":"Urology"},{"code":"208C00000X","display":"Colon & Rectal Surgery"},{"code":"208D00000X","display":"General Practice"},{"code":"208G00000X","display":"Thoracic Surgery (Cardiothoracic Vascular Surgery)"},{"code":"208M00000X","display":"Hospitalist"},{"code":"208U00000X","display":"Clinical Pharmacology"},{"code":"209800000X","display":"Legal Medicine"},{"code":"211D00000X","display":"Assistant, Podiatric"},{"code":"213E00000X","display":"Podiatrist"},{"code":"221700000X","display":"Art Therapist"},{"code":"222Q00000X","display":"Developmental Therapist"},{"code":"222Z00000X","display":"Orthotist"},{"code":"224900000X","display":"Mastectomy Fitter"},{"code":"224L00000X","display":"Pedorthist"},{"code":"224P00000X","display":"Prosthetist"},{"code":"224Y00000X","display":"Clinical Exercise Physiologist"},{"code":"224Z00000X","display":"Occupational Therapy Assistant"},{"code":"225000000X","display":"Orthotic Fitter"},{"code":"225100000X","display":"Physical Therapist"},{"code":"225200000X","display":"Physical Therapy Assistant"},{"code":"225400000X","display":"Rehabilitation Practitioner"},{"code":"225500000X","display":"Specialist/Technologist"},{"code":"225600000X","display":"Dance Therapist"},{"code":"225700000X","display":"Massage Therapist"},{"code":"225800000X","display":"Recreation Therapist"},{"code":"225A00000X","display":"Music Therapist"},{"code":"225B00000X","display":"Pulmonary Function Technologist"},{"code":"225C00000X","display":"Rehabilitation Counselor"},{"code":"225X00000X","display":"Occupational Therapist"},{"code":"226000000X","display":"Recreational Therapist Assistant"},{"code":"226300000X","display":"Kinesiotherapist"},{"code":"227800000X","display":"Respiratory Therapist, Certified"},{"code":"227900000X","display":"Respiratory Therapist, Registered"},{"code":"229N00000X","display":"Anaplastologist"},{"code":"231H00000X","display":"Audiologist"},{"code":"235500000X","display":"Specialist/Technologist"},{"code":"235Z00000X","display":"Speech-Language Pathologist"},{"code":"237600000X","display":"Audiologist-Hearing Aid Fitter"},{"code":"237700000X","display":"Hearing Instrument Specialist"},{"code":"242T00000X","display":"Perfusionist"},{"code":"243U00000X","display":"Radiology Practitioner Assistant"},{"code":"246Q00000X","display":"Specialist/Technologist, Pathology"},{"code":"246R00000X","display":"Technician, Pathology"},{"code":"246W00000X","display":"Technician, Cardiology"},{"code":"246X00000X","display":"Specialist/Technologist Cardiovascular"},{"code":"246Y00000X","display":"Specialist/Technologist, Health Information"},{"code":"246Z00000X","display":"Specialist/Technologist, Other"},{"code":"247000000X","display":"Technician, Health Information"},{"code":"247100000X","display":"Radiologic Technologist"},{"code":"247200000X","display":"Technician, Other"},{"code":"251300000X","display":"Local Education Agency (LEA)"},{"code":"251B00000X","display":"Case Management"},{"code":"251C00000X","display":"Day Training, Developmentally Disabled Services"},{"code":"251E00000X","display":"Home Health"},{"code":"251F00000X","display":"Home Infusion"},{"code":"251G00000X","display":"Hospice Care, Community Based"},{"code":"251J00000X","display":"Nursing Care"},{"code":"251K00000X","display":"Public Health or Welfare"},{"code":"251S00000X","display":"Community/Behavioral Health"},{"code":"251T00000X","display":"Program of All-Inclusive Care for the Elderly (PACE) Provider Organization"},{"code":"251V00000X","display":"Voluntary or Charitable"},{"code":"251X00000X","display":"Supports Brokerage"},{"code":"252Y00000X","display":"Early Intervention Provider Agency"},{"code":"253J00000X","display":"Foster Care Agency"},{"code":"253Z00000X","display":"In Home Supportive Care"},{"code":"261Q00000X","display":"Clinic/Center"},{"code":"273100000X","display":"Epilepsy Unit"},{"code":"273R00000X","display":"Psychiatric Unit"},{"code":"273Y00000X","display":"Rehabilitation Unit"},{"code":"275N00000X","display":"Medicare Defined Swing Bed Unit"},{"code":"276400000X","display":"Rehabilitation, Substance Use Disorder Unit"},{"code":"281P00000X","display":"Chronic Disease Hospital"},{"code":"282E00000X","display":"Long Term Care Hospital"},{"code":"282J00000X","display":"Religious Nonmedical Health Care Institution"},{"code":"282N00000X","display":"General Acute Care Hospital"},{"code":"283Q00000X","display":"Psychiatric Hospital"},{"code":"283X00000X","display":"Rehabilitation Hospital"},{"code":"284300000X","display":"Special Hospital"},{"code":"286500000X","display":"Military Hospital"},{"code":"287300000X","display":"Christian Science Sanitorium"},{"code":"291900000X","display":"Military Clinical Medical Laboratory"},{"code":"291U00000X","display":"Clinical Medical Laboratory"},{"code":"292200000X","display":"Dental Laboratory"},{"code":"293D00000X","display":"Physiological Laboratory"},{"code":"302F00000X","display":"Exclusive Provider Organization"},{"code":"302R00000X","display":"Health Maintenance Organization"},{"code":"305R00000X","display":"Preferred Provider Organization"},{"code":"305S00000X","display":"Point of Service"},{"code":"310400000X","display":"Assisted Living Facility"},{"code":"310500000X","display":"Intermediate Care Facility, Mental Illness"},{"code":"311500000X","display":"Alzheimer Center (Dementia Center)"},{"code":"311Z00000X","display":"Custodial Care Facility"},{"code":"313M00000X","display":"Nursing Facility/Intermediate Care Facility"},{"code":"314000000X","display":"Skilled Nursing Facility"},{"code":"315D00000X","display":"Hospice, Inpatient"},{"code":"315P00000X","display":"Intermediate Care Facility, Mentally Retarded"},{"code":"317400000X","display":"Christian Science Facility"},{"code":"320600000X","display":"Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities"},{"code":"320700000X","display":"Residential Treatment Facility, Physical Disabilities"},{"code":"320800000X","display":"Community Based Residential Treatment Facility, Mental Illness"},{"code":"320900000X","display":"Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities"},{"code":"322D00000X","display":"Residential Treatment Facility, Emotionally Disturbed Children"},{"code":"323P00000X","display":"Psychiatric Residential Treatment Facility"},{"code":"324500000X","display":"Substance Abuse Rehabilitation Facility"},{"code":"331L00000X","display":"Blood Bank"},{"code":"332000000X","display":"Military/U.S. Coast Guard Pharmacy"},{"code":"332100000X","display":"Department of Veterans Affairs (VA) Pharmacy"},{"code":"332800000X","display":"Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy"},{"code":"332900000X","display":"Non-Pharmacy Dispensing Site"},{"code":"332B00000X","display":"Durable Medical Equipment & Medical Supplies"},{"code":"332G00000X","display":"Eye Bank"},{"code":"332H00000X","display":"Eyewear Supplier"},{"code":"332S00000X","display":"Hearing Aid Equipment"},{"code":"332U00000X","display":"Home Delivered Meals"},{"code":"333300000X","display":"Emergency Response System Companies"},{"code":"333600000X","display":"Pharmacy"},{"code":"335E00000X","display":"Prosthetic/Orthotic Supplier"},{"code":"335G00000X","display":"Medical Foods Supplier"},{"code":"335U00000X","display":"Organ Procurement Organization"},{"code":"335V00000X","display":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier"},{"code":"341600000X","display":"Ambulance"},{"code":"341800000X","display":"Military/U.S. Coast Guard Transport"},{"code":"343800000X","display":"Secured Medical Transport (VAN)"},{"code":"343900000X","display":"Non-emergency Medical Transport (VAN)"},{"code":"344600000X","display":"Taxi"},{"code":"344800000X","display":"Air Carrier"},{"code":"347B00000X","display":"Bus"},{"code":"347C00000X","display":"Private Vehicle"},{"code":"347D00000X","display":"Train"},{"code":"347E00000X","display":"Transportation Broker"},{"code":"363A00000X","display":"Physician Assistant"},{"code":"363L00000X","display":"Nurse Practitioner"},{"code":"364S00000X","display":"Clinical Nurse Specialist"},{"code":"367500000X","display":"Nurse Anesthetist, Certified Registered"},{"code":"367A00000X","display":"Advanced Practice Midwife"},{"code":"367H00000X","display":"Anesthesiologist Assistant"},{"code":"372500000X","display":"Chore Provider"},{"code":"372600000X","display":"Adult Companion"},{"code":"373H00000X","display":"Day Training/Habilitation Specialist"},{"code":"374700000X","display":"Technician"},{"code":"374J00000X","display":"Doula"},{"code":"374K00000X","display":"Religious Nonmedical Practitioner"},{"code":"374T00000X","display":"Religious Nonmedical Nursing Personnel"},{"code":"374U00000X","display":"Home Health Aide"},{"code":"376G00000X","display":"Nursing Home Administrator"},{"code":"376J00000X","display":"Homemaker"},{"code":"376K00000X","display":"Nurse's Aide"},{"code":"385H00000X","display":"Respite Care"},{"code":"390200000X","display":"Student in an Organized Health Care Education/Training Program"},{"code":"405300000X","display":"Prevention Professional"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-specialty.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-specialty.json new file mode 100644 index 00000000000..45942bd513a --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-provider-specialty.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-provider-specialty","text":{"status":"generated","div":"

US Core Provider Speciality (NUCC)

Provider speciality roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set for providers

\n

Copyright Statement: This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association. For commercial use, including sales or licensing, a license must be obtained.

This value set includes codes from the following code systems:

  • Include all codes defined in http://nucc.org/provider-taxonomy
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-provider-specialty","version":"3.1.0","name":"USCoreProviderSpecialityNucc","title":"US Core Provider Speciality (NUCC)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"Provider speciality roles codes which are composed of the NUCC Health Care Provider Taxonomy Code Set for providers","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"This value set includes content from NUCC Health Care Provider Taxonomy Code Set for providers which is copyright © 2016+ American Medical Association. For commercial use, including sales or licensing, a license must be obtained.","compose":{"include":[{"system":"http://nucc.org/provider-taxonomy"}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-smoking-status-observation-codes.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-smoking-status-observation-codes.json new file mode 100644 index 00000000000..ea70ce18869 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-smoking-status-observation-codes.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-smoking-status-observation-codes","text":{"status":"generated","div":"

US Core Smoking Status Observation Codes

The US Core Smoking Status Observation Codes Value Set is a 'starter set' of concepts to capture smoking status.

\n

This value set includes codes from the following code systems:

"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-smoking-status-observation-codes","version":"3.1.0","name":"USCoreSmokingStatusObservationCodes","title":"US Core Smoking Status Observation Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"The US Core Smoking Status Observation Codes Value Set is a 'starter set' of concepts to capture smoking status.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://loinc.org","concept":[{"code":"72166-2","display":"Tobacco smoking status NHIS"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-usps-state.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-usps-state.json new file mode 100644 index 00000000000..f57e7636ee7 --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-usps-state.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-usps-state","text":{"status":"generated","div":"

USPS Two Letter Alphabetic Codes

This value set defines two letter USPS alphabetic codes.

\n

Copyright Statement: On July 1, 1963, the Post Office Department implemented the five-digit ZIP Code, which was placed after the state name in the last line of an address. To provide room for the ZIP Code, the Department issued two-letter abbreviations for all states and territories. Publication 59, Abbreviations for Use with ZIP Code, issued by the Department in October 1963. Currently there is no copyright restriction on this value set.

This value set includes codes from the following code systems:

  • Include these codes as defined in https://www.usps.com/
    CodeDisplay
    AKAlaska
    ALAlabama
    ARArkansas
    ASAmerican Samoa
    AZArizona
    CACalifornia
    COColorado
    CTConnecticut
    DCDistrict of Columbia
    DEDelaware
    FLFlorida
    FMFederated States of Micronesia
    GAGeorgia
    GUGuam
    HIHawaii
    IAIowa
    IDIdaho
    ILIllinois
    INIndiana
    KSKansas
    KYKentucky
    LALouisiana
    MAMassachusetts
    MDMaryland
    MEMaine
    MHMarshall Islands
    MIMichigan
    MNMinnesota
    MOMissouri
    MPNorthern Mariana Islands
    MSMississippi
    MTMontana
    NCNorth Carolina
    NDNorth Dakota
    NENebraska
    NHNew Hampshire
    NJNew Jersey
    NMNew Mexico
    NVNevada
    NYNew York
    OHOhio
    OKOklahoma
    OROregon
    PAPennsylvania
    PRPuerto Rico
    PWPalau
    RIRhode Island
    SCSouth Carolina
    SDSouth Dakota
    TNTennessee
    TXTexas
    UMU.S. Minor Outlying Islands
    UTUtah
    VAVirginia
    VIVirgin Islands of the U.S.
    VTVermont
    WAWashington
    WIWisconsin
    WVWest Virginia
    WYWyoming
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.40"}],"version":"3.1.0","name":"UspsTwoLetterAlphabeticCodes","title":"USPS Two Letter Alphabetic Codes","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This value set defines two letter USPS alphabetic codes.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"copyright":"On July 1, 1963, the Post Office Department implemented the five-digit ZIP Code, which was placed after the state name in the last line of an address. To provide room for the ZIP Code, the Department issued two-letter abbreviations for all states and territories. Publication 59, Abbreviations for Use with ZIP Code, issued by the Department in October 1963. Currently there is no copyright restriction on this value set.","compose":{"include":[{"system":"https://www.usps.com/","concept":[{"code":"AK","display":"Alaska"},{"code":"AL","display":"Alabama"},{"code":"AR","display":"Arkansas"},{"code":"AS","display":"American Samoa"},{"code":"AZ","display":"Arizona"},{"code":"CA","display":"California"},{"code":"CO","display":"Colorado"},{"code":"CT","display":"Connecticut"},{"code":"DC","display":"District of Columbia"},{"code":"DE","display":"Delaware"},{"code":"FL","display":"Florida"},{"code":"FM","display":"Federated States of Micronesia"},{"code":"GA","display":"Georgia"},{"code":"GU","display":"Guam"},{"code":"HI","display":"Hawaii"},{"code":"IA","display":"Iowa"},{"code":"ID","display":"Idaho"},{"code":"IL","display":"Illinois"},{"code":"IN","display":"Indiana"},{"code":"KS","display":"Kansas"},{"code":"KY","display":"Kentucky"},{"code":"LA","display":"Louisiana"},{"code":"MA","display":"Massachusetts"},{"code":"MD","display":"Maryland"},{"code":"ME","display":"Maine"},{"code":"MH","display":"Marshall Islands"},{"code":"MI","display":"Michigan"},{"code":"MN","display":"Minnesota"},{"code":"MO","display":"Missouri"},{"code":"MP","display":"Northern Mariana Islands"},{"code":"MS","display":"Mississippi"},{"code":"MT","display":"Montana"},{"code":"NC","display":"North Carolina"},{"code":"ND","display":"North Dakota"},{"code":"NE","display":"Nebraska"},{"code":"NH","display":"New Hampshire"},{"code":"NJ","display":"New Jersey"},{"code":"NM","display":"New Mexico"},{"code":"NV","display":"Nevada"},{"code":"NY","display":"New York"},{"code":"OH","display":"Ohio"},{"code":"OK","display":"Oklahoma"},{"code":"OR","display":"Oregon"},{"code":"PA","display":"Pennsylvania"},{"code":"PR","display":"Puerto Rico"},{"code":"PW","display":"Palau"},{"code":"RI","display":"Rhode Island"},{"code":"SC","display":"South Carolina"},{"code":"SD","display":"South Dakota"},{"code":"TN","display":"Tennessee"},{"code":"TX","display":"Texas"},{"code":"UM","display":"U.S. Minor Outlying Islands"},{"code":"UT","display":"Utah"},{"code":"VA","display":"Virginia"},{"code":"VI","display":"Virgin Islands of the U.S."},{"code":"VT","display":"Vermont"},{"code":"WA","display":"Washington"},{"code":"WI","display":"Wisconsin"},{"code":"WV","display":"West Virginia"},{"code":"WY","display":"Wyoming"}]}]}} \ No newline at end of file diff --git a/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-vaccines-cvx.json b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-vaccines-cvx.json new file mode 100644 index 00000000000..3d82204eecc --- /dev/null +++ b/hapi-fhir-validation/src/test/resources/r4/carin/uscore/valueset/ValueSet-us-core-vaccines-cvx.json @@ -0,0 +1 @@ +{"resourceType":"ValueSet","id":"us-core-vaccines-cvx","text":{"status":"generated","div":"

US Core Vaccine Administered Value Set (CVX)

This identifies the vaccine substance administered - CVX codes. Inclusion Criteria: Any CVX code with CVX 'status' (VSAC Property) = Active,Inactive, Non-US except those noted in exclusions. Exclusion Criteria: CVX codes that have a CVX 'status' of either Pending or Never Active AND CVX codes with CVX 'Nonvaccine' property = True. Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx

\n

This value set includes codes from the following code systems:

  • Include these codes as defined in http://hl7.org/fhir/sid/cvx
    CodeDisplay
    01diphtheria, tetanus toxoids and pertussis vaccine
    02trivalent poliovirus vaccine, live, oral
    03measles, mumps and rubella virus vaccine
    04measles and rubella virus vaccine
    05measles virus vaccine
    06rubella virus vaccine
    07mumps virus vaccine
    08hepatitis B vaccine, pediatric or pediatric/adolescent dosage
    09tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)
    10poliovirus vaccine, inactivated
    100pneumococcal conjugate vaccine, 7 valent
    101typhoid Vi capsular polysaccharide vaccine
    102DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine
    103meningococcal C conjugate vaccine
    104hepatitis A and hepatitis B vaccine
    105vaccinia (smallpox) vaccine, diluted
    106diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens
    107diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation
    108meningococcal ACWY vaccine, unspecified formulation
    109pneumococcal vaccine, unspecified formulation
    11pertussis vaccine
    110DTaP-hepatitis B and poliovirus vaccine
    111influenza virus vaccine, live, attenuated, for intranasal use
    112tetanus toxoid, unspecified formulation
    113tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)
    114meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)
    115tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed
    116rotavirus, live, pentavalent vaccine
    117varicella zoster immune globulin (Investigational New Drug)
    118human papilloma virus vaccine, bivalent
    119rotavirus, live, monovalent vaccine
    12diphtheria antitoxin
    120diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)
    121zoster vaccine, live
    122rotavirus vaccine, unspecified formulation
    123influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)
    125Novel Influenza-H1N1-09, live virus for nasal administration
    126Novel influenza-H1N1-09, preservative-free, injectable
    127Novel influenza-H1N1-09, injectable
    128Novel influenza-H1N1-09, all formulations
    129Japanese Encephalitis vaccine, unspecified formulation
    13tetanus immune globulin
    130Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated
    131Historical record of a typhus vaccination
    132Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine.
    133pneumococcal conjugate vaccine, 13 valent
    134Japanese Encephalitis vaccine for intramuscular administration
    135influenza, high dose seasonal, preservative-free
    136meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)
    137HPV, unspecified formulation
    138tetanus and diphtheria toxoids, not adsorbed, for adult use
    139Td(adult) unspecified formulation
    14immune globulin, unspecified formulation
    140Influenza, seasonal, injectable, preservative free
    141Influenza, seasonal, injectable
    142tetanus toxoid, not adsorbed
    143Adenovirus, type 4 and type 7, live, oral
    144seasonal influenza, intradermal, preservative free
    147Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)
    148Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine
    149influenza, live, intranasal, quadrivalent
    15influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE
    150Influenza, injectable, quadrivalent, preservative free
    151influenza nasal, unspecified formulation
    152Pneumococcal Conjugate, unspecified formulation
    153Influenza, injectable, Madin Darby Canine Kidney, preservative free
    155Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free
    156Rho(D) Immune globulin- IV or IM
    157Rho(D) Immune globulin - IM
    158influenza, injectable, quadrivalent, contains preservative
    159Rho(D) Unspecified formulation
    16influenza virus vaccine, whole virus
    160Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013
    161Influenza, injectable,quadrivalent, preservative free, pediatric
    162meningococcal B vaccine, fully recombinant
    163meningococcal B vaccine, recombinant, OMV, adjuvanted
    164meningococcal B, unspecified formulation
    165Human Papillomavirus 9-valent vaccine
    166influenza, intradermal, quadrivalent, preservative free, injectable
    167meningococcal vaccine of unknown formulation and unknown serogroups
    168Seasonal trivalent influenza vaccine, adjuvanted, preservative free
    169Hep A, live attenuated-IM
    17Haemophilus influenzae type b vaccine, conjugate unspecified formulation
    170non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)
    171Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent
    172cholera, WC-rBS
    173cholera, BivWC
    174cholera, live attenuated
    175Human Rabies vaccine from human diploid cell culture
    176Human rabies vaccine from Chicken fibroblast culture
    177pneumococcal conjugate vaccine, 10 valent
    178Non-US bivalent oral polio vaccine (types 1 and 3)
    179Non-US monovalent oral polio vaccine, unspecified formulation
    18rabies vaccine, for intramuscular injection RETIRED CODE
    180tetanus immune globulin
    181anthrax immune globulin
    182Oral Polio Vaccine, Unspecified formulation
    183Yellow fever vaccine alternative formulation
    184Yellow fever vaccine, unspecified formulation
    185Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free
    186Influenza, injectable, Madin Darby Canine Kidney, quadrivalent with preservative
    187zoster vaccine recombinant
    188zoster vaccine, unspecified formulation
    189Hepatitis B vaccine (recombinant), CpG adjuvanted
    19Bacillus Calmette-Guerin vaccine
    20diphtheria, tetanus toxoids and acellular pertussis vaccine
    21varicella virus vaccine
    22DTP-Haemophilus influenzae type b conjugate vaccine
    23plague vaccine
    24anthrax vaccine
    25typhoid vaccine, live, oral
    26cholera vaccine, unspecified formulation
    27botulinum antitoxin
    28diphtheria and tetanus toxoids, adsorbed for pediatric use
    29cytomegalovirus immune globulin, intravenous
    30hepatitis B immune globulin
    31hepatitis A vaccine, pediatric dosage, unspecified formulation
    32meningococcal polysaccharide vaccine (MPSV4)
    33pneumococcal polysaccharide vaccine, 23 valent
    34rabies immune globulin
    35tetanus toxoid, adsorbed
    36varicella zoster immune globulin
    37yellow fever vaccine
    38rubella and mumps virus vaccine
    39Japanese Encephalitis Vaccine SC
    40rabies vaccine, for intradermal injection
    41typhoid vaccine, parenteral, other than acetone-killed, dried
    42hepatitis B vaccine, adolescent/high risk infant dosage
    43hepatitis B vaccine, adult dosage
    44hepatitis B vaccine, dialysis patient dosage
    45hepatitis B vaccine, unspecified formulation
    46Haemophilus influenzae type b vaccine, PRP-D conjugate
    47Haemophilus influenzae type b vaccine, HbOC conjugate
    48Haemophilus influenzae type b vaccine, PRP-T conjugate
    49Haemophilus influenzae type b vaccine, PRP-OMP conjugate
    50DTaP-Haemophilus influenzae type b conjugate vaccine
    51Haemophilus influenzae type b conjugate and Hepatitis B vaccine
    52hepatitis A vaccine, adult dosage
    53typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)
    54adenovirus vaccine, type 4, live, oral
    55adenovirus vaccine, type 7, live, oral
    62human papilloma virus vaccine, quadrivalent
    66Lyme disease vaccine
    69parainfluenza-3 virus vaccine
    71respiratory syncytial virus immune globulin, intravenous
    74rotavirus, live, tetravalent vaccine
    75vaccinia (smallpox) vaccine
    76Staphylococcus bacteriophage lysate
    77tick-borne encephalitis vaccine
    78tularemia vaccine
    79vaccinia immune globulin
    80Venezuelan equine encephalitis, live, attenuated
    801AS03 Adjuvant
    81Venezuelan equine encephalitis, inactivated
    82adenovirus vaccine, unspecified formulation
    83hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule
    84hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule
    85hepatitis A vaccine, unspecified formulation
    86immune globulin, intramuscular
    87immune globulin, intravenous
    88influenza virus vaccine, unspecified formulation
    89poliovirus vaccine, unspecified formulation
    90rabies vaccine, unspecified formulation
    91typhoid vaccine, unspecified formulation
    92Venezuelan equine encephalitis vaccine, unspecified formulation
    93respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular
    94measles, mumps, rubella, and varicella virus vaccine
    95tuberculin skin test; old tuberculin, multipuncture device
    96tuberculin skin test; purified protein derivative solution, intradermal
    97tuberculin skin test; purified protein derivative, multipuncture device
    98tuberculin skin test; unspecified formulation
    998no vaccine administered
"},"url":"http://hl7.org/fhir/us/core/ValueSet/us-core-vaccines-cvx","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113762.1.4.1010.6"},{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.3.88.12.80.22"}],"version":"3.1.0","name":"USCoreVaccineAdministeredValueSetCvx","title":"US Core Vaccine Administered Value Set (CVX)","status":"active","date":"2019-05-21T00:00:00+00:00","publisher":"HL7 US Realm Steering Committee","contact":[{"telecom":[{"system":"other","value":"http://hl7.org/fhir"}]}],"description":"This identifies the vaccine substance administered - CVX codes. **Inclusion Criteria:** Any CVX code with CVX 'status' (VSAC Property) = `Active`,` Inactive`, `Non-US` except those noted in exclusions. **Exclusion Criteria:** CVX codes that have a CVX 'status' of either `Pending` or `Never Active` AND CVX codes with CVX 'Nonvaccine' property = True. Available at http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"United States of America"}]}],"compose":{"include":[{"system":"http://hl7.org/fhir/sid/cvx","concept":[{"code":"01","display":"diphtheria, tetanus toxoids and pertussis vaccine"},{"code":"02","display":"trivalent poliovirus vaccine, live, oral"},{"code":"03","display":"measles, mumps and rubella virus vaccine"},{"code":"04","display":"measles and rubella virus vaccine"},{"code":"05","display":"measles virus vaccine"},{"code":"06","display":"rubella virus vaccine"},{"code":"07","display":"mumps virus vaccine"},{"code":"08","display":"hepatitis B vaccine, pediatric or pediatric/adolescent dosage"},{"code":"09","display":"tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (2 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"},{"code":"10","display":"poliovirus vaccine, inactivated"},{"code":"100","display":"pneumococcal conjugate vaccine, 7 valent"},{"code":"101","display":"typhoid Vi capsular polysaccharide vaccine"},{"code":"102","display":"DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine"},{"code":"103","display":"meningococcal C conjugate vaccine"},{"code":"104","display":"hepatitis A and hepatitis B vaccine"},{"code":"105","display":"vaccinia (smallpox) vaccine, diluted"},{"code":"106","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine, 5 pertussis antigens"},{"code":"107","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine, unspecified formulation"},{"code":"108","display":"meningococcal ACWY vaccine, unspecified formulation"},{"code":"109","display":"pneumococcal vaccine, unspecified formulation"},{"code":"11","display":"pertussis vaccine"},{"code":"110","display":"DTaP-hepatitis B and poliovirus vaccine"},{"code":"111","display":"influenza virus vaccine, live, attenuated, for intranasal use"},{"code":"112","display":"tetanus toxoid, unspecified formulation"},{"code":"113","display":"tetanus and diphtheria toxoids, adsorbed, preservative free, for adult use (5 Lf of tetanus toxoid and 2 Lf of diphtheria toxoid)"},{"code":"114","display":"meningococcal polysaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4P)"},{"code":"115","display":"tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed"},{"code":"116","display":"rotavirus, live, pentavalent vaccine"},{"code":"117","display":"varicella zoster immune globulin (Investigational New Drug)"},{"code":"118","display":"human papilloma virus vaccine, bivalent"},{"code":"119","display":"rotavirus, live, monovalent vaccine"},{"code":"12","display":"diphtheria antitoxin"},{"code":"120","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"},{"code":"121","display":"zoster vaccine, live"},{"code":"122","display":"rotavirus vaccine, unspecified formulation"},{"code":"123","display":"influenza virus vaccine, H5N1, A/Vietnam/1203/2004 (national stockpile)"},{"code":"125","display":"Novel Influenza-H1N1-09, live virus for nasal administration"},{"code":"126","display":"Novel influenza-H1N1-09, preservative-free, injectable"},{"code":"127","display":"Novel influenza-H1N1-09, injectable"},{"code":"128","display":"Novel influenza-H1N1-09, all formulations"},{"code":"129","display":"Japanese Encephalitis vaccine, unspecified formulation"},{"code":"13","display":"tetanus immune globulin"},{"code":"130","display":"Diphtheria, tetanus toxoids and acellular pertussis vaccine, and poliovirus vaccine, inactivated"},{"code":"131","display":"Historical record of a typhus vaccination"},{"code":"132","display":"Historical diphtheria and tetanus toxoids and acellular pertussis, poliovirus, Haemophilus b conjugate and hepatitis B (recombinant) vaccine."},{"code":"133","display":"pneumococcal conjugate vaccine, 13 valent"},{"code":"134","display":"Japanese Encephalitis vaccine for intramuscular administration"},{"code":"135","display":"influenza, high dose seasonal, preservative-free"},{"code":"136","display":"meningococcal oligosaccharide (groups A, C, Y and W-135) diphtheria toxoid conjugate vaccine (MCV4O)"},{"code":"137","display":"HPV, unspecified formulation"},{"code":"138","display":"tetanus and diphtheria toxoids, not adsorbed, for adult use"},{"code":"139","display":"Td(adult) unspecified formulation"},{"code":"14","display":"immune globulin, unspecified formulation"},{"code":"140","display":"Influenza, seasonal, injectable, preservative free"},{"code":"141","display":"Influenza, seasonal, injectable"},{"code":"142","display":"tetanus toxoid, not adsorbed"},{"code":"143","display":"Adenovirus, type 4 and type 7, live, oral"},{"code":"144","display":"seasonal influenza, intradermal, preservative free"},{"code":"147","display":"Meningococcal, MCV4, unspecified conjugate formulation(groups A, C, Y and W-135)"},{"code":"148","display":"Meningococcal Groups C and Y and Haemophilus b Tetanus Toxoid Conjugate Vaccine"},{"code":"149","display":"influenza, live, intranasal, quadrivalent"},{"code":"15","display":"influenza virus vaccine, split virus (incl. purified surface antigen)-retired CODE"},{"code":"150","display":"Influenza, injectable, quadrivalent, preservative free"},{"code":"151","display":"influenza nasal, unspecified formulation"},{"code":"152","display":"Pneumococcal Conjugate, unspecified formulation"},{"code":"153","display":"Influenza, injectable, Madin Darby Canine Kidney, preservative free"},{"code":"155","display":"Seasonal, trivalent, recombinant, injectable influenza vaccine, preservative free"},{"code":"156","display":"Rho(D) Immune globulin- IV or IM"},{"code":"157","display":"Rho(D) Immune globulin - IM"},{"code":"158","display":"influenza, injectable, quadrivalent, contains preservative"},{"code":"159","display":"Rho(D) Unspecified formulation"},{"code":"16","display":"influenza virus vaccine, whole virus"},{"code":"160","display":"Influenza A monovalent (H5N1), adjuvanted, National stockpile 2013"},{"code":"161","display":"Influenza, injectable,quadrivalent, preservative free, pediatric"},{"code":"162","display":"meningococcal B vaccine, fully recombinant"},{"code":"163","display":"meningococcal B vaccine, recombinant, OMV, adjuvanted"},{"code":"164","display":"meningococcal B, unspecified formulation"},{"code":"165","display":"Human Papillomavirus 9-valent vaccine"},{"code":"166","display":"influenza, intradermal, quadrivalent, preservative free, injectable"},{"code":"167","display":"meningococcal vaccine of unknown formulation and unknown serogroups"},{"code":"168","display":"Seasonal trivalent influenza vaccine, adjuvanted, preservative free"},{"code":"169","display":"Hep A, live attenuated-IM"},{"code":"17","display":"Haemophilus influenzae type b vaccine, conjugate unspecified formulation"},{"code":"170","display":"non-US diphtheria, tetanus toxoids and acellular pertussis vaccine, Haemophilus influenzae type b conjugate, and poliovirus vaccine, inactivated (DTaP-Hib-IPV)"},{"code":"171","display":"Influenza, injectable, Madin Darby Canine Kidney, preservative free, quadrivalent"},{"code":"172","display":"cholera, WC-rBS"},{"code":"173","display":"cholera, BivWC"},{"code":"174","display":"cholera, live attenuated"},{"code":"175","display":"Human Rabies vaccine from human diploid cell culture"},{"code":"176","display":"Human rabies vaccine from Chicken fibroblast culture"},{"code":"177","display":"pneumococcal conjugate vaccine, 10 valent"},{"code":"178","display":"Non-US bivalent oral polio vaccine (types 1 and 3)"},{"code":"179","display":"Non-US monovalent oral polio vaccine, unspecified formulation"},{"code":"18","display":"rabies vaccine, for intramuscular injection RETIRED CODE"},{"code":"180","display":"tetanus immune globulin"},{"code":"181","display":"anthrax immune globulin"},{"code":"182","display":"Oral Polio Vaccine, Unspecified formulation"},{"code":"183","display":"Yellow fever vaccine alternative formulation"},{"code":"184","display":"Yellow fever vaccine, unspecified formulation"},{"code":"185","display":"Seasonal, quadrivalent, recombinant, injectable influenza vaccine, preservative free"},{"code":"186","display":"Influenza, injectable, Madin Darby Canine Kidney, quadrivalent with preservative"},{"code":"187","display":"zoster vaccine recombinant"},{"code":"188","display":"zoster vaccine, unspecified formulation"},{"code":"189","display":"Hepatitis B vaccine (recombinant), CpG adjuvanted"},{"code":"19","display":"Bacillus Calmette-Guerin vaccine"},{"code":"20","display":"diphtheria, tetanus toxoids and acellular pertussis vaccine"},{"code":"21","display":"varicella virus vaccine"},{"code":"22","display":"DTP-Haemophilus influenzae type b conjugate vaccine"},{"code":"23","display":"plague vaccine"},{"code":"24","display":"anthrax vaccine"},{"code":"25","display":"typhoid vaccine, live, oral"},{"code":"26","display":"cholera vaccine, unspecified formulation"},{"code":"27","display":"botulinum antitoxin"},{"code":"28","display":"diphtheria and tetanus toxoids, adsorbed for pediatric use"},{"code":"29","display":"cytomegalovirus immune globulin, intravenous"},{"code":"30","display":"hepatitis B immune globulin"},{"code":"31","display":"hepatitis A vaccine, pediatric dosage, unspecified formulation"},{"code":"32","display":"meningococcal polysaccharide vaccine (MPSV4)"},{"code":"33","display":"pneumococcal polysaccharide vaccine, 23 valent"},{"code":"34","display":"rabies immune globulin"},{"code":"35","display":"tetanus toxoid, adsorbed"},{"code":"36","display":"varicella zoster immune globulin"},{"code":"37","display":"yellow fever vaccine"},{"code":"38","display":"rubella and mumps virus vaccine"},{"code":"39","display":"Japanese Encephalitis Vaccine SC"},{"code":"40","display":"rabies vaccine, for intradermal injection"},{"code":"41","display":"typhoid vaccine, parenteral, other than acetone-killed, dried"},{"code":"42","display":"hepatitis B vaccine, adolescent/high risk infant dosage"},{"code":"43","display":"hepatitis B vaccine, adult dosage"},{"code":"44","display":"hepatitis B vaccine, dialysis patient dosage"},{"code":"45","display":"hepatitis B vaccine, unspecified formulation"},{"code":"46","display":"Haemophilus influenzae type b vaccine, PRP-D conjugate"},{"code":"47","display":"Haemophilus influenzae type b vaccine, HbOC conjugate"},{"code":"48","display":"Haemophilus influenzae type b vaccine, PRP-T conjugate"},{"code":"49","display":"Haemophilus influenzae type b vaccine, PRP-OMP conjugate"},{"code":"50","display":"DTaP-Haemophilus influenzae type b conjugate vaccine"},{"code":"51","display":"Haemophilus influenzae type b conjugate and Hepatitis B vaccine"},{"code":"52","display":"hepatitis A vaccine, adult dosage"},{"code":"53","display":"typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)"},{"code":"54","display":"adenovirus vaccine, type 4, live, oral"},{"code":"55","display":"adenovirus vaccine, type 7, live, oral"},{"code":"62","display":"human papilloma virus vaccine, quadrivalent"},{"code":"66","display":"Lyme disease vaccine"},{"code":"69","display":"parainfluenza-3 virus vaccine"},{"code":"71","display":"respiratory syncytial virus immune globulin, intravenous"},{"code":"74","display":"rotavirus, live, tetravalent vaccine"},{"code":"75","display":"vaccinia (smallpox) vaccine"},{"code":"76","display":"Staphylococcus bacteriophage lysate"},{"code":"77","display":"tick-borne encephalitis vaccine"},{"code":"78","display":"tularemia vaccine"},{"code":"79","display":"vaccinia immune globulin"},{"code":"80","display":"Venezuelan equine encephalitis, live, attenuated"},{"code":"801","display":"AS03 Adjuvant"},{"code":"81","display":"Venezuelan equine encephalitis, inactivated"},{"code":"82","display":"adenovirus vaccine, unspecified formulation"},{"code":"83","display":"hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule"},{"code":"84","display":"hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule"},{"code":"85","display":"hepatitis A vaccine, unspecified formulation"},{"code":"86","display":"immune globulin, intramuscular"},{"code":"87","display":"immune globulin, intravenous"},{"code":"88","display":"influenza virus vaccine, unspecified formulation"},{"code":"89","display":"poliovirus vaccine, unspecified formulation"},{"code":"90","display":"rabies vaccine, unspecified formulation"},{"code":"91","display":"typhoid vaccine, unspecified formulation"},{"code":"92","display":"Venezuelan equine encephalitis vaccine, unspecified formulation"},{"code":"93","display":"respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular"},{"code":"94","display":"measles, mumps, rubella, and varicella virus vaccine"},{"code":"95","display":"tuberculin skin test; old tuberculin, multipuncture device"},{"code":"96","display":"tuberculin skin test; purified protein derivative solution, intradermal"},{"code":"97","display":"tuberculin skin test; purified protein derivative, multipuncture device"},{"code":"98","display":"tuberculin skin test; unspecified formulation"},{"code":"998","display":"no vaccine administered"}]}]}} \ No newline at end of file