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ValueSet
default
A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [[[CodeSystem]]] definitions and their use in [coded elements](terminologies.html).
ValueSet
Path
ValueSet
Id
ValueSet
Cardinality
0 - *
Definition
A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html).
Comment
Constraint
cnl-0 [warning]
Name should be usable as an identifier for the module by machine processing applications such as code generation
Path
ValueSet.url
Id
ValueSet.url
Type
Cardinality
0 - 1
Definition
An absolute URI that is used to identify this value set when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this value set is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the value set is stored on different servers.
Comment
Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.
Requirements
Allows the value set to be referenced by a single globally unique identifier.
Constraint
cnl-1 [warning]
URL should not contain | or # - these characters make processing canonical references problematic
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier
Id
ValueSet.identifier
Type
Cardinality
0 - *
Definition
A formal identifier that is used to identify this value set when it is represented in other formats, or referenced in a specification, model, design or an instance.
Comment
Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this value set outside of FHIR, where it is not possible to use the logical URI.
Requirements
Allows externally provided and/or usable business identifiers to be easily associated with the module.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.use
Id
Identifier.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Identifies the purpose for this identifier, if known .
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.type
Id
Identifier.type
Type
Cardinality
0 - 1
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.
Binding
Strength
extensible
Description
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.type.CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.type.CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
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 be an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.type.CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.type.CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.identifier.Identifier.type.CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.identifier.Identifier.type.CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.system
Id
Identifier.system
Type
Cardinality
0 - 1
Definition
Establishes the namespace for the value - that is, an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.value
Id
Identifier.value
Type
Cardinality
0 - 1
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 [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ident-1
Path
ValueSet.identifier.Identifier.period
Id
Identifier.period
Type
Cardinality
0 - 1
Definition
Time period during which identifier is/was valid for use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.period.Period.start
Id
Period.start
Type
Cardinality
0 - 1
Definition
The start of the period. The boundary is inclusive.
Comment
If the low element is missing, the meaning is that the low boundary is not known.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.identifier.Identifier.period.Period.end
Id
Period.end
Type
Cardinality
0 - 1
Definition
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Comment
The end value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.identifier.Identifier.assigner
Id
Identifier.assigner
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.assigner.Reference.reference
Id
Reference.reference
Type
Cardinality
0 - 1
Definition
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Comment
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ref-2
ref-1
Path
ValueSet.identifier.Identifier.assigner.Reference.type
Id
Reference.type
Type
Cardinality
0 - 1
Definition
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Comment
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.
Binding
Strength
extensible
Description
Aa resource (or, for logical models, the URI of the logical model).
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.assigner.Reference.identifier
Id
Reference.identifier
Type
Cardinality
0 - 1
Definition
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Comment
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ref-2
Path
ValueSet.identifier.Identifier.assigner.Reference.identifier.Identifier.use
Id
Identifier.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Identifies the purpose for this identifier, if known .
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.assigner.Reference.identifier.Identifier.type
Id
Identifier.type
Type
Cardinality
0 - 1
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.
Binding
Strength
extensible
Description
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.assigner.Reference.identifier.Identifier.system
Id
Identifier.system
Type
Cardinality
0 - 1
Definition
Establishes the namespace for the value - that is, an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.assigner.Reference.identifier.Identifier.value
Id
Identifier.value
Type
Cardinality
0 - 1
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 [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ident-1
Path
ValueSet.identifier.Identifier.assigner.Reference.identifier.Identifier.period
Id
Identifier.period
Type
Cardinality
0 - 1
Definition
Time period during which identifier is/was valid for use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.assigner.Reference.identifier.Identifier.assigner
Id
Identifier.assigner
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.identifier.Identifier.assigner.Reference.display
Id
Reference.display
Type
Cardinality
0 - 1
Definition
Plain text narrative that identifies the resource in addition to the resource reference.
Comment
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ref-2
Path
ValueSet.version
Id
ValueSet.version
Type
Cardinality
0 - 1
Definition
The identifier that is used to identify this version of the value set when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the value set author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.
Comment
There may be different value set instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the value set with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](resource.html#bv-format).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.versionAlgorithm[x]
Id
ValueSet.versionAlgorithm[x]
Type
Cardinality
0 - 1
Definition
Indicates the mechanism used to compare versions to determine which ValueSet is more current.
Comment
If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.name
Id
ValueSet.name
Type
Cardinality
0 - 1
Definition
A natural language name identifying the value set. This name should be usable as an identifier for the module by machine processing applications such as code generation.
Comment
The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.A name should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a name.
Requirements
Support human navigation and code generation.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cnl-0
Path
ValueSet.title
Id
ValueSet.title
Type
Cardinality
0 - 1
Definition
A short, descriptive, user-friendly title for the value set.
Comment
This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.status
Id
ValueSet.status
Type
Cardinality
1 - 1
Definition
The status of this value set. Enables tracking the life-cycle of the content. The status of the value set applies to the value set definition (ValueSet.compose) and the associated ValueSet metadata. Expansions do not have a state.
Comment
Allows filtering of value sets that are appropriate for use versus not.See also the [http://hl7.org/fhir/StructureDefinition/valueset-workflowStatusDescription](http://hl7.org/fhir/extensions/StructureDefinition-valueset-workflowStatusDescription.html) extension for additional status information related to the editorial process.
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Binding
Strength
required
Description
The lifecycle status of an artifact.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.experimental
Id
ValueSet.experimental
Type
Cardinality
0 - 1
Definition
A Boolean value to indicate that this value set is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.
Comment
Allows filtering of value sets that are appropriate for use versus not.
Requirements
Enables experimental content to be developed following the same lifecycle that would be used for a production-level value set.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.date
Id
ValueSet.date
Type
Cardinality
0 - 1
Definition
The date (and optionally time) when the value set metadata or content logical definition (.compose) was created or revised.
Comment
Note that this is not the same as the meta.lastUpdated which is specific to an instance of a value set resource on a server. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.publisher
Id
ValueSet.publisher
Type
Cardinality
0 - 1
Definition
The name of the organization or individual responsible for the release and ongoing maintenance of the value set.
Comment
Usually an organization but may be an individual. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the value set. This item SHOULD be populated unless the information is available from context.
Requirements
Helps establish the "authority/credibility" of the value set. May also allow for contact.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.contact
Id
ValueSet.contact
Type
Cardinality
0 - *
Definition
Contact details to assist a user in finding and communicating with the publisher.
Comment
May be a web site, an email address, a telephone number, etc.
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.contact.ContactDetail.name
Id
ContactDetail.name
Type
Cardinality
0 - 1
Definition
The name of an individual to contact.
Comment
If there is no named individual, the telecom information is for the organization as a whole.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.contact.ContactDetail.telecom
Id
ContactDetail.telecom
Type
Cardinality
0 - *
Definition
The contact details for the individual (if a name was provided) or the organization.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.contact.ContactDetail.telecom.ContactPoint.system
Id
ContactPoint.system
Type
Cardinality
0 - 1
Definition
Telecommunications form for contact point - what communications system is required to make use of the contact.
Comment
Binding
Strength
required
Description
Telecommunications form for contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.contact.ContactDetail.telecom.ContactPoint.value
Id
ContactPoint.value
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.contact.ContactDetail.telecom.ContactPoint.use
Id
ContactPoint.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Use of contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.contact.ContactDetail.telecom.ContactPoint.rank
Id
ContactPoint.rank
Type
Cardinality
0 - 1
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.
Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.
Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.contact.ContactDetail.telecom.ContactPoint.period
Id
ContactPoint.period
Type
Cardinality
0 - 1
Definition
Time period when the contact point was/is in use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.contact.ContactDetail.telecom.ContactPoint.period.Period.start
Id
Period.start
Type
Cardinality
0 - 1
Definition
The start of the period. The boundary is inclusive.
Comment
If the low element is missing, the meaning is that the low boundary is not known.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.contact.ContactDetail.telecom.ContactPoint.period.Period.end
Id
Period.end
Type
Cardinality
0 - 1
Definition
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Comment
The end value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.description
Id
ValueSet.description
Type
Cardinality
0 - 1
Definition
A free text natural language description of the value set from a consumer's perspective. The textual description specifies the span of meanings for concepts to be included within the Value Set Expansion, and also may specify the intended use and limitations of the Value Set.
Comment
Description SHOULD contain instructions for clinical or administrative use and interpretation and information about misuse. Description SHOULD be populated unless the information is available from context. Description SHOULD be populated unless the value set is a contained resource (e.g. a value set defined solely in the context of a profile).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext
Id
ValueSet.useContext
Type
Cardinality
0 - *
Definition
The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate value set instances.
Comment
When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Requirements
Assist in searching for appropriate content.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.code
Id
UsageContext.code
Type
Cardinality
1 - 1
Definition
A code that identifies the type of context being specified by this usage context.
Comment
Binding
Strength
extensible
Description
A code that specifies a type of context being specified by a usage context.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.code.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
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 be an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.code.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.code.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.useContext.UsageContext.code.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.useContext.UsageContext.code.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.value[x]
Id
UsageContext.value[x]
Type
Cardinality
1 - 1
Definition
A value that defines the context specified in this context of use. The interpretation of the value is defined by the code.
Comment
Binding
Strength
example
Description
A code that defines the specific value for the context being specified.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.value[x].CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.value[x].CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
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 be an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.value[x].CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.useContext.UsageContext.value[x].CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.useContext.UsageContext.value[x].CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.useContext.UsageContext.value[x].CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.jurisdiction
Id
ValueSet.jurisdiction
Type
Cardinality
0 - *
Definition
A legal or geographic region in which the value set is intended to be used.
Comment
It may be possible for the value set to be used in jurisdictions other than those for which it was originally designed or intended.
DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)
Binding
Strength
extensible
Description
Countries and regions within which this artifact is targeted for use.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.jurisdiction.CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.jurisdiction.CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
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 be an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.jurisdiction.CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.jurisdiction.CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.jurisdiction.CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.jurisdiction.CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.immutable
Id
ValueSet.immutable
Type
Cardinality
0 - 1
Definition
If this is set to 'true', then no new versions of the content logical definition can be created. Note: Other metadata might still change.
Comment
Normally immutability is set to 'false', which is the default assumption if it is not populated. Note that the implication is that if this is set to 'true', there may be only one ValueSet version for this definition. Immutability tends to be set to 'true' in one of two cases: - Where the value set, by the nature of its usage, cannot change. For example "All specializations of ACT in ActClassCode" - Where there's no safe way to express the "Purpose" such that someone else could safely make changes to the value set definition. Source workflow control must guarantee that the same URI always yields the same definition.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.purpose
Id
ValueSet.purpose
Type
Cardinality
0 - 1
Definition
Explanation of why this value set is needed and why it has been designed as it has.
Comment
This element does not describe the usage of the value set. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this value set.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.copyright
Id
ValueSet.copyright
Type
Cardinality
0 - 1
Definition
A copyright statement relating to the value set and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the value set.
Comment
Frequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required.
Requirements
Consumers must be able to determine any legal restrictions on the use of the value set and/or its content.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.copyrightLabel
Id
ValueSet.copyrightLabel
Type
Cardinality
0 - 1
Definition
A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved').
Comment
The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.
Requirements
Defines the content expected to be rendered in all representations of the artifact.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.approvalDate
Id
ValueSet.approvalDate
Type
Cardinality
0 - 1
Definition
The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.
Comment
The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.lastReviewDate
Id
ValueSet.lastReviewDate
Type
Cardinality
0 - 1
Definition
The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.
Comment
If specified, this date follows the original approval date.
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Requirements
Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.effectivePeriod
Id
ValueSet.effectivePeriod
Type
Cardinality
0 - 1
Definition
The period during which the ValueSet content was or is planned to be in active use.
Comment
The effective period for a ValueSet determines when the content is applicable for usage and is independent of publication and review dates. For example, a valueset intended to be used for the year 2016 might be published in 2015.
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Requirements
Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the ValueSet are or are expected to be used instead.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.effectivePeriod.Period.start
Id
Period.start
Type
Cardinality
0 - 1
Definition
The start of the period. The boundary is inclusive.
Comment
If the low element is missing, the meaning is that the low boundary is not known.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.effectivePeriod.Period.end
Id
Period.end
Type
Cardinality
0 - 1
Definition
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Comment
The end value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.topic
Id
ValueSet.topic
Type
Cardinality
0 - *
Definition
Descriptions related to the content of the ValueSet. Topics provide a high-level categorization as well as keywords for the ValueSet that can be useful for filtering and searching.
Comment
DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)
Requirements
Repositories must be able to determine how to categorize the ValueSet so that it can be found by topical and keyword searches.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.topic.CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.topic.CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
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 be an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.topic.CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.topic.CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.topic.CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.topic.CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.author
Id
ValueSet.author
Type
Cardinality
0 - *
Definition
An individiual or organization primarily involved in the creation and maintenance of the ValueSet.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.author.ContactDetail.name
Id
ContactDetail.name
Type
Cardinality
0 - 1
Definition
The name of an individual to contact.
Comment
If there is no named individual, the telecom information is for the organization as a whole.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.author.ContactDetail.telecom
Id
ContactDetail.telecom
Type
Cardinality
0 - *
Definition
The contact details for the individual (if a name was provided) or the organization.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.author.ContactDetail.telecom.ContactPoint.system
Id
ContactPoint.system
Type
Cardinality
0 - 1
Definition
Telecommunications form for contact point - what communications system is required to make use of the contact.
Comment
Binding
Strength
required
Description
Telecommunications form for contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.author.ContactDetail.telecom.ContactPoint.value
Id
ContactPoint.value
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.author.ContactDetail.telecom.ContactPoint.use
Id
ContactPoint.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Use of contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.author.ContactDetail.telecom.ContactPoint.rank
Id
ContactPoint.rank
Type
Cardinality
0 - 1
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.
Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.
Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.author.ContactDetail.telecom.ContactPoint.period
Id
ContactPoint.period
Type
Cardinality
0 - 1
Definition
Time period when the contact point was/is in use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.author.ContactDetail.telecom.ContactPoint.period.Period.start
Id
Period.start
Type
Cardinality
0 - 1
Definition
The start of the period. The boundary is inclusive.
Comment
If the low element is missing, the meaning is that the low boundary is not known.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.author.ContactDetail.telecom.ContactPoint.period.Period.end
Id
Period.end
Type
Cardinality
0 - 1
Definition
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Comment
The end value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.editor
Id
ValueSet.editor
Type
Cardinality
0 - *
Definition
An individual or organization primarily responsible for internal coherence of the ValueSet.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.editor.ContactDetail.name
Id
ContactDetail.name
Type
Cardinality
0 - 1
Definition
The name of an individual to contact.
Comment
If there is no named individual, the telecom information is for the organization as a whole.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.editor.ContactDetail.telecom
Id
ContactDetail.telecom
Type
Cardinality
0 - *
Definition
The contact details for the individual (if a name was provided) or the organization.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.editor.ContactDetail.telecom.ContactPoint.system
Id
ContactPoint.system
Type
Cardinality
0 - 1
Definition
Telecommunications form for contact point - what communications system is required to make use of the contact.
Comment
Binding
Strength
required
Description
Telecommunications form for contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.editor.ContactDetail.telecom.ContactPoint.value
Id
ContactPoint.value
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.editor.ContactDetail.telecom.ContactPoint.use
Id
ContactPoint.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Use of contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.editor.ContactDetail.telecom.ContactPoint.rank
Id
ContactPoint.rank
Type
Cardinality
0 - 1
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.
Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.
Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.editor.ContactDetail.telecom.ContactPoint.period
Id
ContactPoint.period
Type
Cardinality
0 - 1
Definition
Time period when the contact point was/is in use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.editor.ContactDetail.telecom.ContactPoint.period.Period.start
Id
Period.start
Type
Cardinality
0 - 1
Definition
The start of the period. The boundary is inclusive.
Comment
If the low element is missing, the meaning is that the low boundary is not known.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.editor.ContactDetail.telecom.ContactPoint.period.Period.end
Id
Period.end
Type
Cardinality
0 - 1
Definition
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Comment
The end value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.reviewer
Id
ValueSet.reviewer
Type
Cardinality
0 - *
Definition
An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the ValueSet.
Comment
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.reviewer.ContactDetail.name
Id
ContactDetail.name
Type
Cardinality
0 - 1
Definition
The name of an individual to contact.
Comment
If there is no named individual, the telecom information is for the organization as a whole.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.reviewer.ContactDetail.telecom
Id
ContactDetail.telecom
Type
Cardinality
0 - *
Definition
The contact details for the individual (if a name was provided) or the organization.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.reviewer.ContactDetail.telecom.ContactPoint.system
Id
ContactPoint.system
Type
Cardinality
0 - 1
Definition
Telecommunications form for contact point - what communications system is required to make use of the contact.
Comment
Binding
Strength
required
Description
Telecommunications form for contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.reviewer.ContactDetail.telecom.ContactPoint.value
Id
ContactPoint.value
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.reviewer.ContactDetail.telecom.ContactPoint.use
Id
ContactPoint.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Use of contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.reviewer.ContactDetail.telecom.ContactPoint.rank
Id
ContactPoint.rank
Type
Cardinality
0 - 1
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.
Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.
Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.reviewer.ContactDetail.telecom.ContactPoint.period
Id
ContactPoint.period
Type
Cardinality
0 - 1
Definition
Time period when the contact point was/is in use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.reviewer.ContactDetail.telecom.ContactPoint.period.Period.start
Id
Period.start
Type
Cardinality
0 - 1
Definition
The start of the period. The boundary is inclusive.
Comment
If the low element is missing, the meaning is that the low boundary is not known.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.reviewer.ContactDetail.telecom.ContactPoint.period.Period.end
Id
Period.end
Type
Cardinality
0 - 1
Definition
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Comment
The end value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.endorser
Id
ValueSet.endorser
Type
Cardinality
0 - *
Definition
An individual or organization asserted by the publisher to be responsible for officially endorsing the ValueSet for use in some setting.
Comment
See guidance around (not) making local changes to elements [here](canonicalresource.html#localization).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.endorser.ContactDetail.name
Id
ContactDetail.name
Type
Cardinality
0 - 1
Definition
The name of an individual to contact.
Comment
If there is no named individual, the telecom information is for the organization as a whole.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.endorser.ContactDetail.telecom
Id
ContactDetail.telecom
Type
Cardinality
0 - *
Definition
The contact details for the individual (if a name was provided) or the organization.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.endorser.ContactDetail.telecom.ContactPoint.system
Id
ContactPoint.system
Type
Cardinality
0 - 1
Definition
Telecommunications form for contact point - what communications system is required to make use of the contact.
Comment
Binding
Strength
required
Description
Telecommunications form for contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.endorser.ContactDetail.telecom.ContactPoint.value
Id
ContactPoint.value
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cpt-2
Path
ValueSet.endorser.ContactDetail.telecom.ContactPoint.use
Id
ContactPoint.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Use of contact point.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.endorser.ContactDetail.telecom.ContactPoint.rank
Id
ContactPoint.rank
Type
Cardinality
0 - 1
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.
Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.
Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.endorser.ContactDetail.telecom.ContactPoint.period
Id
ContactPoint.period
Type
Cardinality
0 - 1
Definition
Time period when the contact point was/is in use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.endorser.ContactDetail.telecom.ContactPoint.period.Period.start
Id
Period.start
Type
Cardinality
0 - 1
Definition
The start of the period. The boundary is inclusive.
Comment
If the low element is missing, the meaning is that the low boundary is not known.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.endorser.ContactDetail.telecom.ContactPoint.period.Period.end
Id
Period.end
Type
Cardinality
0 - 1
Definition
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Comment
The end value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
per-1
Path
ValueSet.relatedArtifact
Id
ValueSet.relatedArtifact
Type
Cardinality
0 - *
Definition
Related artifacts such as additional documentation, justification, dependencies, bibliographic references, and predecessor and successor artifacts.
Comment
Each related artifact is either an attachment, or a reference to another resource, but not both.
Requirements
A ValueSet must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
type
documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
Path
ValueSet.relatedArtifact.RelatedArtifact.type
Id
RelatedArtifact.type
Type
Cardinality
1 - 1
Definition
The type of relationship to the related artifact.
Comment
The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of "new points to old" and "many points to one", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.
Binding
Strength
required
Description
The type of relationship to the related artifact.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.classifier
Id
RelatedArtifact.classifier
Type
Cardinality
0 - *
Definition
Provides additional classifiers of the related artifact.
Comment
Binding
Strength
example
Description
Additional classifiers for the related artifact.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.classifier.CodeableConcept.coding
Id
CodeableConcept.coding
Type
Cardinality
0 - *
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.classifier.CodeableConcept.coding.Coding.system
Id
Coding.system
Type
Cardinality
0 - 1
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 be an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.classifier.CodeableConcept.coding.Coding.version
Id
Coding.version
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.classifier.CodeableConcept.coding.Coding.code
Id
Coding.code
Type
Cardinality
0 - 1
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).
Comment
Requirements
Need to refer to a particular code in the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.relatedArtifact.RelatedArtifact.classifier.CodeableConcept.coding.Coding.display
Id
Coding.display
Type
Cardinality
0 - 1
Definition
A representation of the meaning of the code in the system, following the rules of the system.
Comment
Requirements
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
cod-1
Path
ValueSet.relatedArtifact.RelatedArtifact.classifier.CodeableConcept.coding.Coding.userSelected
Id
Coding.userSelected
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.label
Id
RelatedArtifact.label
Type
Cardinality
0 - 1
Definition
A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.display
Id
RelatedArtifact.display
Type
Cardinality
0 - 1
Definition
A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.citation
Id
RelatedArtifact.citation
Type
Cardinality
0 - 1
Definition
A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.
Comment
Additional structured information about citations should be captured as extensions.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document
Id
RelatedArtifact.document
Type
Cardinality
0 - 1
Definition
The document being referenced, represented as an attachment. This is exclusive with the resource element.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.contentType
Id
Attachment.contentType
Type
Cardinality
0 - 1
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.
Comment
Requirements
Processors of the data need to be able to know how to interpret the data.
Binding
Strength
required
Description
BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
att-1
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.data
Id
Attachment.data
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
att-1
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.url
Id
Attachment.url
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.size
Id
Attachment.size
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.hash
Id
Attachment.hash
Type
Cardinality
0 - 1
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](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).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.title
Id
Attachment.title
Type
Cardinality
0 - 1
Definition
A label or set of text to display in place of the data.
Comment
May sometimes be derived from the source filename.
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.creation
Id
Attachment.creation
Type
Cardinality
0 - 1
Definition
The date that the attachment was first created.
Comment
Requirements
This is often tracked as an integrity issue for use of the attachment.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.height
Id
Attachment.height
Type
Cardinality
0 - 1
Definition
Height of the image in pixels (photo/video).
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.width
Id
Attachment.width
Type
Cardinality
0 - 1
Definition
Width of the image in pixels (photo/video).
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.frames
Id
Attachment.frames
Type
Cardinality
0 - 1
Definition
The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.
Comment
if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.duration
Id
Attachment.duration
Type
Cardinality
0 - 1
Definition
The duration of the recording in seconds - for audio and video.
Comment
The duration might differ from occurrencePeriod if recording was paused.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.document.Attachment.pages
Id
Attachment.pages
Type
Cardinality
0 - 1
Definition
The number of pages when printed.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resource
Id
RelatedArtifact.resource
Type
Cardinality
0 - 1
Definition
The related artifact, such as a library, value set, profile, or other knowledge resource.
Comment
If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference
Id
RelatedArtifact.resourceReference
Type
Cardinality
0 - 1
Definition
The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.
Comment
If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.reference
Id
Reference.reference
Type
Cardinality
0 - 1
Definition
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Comment
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ref-2
ref-1
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.type
Id
Reference.type
Type
Cardinality
0 - 1
Definition
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.
The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Comment
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.
Binding
Strength
extensible
Description
Aa resource (or, for logical models, the URI of the logical model).
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.identifier
Id
Reference.identifier
Type
Cardinality
0 - 1
Definition
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Comment
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.
When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference
Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ref-2
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.identifier.Identifier.use
Id
Identifier.use
Type
Cardinality
0 - 1
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.
Binding
Strength
required
Description
Identifies the purpose for this identifier, if known .
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.identifier.Identifier.type
Id
Identifier.type
Type
Cardinality
0 - 1
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.
Binding
Strength
extensible
Description
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.identifier.Identifier.system
Id
Identifier.system
Type
Cardinality
0 - 1
Definition
Establishes the namespace for the value - that is, an absolute 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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.identifier.Identifier.value
Id
Identifier.value
Type
Cardinality
0 - 1
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 [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ident-1
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.identifier.Identifier.period
Id
Identifier.period
Type
Cardinality
0 - 1
Definition
Time period during which identifier is/was valid for use.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.identifier.Identifier.assigner
Id
Identifier.assigner
Type
Cardinality
0 - 1
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.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.resourceReference.Reference.display
Id
Reference.display
Type
Cardinality
0 - 1
Definition
Plain text narrative that identifies the resource in addition to the resource reference.
Comment
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
ref-2
Path
ValueSet.relatedArtifact.RelatedArtifact.publicationStatus
Id
RelatedArtifact.publicationStatus
Type
Cardinality
0 - 1
Definition
The publication status of the artifact being referred to.
Comment
Binding
Strength
required
Description
Publication status of an artifact being referred to.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.relatedArtifact.RelatedArtifact.publicationDate
Id
RelatedArtifact.publicationDate
Type
Cardinality
0 - 1
Definition
The date of publication of the artifact being referred to.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose
Id
ValueSet.compose
Type
Cardinality
0 - 1
Definition
A set of criteria that define the contents of the value set by including or excluding codes selected from the specified code system(s) that the value set draws from. This is also known as the Content Logical Definition (CLD).
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.lockedDate
Id
ValueSet.compose.lockedDate
Type
Cardinality
0 - 1
Definition
The Locked Date is the effective date that is used to determine the version of all referenced Code Systems and Value Set Definitions included in the compose that are not already tied to a specific version.
Comment
With a defined lockedDate the value set is considered "Locked". Otherwise, the value set may have different expansions as underlying code systems and/or value sets evolve. The interpretation of lockedDate is often dependent on the context - e.g. a SNOMED CT derived value set with a lockedDate will have a different expansion in USA than in UK. If a value set specifies a version for include and exclude statements, and also specifies a locked date, the specified versions need to be available that date, or the value set will not be usable.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.inactive
Id
ValueSet.compose.inactive
Type
Cardinality
0 - 1
Definition
Whether inactive codes - codes that are not approved for current use - are in the value set. If inactive = true, inactive codes are to be included in the expansion, if inactive = false, the inactive codes will not be included in the expansion. If absent, the behavior is determined by the implementation, or by the applicable $expand parameters (but generally, inactive codes would be expected to be included).
Comment
Note that in the FHIR terminology framework, "deprecated" does not mean inactive, but in some code systems, e.g. LOINC, "deprecated" does mean inactive. Code systems should define what codes are considered to be inactive. If this is not clearly defined (including in the FHIR code system resource), then all codes are assumed to be active.
The Value Set Definition specification defines an ActiveOnly element, which is the reverse of this element e.g. (ValueSet.compose.inactive=FALSE) is the same as (VSD.ActiveOnly=TRUE).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.include
Id
ValueSet.compose.include
Type
Cardinality
1 - *
Definition
Include one or more codes from a code system or other value set(s).
Comment
All the conditions in an include must be true. If a system is listed, all the codes from the system are listed. If one or more filters are listed, all of the filters must apply. If one or more value sets are listed, the codes must be in all the value sets. E.g. each include is 'include all the codes that meet all these conditions'.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
vsd-1 [error]
A value set include/exclude SHALL have a value set or a system
vsd-2 [error]
A value set with concepts or filters SHALL include a system
vsd-3 [error]
Cannot have both concept and filter
Path
ValueSet.compose.include.system
Id
ValueSet.compose.include.system
Type
Cardinality
0 - 1
Definition
An absolute URI which is the code system from which the selected codes come from.
Comment
If there are no codes or filters, the entire code system is included. Note that the set of codes that are included may contain abstract codes. See ''Coding.system'' for further documentation about the correct value for the system element.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-2
vsd-1
Path
ValueSet.compose.include.version
Id
ValueSet.compose.include.version
Type
Cardinality
0 - 1
Definition
The version of the code system that the codes are selected from, or the special version '*' for all versions.
Comment
This is used when selecting the descendants of a concept - they may change between versions. If no version is specified, then the exact contents of the value set might not be known until a context of use binds it to a particular version. The special value '*' means all versions; It is at server discretion regarding expansions and which versions must be supported.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.include.concept
Id
ValueSet.compose.include.concept
Type
Cardinality
0 - *
Definition
Specifies a concept to be included or excluded.
Comment
The list of concepts is considered ordered, though the order might not have any particular significance. Typically, the order of an expansion follows that defined in the compose element.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-2
vsd-3
Path
ValueSet.compose.include.concept.code
Id
ValueSet.compose.include.concept.code
Type
Cardinality
1 - 1
Definition
Specifies a code for the concept to be included or excluded.
Comment
Expressions are allowed if defined by the underlying code system.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.include.concept.display
Id
ValueSet.compose.include.concept.display
Type
Cardinality
0 - 1
Definition
The text to display to the user for this concept in the context of this valueset. If no display is provided, then applications using the value set use the display specified for the code by the system.
Comment
The value set resource allows for an alternative display to be specified for when this concept is used in this particular value set. See notes in the value set narrative about the correct use of this element.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.include.concept.designation
Id
ValueSet.compose.include.concept.designation
Type
Cardinality
0 - *
Definition
Additional representations for this concept when used in this value set - other languages, aliases, specialized purposes, used for particular purposes, etc.
Comment
Concepts have both a ```display``` and an array of ```designation```. The display is equivalent to a special designation with an implied ```designation.use``` of "primary code" and a language equal to the [Resource Language](resource.html#language).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
vsd-11 [error]
Must have a value for concept.designation.use if concept.designation.additionalUse is present
Path
ValueSet.compose.include.concept.designation.use
Id
ValueSet.compose.include.concept.designation.use
Type
Cardinality
0 - 1
Definition
A code that represents types of uses of designations.
Comment
If no use is provided, the designation can be assumed to be suitable for general display to a human user.
Binding
Strength
extensible
Description
Details of how a designation would be used.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-11
Path
ValueSet.compose.include.concept.designation.additionalUse
Id
ValueSet.compose.include.concept.designation.additionalUse
Type
Cardinality
0 - *
Definition
Additional codes that detail how this designation would be used, if there is more than one use.
Comment
This was added rather than increasing the cardinality of .use to 0..* in order to maintain backward compatibility.
Binding
Strength
extensible
Description
Details of how a designation would be used.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-11
Path
ValueSet.compose.include.concept.designation.value
Id
ValueSet.compose.include.concept.designation.value
Type
Cardinality
1 - 1
Definition
The text value for this designation.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.include.filter
Id
ValueSet.compose.include.filter
Type
Cardinality
0 - *
Definition
Select concepts by specifying a matching criterion based on the properties (including relationships) defined by the system, or on filters defined by the system. If multiple filters are specified within the include, they SHALL all be true.
Comment
Selecting codes by specifying filters based on properties is only possible where the underlying code system defines appropriate properties. Note that in some cases, the underlying code system defines the logical concepts but not the literal codes for the concepts. In such cases, the literal definitions may be provided by a third party.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-2
vsd-3
Path
ValueSet.compose.include.filter.property
Id
ValueSet.compose.include.filter.property
Type
Cardinality
1 - 1
Definition
A code that identifies a property or a filter defined in the code system.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
op
= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists
Path
ValueSet.compose.include.filter.op
Id
ValueSet.compose.include.filter.op
Type
Cardinality
1 - 1
Definition
The kind of operation to perform as a part of the filter criteria.
Comment
In case filter.property represents a property of the system, the operation applies to the selected property. In case filter.property represents a filter of the system, the operation SHALL match one of the CodeSystem.filter.operator values.
Binding
Strength
required
Description
The kind of operation to perform as a part of a property based filter.
ValueSet
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.include.filter.value
Id
ValueSet.compose.include.filter.value
Type
Cardinality
1 - 1
Definition
The match value may be either a code defined by the system, or a string value, which is a regex match on the literal string of the property value (if the filter represents a property defined in CodeSystem) or of the system filter value (if the filter represents a filter defined in CodeSystem) when the operation is 'regex', or one of the values (true and false), when the operation is 'exists'.
Comment
Use regex matching with care - full regex matching on every SNOMED CT term is prohibitive, for example.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.include.valueSet
Id
ValueSet.compose.include.valueSet
Type
Cardinality
0 - *
Definition
Selects the concepts found in this value set (based on its value set definition). This is an absolute URI that is a reference to ValueSet.url. If multiple value sets are specified this includes the intersection of the contents of all of the referenced value sets.
Comment
The value set URI is either a logical reference to a defined value set such as a [SNOMED CT reference set](https://terminology.hl7.org/SNOMEDCT.html), or a direct reference to a value set definition using ValueSet.url. The reference might not refer to an actual FHIR ValueSet resource; in this case, whatever is referred to is an implicit definition of a value set that needs to be clear about how versions are resolved.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-1
Path
ValueSet.compose.include.copyright
Id
ValueSet.compose.include.copyright
Type
Cardinality
0 - 1
Definition
A copyright statement for the specific code system asserted by the containing ValueSet.compose.include element's system value (if the associated ValueSet.compose.include.version element is not present); or the code system and version combination (if the associated ValueSet.compose.include.version element is present).
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.exclude
Id
ValueSet.compose.exclude
Type
Cardinality
0 - *
Definition
Exclude one or more codes from the value set based on code system filters and/or other value sets.
Comment
Usually this is used to selectively exclude codes that were included by subsumption in the inclusions. Any display names specified for the codes are ignored.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.compose.property
Id
ValueSet.compose.property
Type
Cardinality
0 - *
Definition
A property to return in the expansion, if the client doesn't ask for any particular properties. May be either a code from the code system definition (convenient) or a the formal URI that refers to the property. The special value '*' means all properties known to the server.
Comment
Note that property names can clash, so using a URI is recommended.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion
Id
ValueSet.expansion
Type
Cardinality
0 - 1
Definition
A value set can also be "expanded", where the value set is turned into a simple collection of enumerated codes. This element holds the expansion, if it has been performed.
Comment
Expansion is performed to produce a collection of codes that are ready to use for data entry or validation. Value set expansions are always considered to be stateless - they are a record of the set of codes in the value set at a point in time under a given set of conditions, and are not subject to ongoing maintenance.
Expansion.parameter is a simplified list of parameters - a subset of the features of the [Parameters](parameters.html) resource.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.identifier
Id
ValueSet.expansion.identifier
Type
Cardinality
0 - 1
Definition
An identifier that uniquely identifies this expansion of the valueset, based on a unique combination of the provided parameters, the system default parameters, and the underlying system code system versions etc. Systems may re-use the same identifier as long as those factors remain the same, and the expansion is the same, but are not required to do so. This is a business identifier.
Comment
Typically, this uri is a UUID (e.g. urn:uuid:8230ff20-c97a-4167-a59d-dc2cb9df16dd).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.next
Id
ValueSet.expansion.next
Type
Cardinality
0 - 1
Definition
As per paging Search results, the next URLs are opaque to the client, have no dictated structure, and only the server understands them.
Comment
Clients SHOULD use the next link, if present, to page through expansion results in preference to using the offset and count parameters. Due to the optional nature of the next link, its absence does not necessarily indicate that it is the last page of results. Instead, as the offset and count parameters SHALL be populated when paging, clients can reliably use the count/offset parameters to determine whether the whole expansion is returned.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.timestamp
Id
ValueSet.expansion.timestamp
Type
Cardinality
1 - 1
Definition
The time at which the expansion was produced by the expanding system.
Comment
This SHOULD be a fully populated instant, but in some circumstances, value sets are expanded by hand, and the expansion is published without that precision.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.total
Id
ValueSet.expansion.total
Type
Cardinality
0 - 1
Definition
The total number of concepts in the expansion. If the number of concept nodes in this resource is less than the stated number, then the server can return more using the offset parameter.
Comment
Paging only applies to flat expansions.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.offset
Id
ValueSet.expansion.offset
Type
Cardinality
0 - 1
Definition
If paging is being used, the offset at which this resource starts. I.e. this resource is a partial view into the expansion. If paging is not being used, this element SHALL NOT be present.
Comment
Paging only applies to flat expansions. If a filter is applied, the count is the number of concepts that matched the filter, not the number of concepts in an unfiltered view of the expansion.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.parameter
Id
ValueSet.expansion.parameter
Type
Cardinality
0 - *
Definition
A parameter that controlled the expansion process. These parameters may be used by users of expanded value sets to check whether the expansion is suitable for a particular purpose, or to pick the correct expansion.
Comment
The server decides which parameters to include here, but at a minimum, the list SHOULD include all of the parameters that affect the $expand operation. If the expansion will be persisted all of these parameters SHALL be included. If the codeSystem on the server has a specified version then this version SHALL be provided as a parameter in the expansion (note that not all code systems have a version).
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.parameter.name
Id
ValueSet.expansion.parameter.name
Type
Cardinality
1 - 1
Definition
Name of the input parameter to the $expand operation; may be a server-assigned name for additional default or other server-supplied parameters used to control the expansion process.
Comment
The names are assigned at the discretion of the server.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.parameter.value[x]
Id
ValueSet.expansion.parameter.value[x]
Type
Cardinality
0 - 1
Definition
The value of the parameter.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.property
Id
ValueSet.expansion.property
Type
Cardinality
0 - *
Definition
A property defines an additional slot through which additional information can be provided about a concept.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.property.code
Id
ValueSet.expansion.property.code
Type
Cardinality
1 - 1
Definition
A code that is used to identify the property. The code is used in ValueSet.expansion.contains.property.code.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.property.uri
Id
ValueSet.expansion.property.uri
Type
Cardinality
0 - 1
Definition
Reference to the formal meaning of the property. One possible source of meaning is the [Concept Properties](codesystem-concept-properties.html) code system.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains
Id
ValueSet.expansion.contains
Type
Cardinality
0 - *
Definition
The codes that are contained in the value set expansion.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
vsd-6 [error]
SHALL have a code or a display
vsd-9 [error]
SHALL have a code if not abstract
vsd-10 [error]
SHALL have a system if a code is present
Path
ValueSet.expansion.contains.system
Id
ValueSet.expansion.contains.system
Type
Cardinality
0 - 1
Definition
An absolute URI which is the code system in which the code for this item in the expansion is defined.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-10
Path
ValueSet.expansion.contains.abstract
Id
ValueSet.expansion.contains.abstract
Type
Cardinality
0 - 1
Definition
If true, this entry is included in the expansion for navigational purposes, and the user cannot select the code directly as a proper value.
Comment
This should not be understood to exclude its use for searching (e.g. by subsumption testing). The client should know whether it is appropriate for the user to select an abstract code or not.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-9
Path
ValueSet.expansion.contains.inactive
Id
ValueSet.expansion.contains.inactive
Type
Cardinality
0 - 1
Definition
If the concept is inactive in the code system that defines it. Inactive codes are those that are no longer to be used, but are maintained by the code system for understanding legacy data. It might not be known or specified whether a concept is inactive (and it may depend on the context of use).
Comment
This should only have a value if the concept is inactive.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.version
Id
ValueSet.expansion.contains.version
Type
Cardinality
0 - 1
Definition
The version of the code system from this code was taken. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Comment
The exact value of the version string is specified by the system from which the code is derived.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.code
Id
ValueSet.expansion.contains.code
Type
Cardinality
0 - 1
Definition
The code for this item in the expansion hierarchy. If this code is missing the entry in the hierarchy is a place holder (abstract) and does not represent a valid code in the value set.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-6
vsd-9
vsd-10
Path
ValueSet.expansion.contains.display
Id
ValueSet.expansion.contains.display
Type
Cardinality
0 - 1
Definition
The recommended display for this item in the expansion.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Condition
vsd-6
Path
ValueSet.expansion.contains.designation
Id
ValueSet.expansion.contains.designation
Type
Cardinality
0 - *
Definition
Additional representations for this item - other languages, aliases, specialized purposes, used for particular purposes, etc. These are relevant when the conditions of the expansion do not fix to a single correct representation.
Comment
The designations provided must be based on the value set and code system definitions.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.property
Id
ValueSet.expansion.contains.property
Type
Cardinality
0 - *
Definition
A property value for this concept.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.property.code
Id
ValueSet.expansion.contains.property.code
Type
Cardinality
1 - 1
Definition
A code that is a reference to ValueSet.expansion.property.code.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.property.value[x]
Id
ValueSet.expansion.contains.property.value[x]
Type
Cardinality
1 - 1
Definition
The value of this property.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.property.subProperty
Id
ValueSet.expansion.contains.property.subProperty
Type
Cardinality
0 - *
Definition
A subproperty value for this concept.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.property.subProperty.code
Id
ValueSet.expansion.contains.property.subProperty.code
Type
Cardinality
1 - 1
Definition
A code that is a reference to ValueSet.expansion.property.code.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.property.subProperty.value[x]
Id
ValueSet.expansion.contains.property.subProperty.value[x]
Type
Cardinality
1 - 1
Definition
The value of this subproperty.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.expansion.contains.contains
Id
ValueSet.expansion.contains.contains
Type
Cardinality
0 - *
Definition
Other codes and entries contained under this entry in the hierarchy.
Comment
If the expansion uses this element, there is no implication about the logical relationship between them, and the structure cannot be used for logical inferencing. The structure exists to provide navigational assistance for helping human users to locate codes in the expansion.
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
scope
Description of the semantic space the Value Set Expansion is intended to cover and should further clarify the text in ValueSet.description
Path
ValueSet.scope
Id
ValueSet.scope
Type
Cardinality
0 - 1
Definition
Description of the semantic space the Value Set Expansion is intended to cover and should further clarify the text in ValueSet.description.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.scope.inclusionCriteria
Id
ValueSet.scope.inclusionCriteria
Type
Cardinality
0 - 1
Definition
Criteria describing which concepts or codes should be included and why.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children
Path
ValueSet.scope.exclusionCriteria
Id
ValueSet.scope.exclusionCriteria
Type
Cardinality
0 - 1
Definition
Criteria describing which concepts or codes should be excluded and why.
Comment
Constraint
ele-1 [error]
All FHIR elements must have a @value or children