Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Codeableconcept.profile.xml

Example StructureDefinition/CodeableConcept (XML)

Maturity Level : N/A
Responsible Owner: Modeling and Methodology Work Group Standards Status : Informative

Raw XML ( canonical form + also see XML Format Specification )

StructureDefinition for CodeableConcept

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
    
      
        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw== 

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="CodeableConcept"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

         top">
          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px; width: 100px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a>             <span style="float: right">              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>               </a>             </span>           </th>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>  
            <a href="datatypes-definitions.html#CodeableConcept" title="CodeableConcept : A concept that may be defined by a formal reference to a terminology
             or ontology or may be provided by text.
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #e6ffe6
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxConcept - reference to a terminology or just  text
            Elements defined in Ancestors: 
            Unique id for the element within a resource (for internal references). This may be any
             string value that does not contain spaces., 
            May be used to represent additional information that is not part of the basic definition
             of the element. To make the use of extensions safe and manageable, there is a strict set
             of governance  applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension.
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)
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            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxCode defined by a terminology system
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          AASUVORK5CYII=)
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            TRgwAAAABJRU5ErkJggg== 
            CodeableConcept.text : A human language representation of the concept as seen/selected/uttered
             by the user who entered the data and/or which represents the intended meaning of the user.
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
    
  
  
  
  
  
  
  
  
    
      
      
    
  
  Base StructureDefinition for CodeableConcept Type: A concept that may be defined by a
   formal reference to a terminology or ontology or may be provided by text.
  This is a common pattern in healthcare - a concept that may be defined by one or more
   codes from formal definitions including LOINC and SNOMED CT, and/or defined by the provision
   of text that captures a human sense of the concept.
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
  
  
    
      
        
      
      
        
      
      
      
      A concept that may be defined by a formal reference to a terminology or ontology or may
       be provided by text.
      Not all terminology uses fit this general pattern. In some cases, models should not use
       CodeableConcept and use Coding directly and provide their own structure for managing text,
       codings, translations and the relationship between elements and pre- and post-coordination.
      
      
      
        
        
        
      
      
      
        
        
        
        
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
        
          
          
        
        
        
      
      

             or ontology or may be provided by text.">CodeableConcept</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #e6ffe6; padding-left: 3px; padding-right: 3px;
             border: 1px grey solid; font-weight: bold; color: black; background-color: #e6ffe6" title="Standards Status = Normative">N</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#Element">Element</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Concept - reference to a terminology or just  text
            <br/>              <br/>  Elements defined in Ancestors:             <a href="types.html#Element" title="Unique id for the element within a resource (for internal references). This may

             be any string value that does not contain spaces.">id</a> , 
            <a href="types.html#Element" title="May be used to represent additional information that is not part of the basic definition

             of the element. To make the use of extensions safe and managable, there is a strict
             set of governance applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part
             of the definition of the extension.">extension</a> 
          </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <a href="datatypes-definitions.html#CodeableConcept.coding" title="CodeableConcept.coding : A reference to a code defined by a terminology system.">coding</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Code defined by a terminology system
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <a href="datatypes-definitions.html#CodeableConcept.text" title="CodeableConcept.text : A human language representation of the concept as seen/selected/uttere

            d by the user who entered the data and/or which represents the intended meaning
             of the user.">text</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a candidate for being translated">T</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Plain text representation of the concept
            <br/>            </td>         </tr>         <tr>           <td class="hierarchy" colspan="5">            <br/>              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format            </a>           </td>         </tr>       </table>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="normative"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">    <valueCode value="can-bind"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">    <valueCode value="do-translations"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="fhir"/>   </extension>   <url value="http://hl7.org/fhir/StructureDefinition/CodeableConcept"/>   <version value="6.0.0-ballot3"/>   <name value="CodeableConcept"/>   <status value="active"/>   <experimental value="false"/>   <date value="2025-11-08T11:23:29+00:00"/>   <publisher value="HL7 International / FHIR Infrastructure"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://hl7.org/fhir"/>     </telecom>   </contact>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/fiwg"/>     </telecom>   </contact>   <description value="CodeableConcept Type: A concept that may be defined by a formal reference to a

   terminology or ontology or may be provided by text."/> 
  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <purpose value="This is a common pattern in healthcare - a concept that may be defined by one or

   more codes from formal definitions including LOINC and SNOMED CT, and/or defined
   by the provision of text that captures a human sense of the concept."/> 
  <fhirVersion value="6.0.0-ballot3"/>   <mapping>     <identity value="v2"/>     <uri value="http://hl7.org/v2"/>     <name value="HL7 V2 Mapping"/>   </mapping>   <mapping>     <identity value="rim"/>     <uri value="http://hl7.org/v3"/>     <name value="RIM Mapping"/>   </mapping>   <mapping>     <identity value="orim"/>     <uri value="http://hl7.org/orim"/>     <name value="Ontological RIM Mapping"/>   </mapping>   <kind value="complex-type"/>   <abstract value="false"/>   <type value="CodeableConcept"/>   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"/>   <derivation value="specialization"/>   <snapshot>     <element id="CodeableConcept">      <path value="CodeableConcept"/>       <short value="Concept - reference to a terminology or just  text"/>       <definition value="A concept that may be defined by a formal reference to a terminology or ontology

       or may be provided by text."/> 
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should

       not use CodeableConcept and use Coding directly and provide their own structure
       for managing text, codings, translations and the relationship between elements
       and pre- and post-coordination."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="CodeableConcept"/>         <min value="0"/>         <max value="*"/>       </base>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a,CD"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="CE/CNE/CWE"/>       </mapping>       <mapping>         <identity value="orim"/>         <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>       </mapping>     </element>     <element id="CodeableConcept.id">      <path value="CodeableConcept.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="CodeableConcept.extension">      <path value="CodeableConcept.extension"/>       <slicing>         <discriminator>           <type value="value"/>           <path value="url"/>         </discriminator>         <description value="Extensions are always sliced by (at least) url"/>         <rules value="open"/>       </slicing>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      
      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.
      Allows for alternative encodings within a code system, and translations to other code
       systems.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      A human language representation of the concept as seen/selected/uttered by the user who
       entered the data and/or which represents the intended meaning of the user.
      
      The codes from the terminologies do not always capture the correct meaning with all the
       nuances of the human using them, or sometimes there is no appropriate code at all. In
       these cases, the text is used to capture the full meaning of the source.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
  
  
    
      
        
      
      
        
      
      
      
      A concept that may be defined by a formal reference to a terminology or ontology or may
       be provided by text.
      Not all terminology uses fit this general pattern. In some cases, models should not use
       CodeableConcept and use Coding directly and provide their own structure for managing text,
       codings, translations and the relationship between elements and pre- and post-coordination.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      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.
      Allows for alternative encodings within a code system, and translations to other code
       systems.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      A human language representation of the concept as seen/selected/uttered by the user who
       entered the data and/or which represents the intended meaning of the user.
      
      The codes from the terminologies do not always capture the correct meaning with all the
       nuances of the human using them, or sometimes there is no appropriate code at all. In
       these cases, the text is used to capture the full meaning of the source.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
  

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="CodeableConcept.coding">      <path value="CodeableConcept.coding"/>       <short value="Code defined by a terminology system"/>       <definition value="A reference to a code defined by a terminology system."/>       <comment value="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 value="Allows for alternative encodings within a code system, and translations to other

       code systems."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="CodeableConcept.coding"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Coding"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="v2"/>         <map value="C*E.1-8, C*E.10-22"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="union(., ./translation)"/>       </mapping>       <mapping>         <identity value="orim"/>         <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>       </mapping>     </element>     <element id="CodeableConcept.text">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="CodeableConcept.text"/>       <short value="Plain text representation of the concept"/>       <definition value="A human language representation of the concept as seen/selected/uttered by the

       user who entered the data and/or which represents the intended meaning of the user."/> 
      <comment value="Very often the text is the same as a displayName of one of the codings."/>       <requirements value="The codes from the terminologies do not always capture the correct meaning with

       all the nuances of the human using them, or sometimes there is no appropriate code
       at all. In these cases, the text is used to capture the full meaning of the source."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="CodeableConcept.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="v2"/>         <map value="C*E.9. But note many systems use C*E.2 for this"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>       </mapping>       <mapping>         <identity value="orim"/>         <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>       </mapping>     </element>   </snapshot>   <differential>     <element id="CodeableConcept">      <path value="CodeableConcept"/>       <short value="Concept - reference to a terminology or just  text"/>       <definition value="A concept that may be defined by a formal reference to a terminology or ontology

       or may be provided by text."/> 
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should

       not use CodeableConcept and use Coding directly and provide their own structure
       for managing text, codings, translations and the relationship between elements
       and pre- and post-coordination."/> 
      <min value="0"/>       <max value="*"/>       <mapping>         <identity value="v2"/>         <map value="CE/CNE/CWE"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="CD"/>       </mapping>       <mapping>         <identity value="orim"/>         <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>       </mapping>     </element>     <element id="CodeableConcept.coding">      <path value="CodeableConcept.coding"/>       <short value="Code defined by a terminology system"/>       <definition value="A reference to a code defined by a terminology system."/>       <comment value="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 value="Allows for alternative encodings within a code system, and translations to other

       code systems."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Coding"/>       </type>       <isSummary value="true"/>       <mapping>         <identity value="v2"/>         <map value="C*E.1-8, C*E.10-22"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="union(., ./translation)"/>       </mapping>       <mapping>         <identity value="orim"/>         <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>       </mapping>     </element>     <element id="CodeableConcept.text">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="CodeableConcept.text"/>       <short value="Plain text representation of the concept"/>       <definition value="A human language representation of the concept as seen/selected/uttered by the

       user who entered the data and/or which represents the intended meaning of the user."/> 
      <comment value="Very often the text is the same as a displayName of one of the codings."/>       <requirements value="The codes from the terminologies do not always capture the correct meaning with

       all the nuances of the human using them, or sometimes there is no appropriate code
       at all. In these cases, the text is used to capture the full meaning of the source."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <isSummary value="true"/>       <mapping>         <identity value="v2"/>         <map value="C*E.9. But note many systems use C*E.2 for this"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>       </mapping>       <mapping>         <identity value="orim"/>         <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>       </mapping>     </element>   </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.