A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc. Represents a "System" "System" used within the Identifier and Coding data types.

An absolute URI that is used to identify this naming system 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 naming system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the naming system is stored on different servers.

Allows the naming system to be referenced by a single globally unique identifier.

Can only be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have replacedBy 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 .

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 element to indicate where the current master source of the resource can be found.

A formal identifier that is used to identify this naming system when it is represented in other formats, or referenced in a specification, model, design or an instance.

Allows externally provided and/or usable business identifiers to be easily associated with the naming system.

The identifier that is used to identify this version of the naming system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the naming system 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.

There may be different naming system 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 naming system with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version .

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

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.

A natural language name identifying the naming system. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Support human navigation and code generation.

The name is not expected to be globally unique. The name should be a simple alpha-numeric alphanumeric type name to ensure that it is computable friendly. The"symbolic name" machine-processing friendly.The"symbolic name" for an OID would be captured as an extension.

A short, descriptive, user-friendly title for the naming system.

This title does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

The status of this naming system. Enables tracking the life-cycle of the content.

Allows filtering of naming systems that are appropriate for use vs. versus not. This is labeled as "Is Modifier" because applications should not use a retired naming system without due consideration.

See guidance around (not) making local changes to elements here .

Indicates the purpose for the naming system - what kinds of things does it make unique?

A Boolean value to indicate that this naming system is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage.

Enables experimental content to be developed following the same lifecycle that would be used for a production-level naming system.

Allows filtering of naming systems that are appropriate for use versus not. Experimental resources might include example instances in implementation guides, instances created solely for testing purposes, etc. If experimental is 'true' for any version of a resource, it should be true for all versions of the resource. (If experimental changes, then it is being misused or a resource that was never intended for real-world use has unexpectedly changed its purpose.).

Experimental resources are not expected to be stable and may well have breaking changes without a corresponding change to the 'version' element.

The date (and optionally time) when the naming system was published. last significantly changed. The date must change if and when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the naming system changes.

The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the naming system. 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 .

The name of the individual or organization that published or individual responsible for the release and ongoing maintenance of the naming system.

Helps establish the "authority/credibility" "authority/credibility" of the naming system. May also allow for contact.

Usually an organization, organization but may be an individual. The publisher (or steward) of the naming system is the organization or individual primarily responsible for the maintenance and upkeep of the naming system. 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 naming system. This item SHOULD be populated unless the information is available from context.

Contact details to assist a user in finding and communicating with the publisher.

May be a web site, an email address, a telephone number, etc.

See guidance around (not) making local changes to elements here .

The name of the organization that is responsible for issuing identifiers or codes for this namespace and ensuring their non-collision.

This is the primary organization. Responsibility for some aspects of a namespace may be delegated.

Categorizes a naming system for easier search by grouping related naming systems.

This will most commonly be used for identifier namespaces, but categories could potentially be useful for code systems and authorities as well.

A free text natural language description of the naming system from a consumer's perspective. Details about what the namespace identifies including scope, granularity, version labeling, etc.

This description can be used to capture details such as why the naming system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the naming system as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile naming system is presumed to be the predominant language in the place the profile naming system was created).

The content was developed with a focus and intent of supporting the contexts that are listed. These terms 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 naming system instances.

Assist in searching for appropriate content.

When multiple useContexts are specified, there is no expectation whether that all or any of the contexts apply.

A legal or geographic region in which the naming system authority that maintains the resource is intended to be used. operating. In general, the jurisdiction is also found in the useContext. The useContext may reference additional jurisdictions because the defining jurisdiction does not necessarily limit the jurisdictions of use.

It may be possible for the naming system 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.)

Explanation of why this naming system is needed and why it has been designed as it has.

This element does not describe the usage of the code system. 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 code system.

A copyright statement relating to the naming system and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the naming system.

Consumers must be able to determine any legal restrictions on the use of the naming system and/or its content.

A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved').

Defines the content expected to be rendered in all representations of the artifact.

The copyright symbol and the '(c)' textual representation 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.

The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

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 .

The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

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.

If specified, this date follows the original approval date.

See guidance around (not) making local changes to elements here .

The period during which the NamingSystem content was or is planned to be in active use.

Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the NamingSystem are or are expected to be used instead.

The effective period for a NamingSystem determines when the content is applicable for usage and is independent of publication and review dates. For example, a NamingSystem intended to be used for the year 2016 might be published in 2015.

See guidance around (not) making local changes to elements here .

Descriptions related to the content of the NamingSystem. Topics provide a high-level categorization as well as keywords for the NamingSystem that can be useful for filtering and searching.

Repositories must be able to determine how to categorize the NamingSystem so that it can be found by topical and keyword searches.

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)

An individiual or organization primarily involved in the creation and maintenance of the NamingSystem.

An individual or organization primarily responsible for internal coherence of the NamingSystem.

An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the NamingSystem.

See guidance around (not) making local changes to elements here .

An individual or organization asserted by the publisher to be responsible for officially endorsing the NamingSystem for use in some setting.

See guidance around (not) making local changes to elements here .

Related artifacts such as additional documentation, justification, dependencies, bibliographic references, and predecessor and successor artifacts. If the type is successor or predecessor , the related resource must be a NamingSystem.

A NamingSystem 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.

Each related artifact is either an attachment, or a reference to another resource, but not both.

Provides guidance on the use of the namespace, including the handling of formatting characters, use of upper vs. lower case, etc.

Indicates how the system may be identified when referenced in electronic exchange.

Multiple identifiers may exist, either due to duplicate registration, regional rules, needs of different communication technologies, etc.

Identifies the unique identifier scheme used for this particular identifier.

Different identifier types may be used in different types of communications (OIDs for v3, URIs for FHIR, etc.). Other includes RUIDs from v3, standard v2 code name strings, etc. Preferred identifiers for the same identifier type SHOULD NOT overlap by period.

The string that should be sent over the wire to identify the code system or identifier system.

If the value is a URI intended for use as FHIR system identifier, the URI should not contain "\" "&quot; or "?" "?" or "," "," since this makes escaping very difficult.

Indicates whether this identifier is the "preferred" "preferred" identifier of this type.

Notes about the past or intended usage of this identifier.

e.g. "must "must be used in Germany" Germany" or "was "was initially published in error with this value". value".

Identifies the period of time over which this identifier is considered appropriate to refer to the naming system. Outside of this window, the identifier might be non-deterministic.

Within a registry, a given identifier should only be "active" "active" for a single namespace at a time. (Ideally, an identifier should only ever be associated with a single namespace across all time).

The nuance of identifier deprecation is not represented with a separate element. When a determination is made that an identifier should not be used, the validity period end date is updated with the date the identifier is deemed to be deprecated. The identifier should no longer be used once the period end date is reached.

For naming systems that are retired, indicates Indicates whether this identifier ie endorsed by the official owner of the associated naming system that should be used in their place (if any). system.