StructureDefinition
for
Narrative
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 4px
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
goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
sPVYVAgIJrA/sAAAAASUVORK5CYII=)
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
data: image/png;base64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw
/npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZG
mepqeqqOgxjBZFa+19r4ftWQUAgqDgltthMshMIJAZ4jYDHsBARSAmFOJvq+g6HIdEFgcYmBWNxoNAsDjGHgBnmV5bCoUDHLBIq9s
FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7
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 4pxA human-readable formatted text, including images
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. In order to make the use of extensions safe and manageable, there is a
strict set of governance applied to the definition and use of extensions. Though any
implementer is allowed to define an extension, there is a set of requirements that SHALL
be met as part of the definition of the extension.
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
goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
sPVYVAgIJrA/sAAAAASUVORK5CYII=)
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC
Narrative.status : The status of the narrative - whether it's entirely generated (from
just the defined data or the extensions too), or whether a human authored it and it may
contain additional data.
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 4pxgenerated | extensions | additional | empty
(
)
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
goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAA
AASUVORK5CYII=)
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUO
L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC
data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///////yH5BAEAAH8ALAAAAAAQABAAAAfNgH+Cg36FfoOIhH4JBxBghYl/hQ
kNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBN
WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7
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 4pxLimited xhtml content
+ The narrative SHALL contain only the basic html formatting elements and attributes described
in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a>
elements (either name or href), images and internally contained style attributes
<?xml version="1.0" encoding="UTF-8"?>
Documentation for this format
unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="Narrative"/>
<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 & 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="narrative-definitions.html#Narrative" title="Narrative : A human-readable summary of the resource conveying the essential clinical
and business information for the resource.">Narrative</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="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">Human-readable summary of the resource (essential clinical and business information)
<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="Primitive Data Type"/> <a href="narrative-definitions.html#Narrative.status" title="Narrative.status : The status of the narrative - whether it's entirely generated
(from just the defined data or the extensions too), or whether a human authored
it and it may contain additional data.">status</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"/>
<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">1..1</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#code">code</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">generated | extensions | additional | empty
<br/> Binding: <a href="valueset-narrative-status.html" title="The status of a resource narrative.">NarrativeStatus</a> ( <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
set.">Required</a> )
<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="Data Type"/> <a href="narrative-definitions.html#Narrative.div" title="Narrative.div : The actual narrative content, a stripped down version of XHTML.">div</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="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
#fdf4f4;" title="This element has or is affected by some invariants">C</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">1..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="narrative.html#xhtml">xhtml</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">Limited xhtml content
<br/> <span style="font-style: italic" title="txt-1">+ Rule: The narrative SHALL contain only the basic html formatting elements and
attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of
the HTML 4.0 standard, <a> elements (either name or href), images and internally
contained style attributes, and SHALL contain some non-whitespace characters</span>
<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-normative-version"> <valueCode value="4.0.0"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="fhir"/> </extension> <url value="http://hl7.org/fhir/StructureDefinition/Narrative"/> <version value="6.0.0-ballot3"/> <name value="Narrative"/> <status value="active"/> <experimental value="false"/> <date value="2025-12-17T09:50:17+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="Narrative Type: A human-readable summary of the resource conveying the essential
clinical and business information for the resource."/>
<jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <fhirVersion value="6.0.0-ballot3"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="complex-type"/> <abstract value="false"/> <type value="Narrative"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"/> <derivation value="specialization"/> <snapshot> <element id="Narrative"> <path value="Narrative"/> <short value="Human-readable summary of the resource (essential clinical and business information)"/> <definition value="A human-readable summary of the resource conveying the essential clinical and business
information for the resource."/>
<min value="0"/> <max value="*"/> <base> <path value="Narrative"/> <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() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="n/a,N/A"/> </mapping> </element> <element id="Narrative.id"> <path value="Narrative.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>
<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="Narrative.extension"> <path value="Narrative.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. In order to make the use of extensions safe and manageable, there is a
strict set of governance applied to the definition and use of extensions. Though any
implementer is allowed to define an extension, there is a set of requirements that SHALL
be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project,
or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
The use of extensions is what allows the FHIR specification to retain a core level of
simplicity for everyone.
The status of the narrative - whether it's entirely generated (from just the defined data
or the extensions too), or whether a human authored it and it may contain additional data.
The contents of the html element are an XHTML fragment containing only the basic html
formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a>
elements (either name or href), images and internally contained stylesheets. The XHTML
content may not contain a head, a body, external stylesheet references, scripts, forms,
base/link/xlink, frames, iframes and objects.
The narrative SHALL contain only the basic html formatting elements and attributes described
in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a>
elements (either name or href), images and internally contained style attributes
not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote',
'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em',
'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp',
'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead',
'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey',
'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing',
'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords',
'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc',
'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start',
'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])
The status of the narrative - whether it's entirely generated (from just the defined data
or the extensions too), or whether a human authored it and it may contain additional data.
The contents of the html element are an XHTML fragment containing only the basic html
formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a>
elements (either name or href), images and internally contained stylesheets. The XHTML
content may not contain a head, a body, external stylesheet references, scripts, forms,
base/link/xlink, frames, iframes and objects.
The narrative SHALL contain only the basic html formatting elements and attributes described
in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a>
elements (either name or href), images and internally contained style attributes
not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote',
'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em',
'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp',
'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead',
'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey',
'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing',
'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords',
'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc',
'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start',
'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])
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() > 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="Narrative.status"> <path value="Narrative.status"/> <short value="generated | extensions | additional | empty"/> <definition value="The status of the narrative - whether it's entirely generated (from just the defined
data or the extensions too), or whether a human authored it and it may contain
additional data."/>
<min value="1"/> <max value="1"/> <base> <path value="Narrative.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </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() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/binding-definition"> <valueMarkdown value="The status of a resource narrative."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="NarrativeStatus"/> </extension> <strength value="required"/> <description value="The status of a resource narrative."/> <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|6.0.0-ballot3"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Narrative.div"> <path value="Narrative.div"/> <short value="Limited xhtml content"/> <definition value="The actual narrative content, a stripped down version of XHTML."/> <comment value="The contents of the html element are an XHTML fragment containing only the basic
html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard,
<a> elements (either name or href), images and internally contained stylesheets.
The XHTML content SHALL NOT contain a head, a body, external stylesheet references,
scripts, forms, base/link/xlink, frames, iframes and objects."/>
<min value="1"/> <max value="1"/> <base> <path value="Narrative.div"/> <min value="1"/> <max value="1"/> </base> <type> <code value="xhtml"/> </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() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="txt-1"/> <severity value="error"/> <human value="The narrative SHALL contain only the basic html formatting elements and attributes
described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0
standard, <a> elements (either name or href), images and internally contained
style attributes, and SHALL contain some non-whitespace characters"/>
<expression value="htmlChecks()"/> <source value="http://hl7.org/fhir/StructureDefinition/Narrative"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Narrative"> <path value="Narrative"/> <short value="Human-readable summary of the resource (essential clinical and business information)"/> <definition value="A human-readable summary of the resource conveying the essential clinical and business
information for the resource."/>
<min value="0"/> <max value="*"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Narrative.status"> <path value="Narrative.status"/> <short value="generated | extensions | additional | empty"/> <definition value="The status of the narrative - whether it's entirely generated (from just the defined
data or the extensions too), or whether a human authored it and it may contain
additional data."/>
<min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/binding-definition"> <valueMarkdown value="The status of a resource narrative."/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="NarrativeStatus"/> </extension> <strength value="required"/> <description value="The status of a resource narrative."/> <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|6.0.0-ballot3"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Narrative.div"> <path value="Narrative.div"/> <short value="Limited xhtml content"/> <definition value="The actual narrative content, a stripped down version of XHTML."/> <comment value="The contents of the html element are an XHTML fragment containing only the basic
html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard,
<a> elements (either name or href), images and internally contained stylesheets.
The XHTML content SHALL NOT contain a head, a body, external stylesheet references,
scripts, forms, base/link/xlink, frames, iframes and objects."/>
<min value="1"/> <max value="1"/> <type> <code value="xhtml"/> </type> <constraint> <key value="txt-1"/> <severity value="error"/> <human value="The narrative SHALL contain only the basic html formatting elements and attributes
described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0
standard, <a> elements (either name or href), images and internally contained
style attributes, and SHALL contain some non-whitespace characters"/>
<expression value="htmlChecks()"/> <source value="http://hl7.org/fhir/StructureDefinition/Narrative"/> </constraint> <mapping> <identity value="rim"/> <map value="N/A"/> </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.