FHIR Release 3 (STU) R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions

Vocabulary Work Group Maturity Level : 2   Trial Use Compartments : Not linked to any defined compartments

Detailed Descriptions for the elements in the ExpansionProfile resource.

ExpansionProfile
Element Id ExpansionProfile
Definition

Resource to define constraints on the Expansion of a FHIR ValueSet.

Control 1..1
Alternate Names ValueSetExpansionProfile
ExpansionProfile.url
Element Id ExpansionProfile.url
Definition

An absolute URI that is used to identify this expansion profile when it is referenced in a specification, model, design or an instance. instance; also called its canonical identifier. This SHALL be a URL, SHOULD be globally unique, unique and SHOULD be an a literal address at which this expansion profile is (or will be) published. The URL SHOULD include the major version of the expansion profile. For more information see Technical and Business Versions .

Control 0..1
Type uri
Requirements

Allows the expansion profile to be referenced by a single globally unique identifier.

Summary true
Comments

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

The URL SHOULD include the major version of the expansion profile. For more information see Technical and Business Versions .

ExpansionProfile.identifier
Element Id ExpansionProfile.identifier
Definition

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

Note This is a business identifer, not a resource identifier (see discussion )
Control 0..1
Type Identifier
Requirements

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

Summary true
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to and can then identify this expansion profile outside of FHIR, where it is not possible to use the logical URI.

ExpansionProfile.version
Element Id ExpansionProfile.version
Definition

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

Note This is a business versionId, not a resource version id (see discussion )
Control 0..1
Type string
Summary true
Comments

There may be different expansion profile instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence reference to a particular business version of the expansion profile with the format [url]|[version].

ExpansionProfile.name
Element Id ExpansionProfile.name
Definition

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

Control 0..1
Type string
Requirements

Support human navigation and code generation.

Summary true
Comments

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 machine-processing friendly.

ExpansionProfile.status
Element Id ExpansionProfile.status
Definition

The status of this expansion profile. Enables tracking the life-cycle of the content.

Control 1..1
Terminology Binding PublicationStatus ( Required )
Type code
Is Modifier true (Reason: null)
Summary true
Comments

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

ExpansionProfile.experimental
Element Id ExpansionProfile.experimental
Definition

A boolean Boolean value to indicate that this expansion profile is authored for testing purposes (or education/evaluation/marketing), education/evaluation/marketing) and is not intended to be used for genuine usage.

Control 0..1
Type boolean
Is Modifier true (Reason: null)
Requirements

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

Summary true
Comments

Allows filtering of expansion profile profiles that are appropriate for use vs. versus not. This is labeled as "Is Modifier" because applications should not use an experimental expansion profile in production.

ExpansionProfile.date
Element Id ExpansionProfile.date
Definition

The date (and optionally time) when the expansion profile was published. 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 expansion profile changes.

Control 0..1
Type dateTime
Alternate Names Revision Date
Summary true
Comments

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the expansion profile. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

ExpansionProfile.publisher
Element Id ExpansionProfile.publisher
Definition

The name of the individual or organization or individual that published the expansion profile.

Control 0..1
Type string
Requirements

Helps establish the "authority/credibility" "authority/credibility" of the expansion profile. May also allow for contact.

Summary true
Comments

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

ExpansionProfile.contact
Element Id ExpansionProfile.contact
Definition

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

Control 0..*
Type ContactDetail
Summary true
Comments

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

ExpansionProfile.description
Element Id ExpansionProfile.description
Definition

A free text natural language description of the expansion profile from a consumer's perspective.

Control 0..1
Type markdown
Comments

This description can be used to capture details such as why the expansion profile 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 expansion profile 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 is presumed to be the predominant language in the place the profile was created).

ExpansionProfile.useContext
Element Id ExpansionProfile.useContext
Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate expansion profile instances.

Control 0..*
Type UsageContext
Requirements

Assist in searching for appropriate content.

Summary true
Comments

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

ExpansionProfile.jurisdiction
Element Id ExpansionProfile.jurisdiction
Definition

A legal or geographic region in which the expansion profile is intended to be used.

Control 0..*
Terminology Binding Jurisdiction ValueSet ( Extensible )
Type CodeableConcept
Summary true
Comments

It may be possible for the expansion profile to be used in jurisdictions other than those for which it was originally designed or intended.

ExpansionProfile.fixedVersion
Element Id ExpansionProfile.fixedVersion
Definition

Fix use of a particular code system to a particular version.

Control 0..*
Summary true
ExpansionProfile.fixedVersion.system
Element Id ExpansionProfile.fixedVersion.system
Definition

The specific system for which to fix the version.

Control 1..1
Type uri
Summary true
Comments

See ''Coding.system'' for further documentation.

ExpansionProfile.fixedVersion.version
Element Id ExpansionProfile.fixedVersion.version
Definition

The version of the code system from which codes in the expansion should be included.

Note This is a business versionId, not a resource version id (see discussion )
Control 1..1
Type string
Summary true
ExpansionProfile.fixedVersion.mode
Element Id ExpansionProfile.fixedVersion.mode
Definition

How to manage the intersection between a fixed version in a value set, and this fixed version of the system in the expansion profile.

Control 1..1
Terminology Binding SystemVersionProcessingMode ( Required )
Type code
Summary true
ExpansionProfile.excludedSystem
Element Id ExpansionProfile.excludedSystem
Definition

Code system, or a particular version of a code system to be excluded from value set expansions.

Control 0..1
Summary true
Comments

When a system is excluded, and this makes a material difference to the expansion, the exclusion SHALL be noted in the expansion parameters using a parameter 'excluded'.

ExpansionProfile.excludedSystem.system
Element Id ExpansionProfile.excludedSystem.system
Definition

An absolute URI which is the code system to be excluded.

Control 1..1
Type uri
Summary true
Comments

See ''Coding.system'' for further documentation.

ExpansionProfile.excludedSystem.version
Element Id ExpansionProfile.excludedSystem.version
Definition

The version of the code system from which codes in the expansion should be excluded.

Note This is a business versionId, not a resource version id (see discussion )
Control 0..1
Type string
Meaning if Missing Exclusion is not version specific
Summary true
Comments

This is used to apply version specifc specific exclusion contraints. constraints. If no version is specified, then all codes from the code system present in the expansion (prior to application of the expansion profile) will be excluded.

ExpansionProfile.includeDesignations
Element Id ExpansionProfile.includeDesignations
Definition

Controls whether concept designations are to be included or excluded in value set expansions.

Control 0..1
Type boolean
Summary true
Comments

ExpansionProfile.designation.include and ExpansionProfile.designation.exclude are only evaluated if includeDesignations is present and set to "true". "true". If includeDesignations is present with a value of "true" "true" and both ExpansionProfile.designation.include and ExpansionProfile.designation.exclude are absent, then all designations are returned in the expansion.

ExpansionProfile.designation
Element Id ExpansionProfile.designation
Definition

A set of criteria that provide the constraints imposed on the value set expansion by including or excluding designations.

Control 0..1
Summary true
ExpansionProfile.designation.include
Element Id ExpansionProfile.designation.include
Definition

Designations to be included.

Control 0..1
Summary true
ExpansionProfile.designation.include.designation
Element Id ExpansionProfile.designation.include.designation
Definition

A data group for each designation to be included.

Control 0..*
Summary true
Comments

At least one of designation.language or designation.use must be provided for each include.designation element.

Invariants Defined on this element
exp-3 : SHALL have at least one of language or use ( expression : language.exists() or use.exists(), xpath: exists(f:language) or exists(f:use))
ExpansionProfile.designation.include.designation.language
Element Id ExpansionProfile.designation.include.designation.language
Definition

The language this designation is defined for.

Control 0..1
Terminology Binding Common Languages ( Extensible but limited to ??)
Type code
Summary true
Comments

In the absence of a language, all designations are retained which match the designation.use parameter for this include.designation.

ExpansionProfile.designation.include.designation.use
Element Id ExpansionProfile.designation.include.designation.use
Definition

Which kinds of designation to include in the expansion.

Control 0..1
Terminology Binding Designation Use ( Required )
Type Coding
Summary true
Comments

In the absence of a use, all designations are retained which match the designation.language parameter for this include.designation element.

ExpansionProfile.designation.exclude
Element Id ExpansionProfile.designation.exclude
Definition

Designations to be excluded.

Control 0..1
Summary true
ExpansionProfile.designation.exclude.designation
Element Id ExpansionProfile.designation.exclude.designation
Definition

A data group for each designation to be excluded.

Control 0..*
Summary true
Comments

At least one of designation.language or designation.use must be provided for each exclude.designation element.

Invariants Defined on this element
exp-4 : SHALL have at least one of language or use ( expression : language.exists() or use.exists(), xpath: exists(f:language) or exists(f:use))
ExpansionProfile.designation.exclude.designation.language
Element Id ExpansionProfile.designation.exclude.designation.language
Definition

The language this designation is defined for.

Control 0..1
Terminology Binding Common Languages ( Extensible but limited to ??)
Type code
Summary true
Comments

In the absence of a language, all designations are excluded which match the designation.use parameter for this exclude.designation element.

ExpansionProfile.designation.exclude.designation.use
Element Id ExpansionProfile.designation.exclude.designation.use
Definition

Which kinds of designation to exclude from the expansion.

Control 0..1
Terminology Binding Designation Use ( Required )
Type Coding
Summary true
Comments

In the absence of a use, all designations are retained which match the designation.language parameter for this exclude.designation element.

ExpansionProfile.includeDefinition
Element Id ExpansionProfile.includeDefinition
Definition

Controls whether the value set definition is included or excluded in value set expansions.

Control 0..1
Type boolean
Default Value Meaning if Missing false Definitions are only included if the value of this element is 'true'
Summary true
Comments

The ValueSet defintion definition refers to all fields in the ValueSet definition apart from ValueSet.contains. The definition is only included if includeDefinition is present and has a value of "true". "true".

ExpansionProfile.activeOnly
Element Id ExpansionProfile.activeOnly
Definition

Controls whether inactive concepts are included or excluded in value set expansions.

Control 0..1
Type boolean
Default Value Meaning if Missing false If the activeOnly element is missing, the inclusion or exclusion of inactive codes is determined by the value set definition. If this is not specified in the value set definition the behavior is server dependent, but the usual expectation would be that inactive codes will not be included in the expansion
Summary true
Comments

Inactive Only active codes are included if activeOnly is present and has a value of "true". "true". Note that if the value set definition explicitly specifies that inactive codes are included, this property can still remove them from a specific expansion, but this particular expansion. This parameter cannot be used to include them inactive codes (e.g. by setting activeOnly=false) if the value set definition excludes them.

Note: Each terminology may define the statuses that they include, which determines which codes are considered to be 'active' in FHIR. For HL7 code systems 'deprecated' codes are considered to be 'active', whereas 'retired' codes are 'inactive'.

ExpansionProfile.excludeNested
Element Id ExpansionProfile.excludeNested
Definition

Controls whether or not the value set expansion nests codes or not (i.e. ValueSet.expansion.contains.contains).

Control 0..1
Type boolean
Requirements

Heirahical contains are useful for UI use, but not when validating. Code Generation etc. may depend on context.

Summary true
Comments

Nesting of codes is excluded if excludeNested is present and has a value of "true". "true".

ExpansionProfile.excludeNotForUI
Element Id ExpansionProfile.excludeNotForUI
Definition

Controls whether or not the value set expansion includes codes which cannot be displayed in user interfaces.

Control 0..1
Type boolean
Summary true
Comments

Codes which cannot be used in user interfaces will be excluded if excludeNotForUI is present and has a value of "true". "true".

ExpansionProfile.excludePostCoordinated
Element Id ExpansionProfile.excludePostCoordinated
Definition

Controls whether or not the value set expansion includes post coordinated codes.

Control 0..1
Type boolean
Summary true
Comments

Post coordinated codes are excluded if excludePostCoordinated is present and has a value of "true". "true".

ExpansionProfile.displayLanguage
Element Id ExpansionProfile.displayLanguage
Definition

Specifies the language to be used for description in the expansions i.e. the language to be used for ValueSet.expansion.contains.display.

Control 0..1
Terminology Binding Common Languages ( Extensible but limited to ??)
Type code
Summary true
ExpansionProfile.limitedExpansion
Element Id ExpansionProfile.limitedExpansion
Definition

If the value set being expanded is incomplete (because it is too big to expand), return a limited expansion (a subset) with an indicator that expansion is incomplete, using the extension http://hl7.org/fhir/StructureDefinition/valueset-toocostly .

Control 0..1
Type boolean
Summary true
Comments

This field overides overrides the default behaviour behavior (which is to return an error). This does not apply to expansions which are unbounded. Clients SHALL process the extension http://hl7.org/fhir/StructureDefinition/valueset-toocostly correctly if limitedExpansion = true.