Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Narrative.profile.xml

Example StructureDefinition/Narrative (XML)

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

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

StructureDefinition for Narrative 

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

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Narrative"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

      <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 : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        
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         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            slgxaLR4/3rMAWoBp32V5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==" 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> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : 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" title="Standards Status = Normative">N</a> 

          </td> 
          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
            

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

           solid; padding:0px 4px 0px 4px">
            <a href="types.html#Element">Element</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxHuman-readable summary of the resource (essential clinical and business information)

          <td class="hierarchy" style="vertical-align: top; text-align : 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: 
            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.

            <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 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.">extension</a> 

          </td> 
        </tr> 

        
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            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.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" 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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

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

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxgenerated | extensions | additional | empty

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">generated | extensions | additional | empty

            <br/>  
            <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> 

        
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            <a href="narrative-definitions.html#Narrative.div" title="Narrative.div : The actual narrative content, a stripped down version of XHTML.">div</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : 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;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="narrative.html#xhtml">xhtml</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxLimited xhtml content

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Limited xhtml content

            <br/>  
            + 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,
               &lt;a&gt; elements (either name or href), images and internally contained style attributes

            <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, &lt;a&gt; elements (either name or href), images and internally
               contained style attributes</span> 

            <br/>  
            <span style="font-style: italic" title="txt-2">+ Rule: The narrative SHALL have some non-whitespace content</span> 
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" 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> 
  <url value="http://hl7.org/fhir/StructureDefinition/Narrative"/> 
  

  <version value="5.0.0-ballot"/> 
  <name value="Narrative"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  

  <date value="2022-09-10T04:52:37+10:00"/> 
  <publisher value="HL7 FHIR Standard"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  Base StructureDefinition for Narrative Type: A human-readable summary of the resource
   conveying the essential clinical and business information for the resource.
  

  <description value="Narrative Type: A human-readable summary of the resource conveying the essential
   clinical and business information for the resource."/> 
  <fhirVersion value="5.0.0-ballot"/> 
  <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">
      

      <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> 
      <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() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Narrative.id">
      <path value="Narrative.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <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. 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.

       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."/> 
      <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())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </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"/> 
      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.

      <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() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/build/StructureDefinition/binding-definition">
          <valueString value="The status of a resource narrative."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="NarrativeStatus"/> 
        </extension> 
        <strength value="required"/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|5.0.0-ballot"/> 
      </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."/> 
      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, &lt;a&gt;
       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.

      <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,
       &lt;a&gt; 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() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="txt-1"/> 
        <severity value="error"/> 
        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, &lt;a&gt;
         elements (either name or href), images and internally contained style attributes

        <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, &lt;a&gt; elements (either name or href), images and internally contained
         style attributes"/> 

        <expression value="htmlChecks()"/> 
        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'))])

        <xpath value="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'))])"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/Narrative"/> 
      </constraint> 
      <constraint> 
        <key value="txt-2"/> 
        <severity value="error"/> 
        <human value="The narrative SHALL have some non-whitespace content"/> 
        <expression value="htmlChecks()"/> 
        <xpath value="descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"/> 
        <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">
      

      <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> 
      <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"/> 
      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.

      <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/build/StructureDefinition/binding-definition">
          <valueString value="The status of a resource narrative."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="NarrativeStatus"/> 
        </extension> 
        <strength value="required"/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|5.0.0-ballot"/> 
      </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."/> 
      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, &lt;a&gt;
       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.

      <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,
       &lt;a&gt; 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"/> 
        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, &lt;a&gt;
         elements (either name or href), images and internally contained style attributes

        <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, &lt;a&gt; elements (either name or href), images and internally contained
         style attributes"/> 

        <expression value="htmlChecks()"/> 
        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'))])

        <xpath value="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'))])"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/Narrative"/> 
      </constraint> 
      <constraint> 
        <key value="txt-2"/> 
        <severity value="error"/> 
        <human value="The narrative SHALL have some non-whitespace content"/> 
        <expression value="htmlChecks()"/> 
        <xpath value="descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"/> 
        <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.