Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - 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

Vocabulary Terminology Infrastructure icon Work Group   Maturity Level : 0 Trial Use Use Context : Any

The official canonical URL for this profile is:

http://hl7.org/fhir/StructureDefinition/shareablecodesystem

Enforces the minimum information set for the value set code system metadata required by HL7 and other organizations that share and publish value sets code systems

This profile was published on Thu, Jan 1, 1970 00:00+1000 as a draft by HL7.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work .

This structure is derived from CodeSystem .

Summary

Mandatory: 9 6 elements (+1 nested mandatory element)
Must-Support: 18 elements

Extensions

This structure refers to these extensions:

This structure is derived from indicates the differences between this profile and the base CodeSystem . structure.

1..1 0..1 0..1 0..1
Name Flags Card. Type Description & Constraints doco
. . CodeSystem C icon 1..1 CodeSystem Declares the existence of and describes a code system or code system supplement
scs-1: If a codesystem contains nested concepts, it must specify hierarchyMeaning
scs-2: If a codesystem contains example, fragment, or complete content, it must have at least one concept
. . url . knowledgeRepresentationLevel S 1..1 0..* uri code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level ( required )
... url S 1..1 uri Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
. . . version S 1..1 string Business version of the code system (Coding.version)
. . . name S 1..1 0 .. 1 string Name for this code system (computer friendly)
. . status . title S 1..1 code string Name for this code system (human friendly)
... status S 1 .. 1 code draft | active | retired | unknown
. . . experimental S 1..1 boolean For testing purposes, not real usage
. . . publisher S 0 .. 1 string Name of the publisher publisher/steward (organization or individual)
. . . description S 1..1 markdown Natural language description of the code system
. . . caseSensitive S 1..1 boolean If code comparison is case sensitive
. . . hierarchyMeaning S C icon 0 .. 1 code grouped-by | is-a | part-of | classified-with
.. . concept content S C icon 1..* 1 .. 1 BackboneElement code not-present | example | fragment | complete | supplement
... concept S C icon 0 .. * BackboneElement Concepts in the code system
. . . . code S 1..1 code Code that identifies concept
. . . . display S 0 .. 1 string Text to display to the user
. . . . definition S 0 .. 1 string Formal definition
. . . . concept S C icon 0..* See concept (CodeSystem) Child Concepts (is-a/contains/categorizes)

doco Documentation for this format icon

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base CodeSystem structure.

Max Binding 0..1 Details
Name Flags Card. Type Description & Constraints doco
. . CodeSystem I C icon 1..1 CodeSystem Declares the existence of and describes a code system or code system supplement
scs-1: If a codesystem contains nested concepts, it must specify hierarchyMeaning
scs-2: If a codesystem contains example, fragment, or complete content, it must have at least one concept
. . . id Σ 0..1 id Logical id of this artifact
. . . meta Σ 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ 0..1 uri A set of rules under which this content was created
. . . language 0..1 code Language of the resource content
Binding: Common All Languages ( preferred required ): IETF language tag for a human language

Additional Bindings Purpose All Languages Max Binding
. . . text 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . Slices for extension 0..* Extension Additional content defined Extension
Slice: Unordered, Open by implementations value:url
. . . knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level ( required )
... modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored
. . . url S Σ C icon 1..1 uri Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
. . . identifier Σ 0..* Identifier Additional identifier for the code system (business identifier)
. . . version S Σ 1..1 string Business version of the code system (Coding.version)
. . . versionAlgorithm[x] S Σ 0..1 How to compare versions
Binding: Version Algorithm ( extensible )
.... versionAlgorithmString string
.... versionAlgorithmCoding Coding
. . . name S Σ C icon 1..1 0..1 string Name for this code system (computer friendly)
. . . title S Σ 0..1 1..1 string Name for this code system (human friendly)
. . . status ?! S Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus ( required ): The lifecycle status of an artifact.

. . . experimental S Σ 1..1 boolean For testing purposes, not real usage
. . . date Σ 0..1 dateTime Date last changed
. . . publisher S Σ 1..1 0..1 string Name of the publisher publisher/steward (organization or individual)
. . . contact Σ 0..* ContactDetail Contact details for the publisher
. . . description S 1..1 markdown Natural language description of the code system
. . . useContext Σ TU 0..* UsageContext The context that the content is intended to support
. . . jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for code system (if applicable)
Binding: Jurisdiction ValueSet ( extensible ): Countries and regions within which this artifact is targeted for use.


. . . purpose 0..1 markdown Why this code system is defined
. . . copyright 0..1 markdown Use and/or publishing restrictions
. . . copyrightLabel 0..1 string Copyright holder and year(s)
... approvalDate TU 0..1 date When the CodeSystem was approved by publisher
... lastReviewDate TU 0..1 date When the CodeSystem was last reviewed by the publisher
... effectivePeriod Σ TU 0..1 Period When the CodeSystem is expected to be used
... topic TU 0..* CodeableConcept E.g. Education, Treatment, Assessment, etc
Binding: Definition Topic ( example )
... author TU 0..* ContactDetail Who authored the CodeSystem
... editor TU 0..* ContactDetail Who edited the CodeSystem
... reviewer TU 0..* ContactDetail Who reviewed the CodeSystem
... endorser TU 0..* ContactDetail Who endorsed the CodeSystem
... relatedArtifact TU 0..* RelatedArtifact Additional documentation, citations, etc
... caseSensitive S Σ 0..1 1..1 boolean If code comparison is case sensitive
. . . valueSet Σ 0..1 canonical ( ValueSet ) Canonical reference to the value set with entire code system
. . . hierarchyMeaning S Σ C icon 0..1 code grouped-by | is-a | part-of | classified-with
Binding: CodeSystemHierarchyMeaning Code System Hierarchy Meaning ( required ): The meaning of the hierarchy of concepts in a code system.

. . . compositional Σ 0..1 boolean If code system defines a compositional grammar
. . . versionNeeded Σ 0..1 boolean If definitions are not stable
. . . content S Σ C icon 1..1 code not-present | example | fragment | complete | supplement
Binding: CodeSystemContentMode Code System Content Mode ( required ): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.

. . . supplements Σ C icon TU 0..1 canonical ( CodeSystem ) Canonical URL of Code System this adds designations and properties to
. . . count Σ 0..1 unsignedInt Total concepts in the code system
. . . filter Σ 0..* BackboneElement Filter that can be used in a value set
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code Σ 1..1 code Code that identifies the filter
. . . . description Σ 0..1 string How or why the filter is used
. . . . operator Σ 1..* code = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists
Binding: FilterOperator Filter Operator ( required ): The kind of operation to perform as a part of a property based filter.


. . . . value Σ 1..1 string What to use for the value
. . . property Σ 0..* BackboneElement Additional information supplied about each concept
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code Σ 1..1 code Identifies the property on the concepts, and when referred to in operations
. . . . uri Σ 0..1 uri Formal identifier for the property
. . . . description Σ 0..1 string Why the property is defined, and/or what it conveys
. . . . type Σ 1..1 code code | Coding | string | integer | boolean | dateTime | decimal
Binding: PropertyType Property Type ( required ): The type of a property value.

. . . concept S C icon 1..* 0..* BackboneElement Concepts in the code system
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code S C icon 1..1 code Code that identifies concept
. . . . display S 0..1 string Text to display to the user
. . . . definition S 0..1 string Formal definition
. . . . designation C icon 0..* BackboneElement Additional representations for the concept
. . . . . id 0..1 string Unique id for inter-element referencing
. . . . . extension 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . language 0..1 code Human language of the designation
Binding: Common All Languages ( preferred required ): IETF language tag for a human language

Additional Bindings . . Purpose . . . use C icon All Languages 0..1 Coding Details how this designation would be used
Binding: Designation Use ( extensible ): Details of how a designation would be used.

. . . . use . additionalUse C icon 0..* Coding Additional ways how this designation would be used
Binding: Designation Use ( extensible ): Details of how a designation would be used.


. . . . . value 1..1 string The text value for this designation
. . . . property C icon 0..* BackboneElement Property value for the concept
. . . . . id 0..1 string Unique id for inter-element referencing
. . . . . extension 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . code C icon 1..1 code Reference to CodeSystem.property.code
. . . . . value[x] 1..1 Value of the property for this concept
. . . . . . valueCode code
. . . . . . valueCoding Coding
. . . . . . valueString string
. . . . . . valueInteger integer
. . . . . . valueBoolean boolean
. . . . . . valueDateTime dateTime
. . . . . . valueDecimal decimal
. . . . concept S C icon 0..* See concept (CodeSystem) Child Concepts (is-a/contains/categorizes)

doco Documentation for this format icon
<!-- Shareable CodeSystem -->

<!-- ShareableCodeSystem -->doco


<CodeSystem xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <</meta>
 <
 <
 <

 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <</contained>
 <<a href="shareablecodesystem-definitions.html#CodeSystem.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 

     Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system) -->
 <

 <identifier><!-- I 0..* Identifier 

     Additional identifier for the code system (business identifier) --></identifier>
 <
 <
 <
 <
 <
 <
 <
 <</contact>
 <
 <

 <version value="[string]"/><!-- I 1..1 Business version of the code system (Coding.version) -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this code system (computer friendly) -->
 <title value="[string]"/><!-- I 1..1 Name for this code system (human friendly) -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 1..1 For testing purposes, not real usage -->
 <date value="[dateTime]"/><!-- I 0..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the code system -->
 <useContext><!-- I 0..* UsageContext 

     The context that the content is intended to support --></useContext>
 <</jurisdiction>
 <
 <
 <
 <
 <
 <
 <
 <
 <
 <
 <
  <<a href="shareablecodesystem-definitions.html#CodeSystem.filter.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for code system (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this code system is defined -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <approvalDate value="[date]"/><!-- I 0..1 When the CodeSystem was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the CodeSystem was last reviewed by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the CodeSystem is expected to be used --></effectivePeriod>
 <topic><!-- I 0..* CodeableConcept E.g. Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the CodeSystem --></author>
 <editor><!-- I 0..* ContactDetail Who edited the CodeSystem --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the CodeSystem --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the CodeSystem --></endorser>
 <relatedArtifact><!-- I 0..* RelatedArtifact 
     Additional documentation, citations, etc --></relatedArtifact>
 <caseSensitive value="[boolean]"/><!-- I 1..1 If code comparison is case sensitive -->
 <valueSet value="[canonical]"/><!-- I 0..1 Canonical reference to the value set with entire code system -->
 <hierarchyMeaning value="[code]"/><!-- I 0..1 grouped-by | is-a | part-of | classified-with   -->
 <compositional value="[boolean]"/><!-- I 0..1 If code system defines a compositional grammar -->
 <versionNeeded value="[boolean]"/><!-- I 0..1 If definitions are not stable -->
 <content value="[code]"/><!-- I 1..1 not-present | example | fragment | complete | supplement   -->
 <supplements value="[canonical]"/><!-- I 0..1 Canonical URL of Code System this adds designations and properties to -->
 <count value="[unsignedInt]"/><!-- I 0..1 Total concepts in the code system -->
 <filter> I 0..* BackboneElement  <!-- I 0..* Filter that can be used in a value set -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <
  <
  <
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code value="[code]"/><!-- I 1..1 Code that identifies the filter -->
  <description value="[string]"/><!-- I 0..1 How or why the filter is used -->
  <operator value="[code]"/><!-- I 1..* = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists   -->
  <value value="[string]"/><!-- I 1..1 What to use for the value -->

 </filter>
 <
  <<a href="shareablecodesystem-definitions.html#CodeSystem.property.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <property> I 0..* BackboneElement  <!-- I 0..* Additional information supplied about each concept -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code value="[code]"/><!-- I 1..1 

      Identifies the property on the concepts, and when referred to in operations -->
  <
  <
  <

  <uri value="[uri]"/><!-- I 0..1 Formal identifier for the property -->
  <description value="[string]"/><!-- I 0..1 Why the property is defined, and/or what it conveys -->
  <type value="[code]"/><!-- I 1..1 code | Coding | string | integer | boolean | dateTime | decimal   -->

 </property>
 <
  <<a href="shareablecodesystem-definitions.html#CodeSystem.concept.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <concept> I 0..* BackboneElement  <!-- I 0..* Concepts in the code system -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <
  <
  <
  <
   <<a href="shareablecodesystem-definitions.html#CodeSystem.concept.designation.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code value="[code]"/><!-- I 1..1 Code that identifies concept -->
  <display value="[string]"/><!-- I 0..1 Text to display to the user -->
  <definition value="[string]"/><!-- I 0..1 Formal definition -->
  <designation> I 0..* BackboneElement  <!-- I 0..* Additional representations for the concept -->
   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <
   <</use>
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <language value="[code]"/><!-- I 0..1 Human language of the designation   -->
   <use><!-- I 0..1 Coding Details how this designation would be used   --></use>
   <additionalUse><!-- I 0..* Coding Additional ways how this designation would be used   --></additionalUse>
   <value value="[string]"/><!-- I 1..1 The text value for this designation -->

  </designation>
  <
   <<a href="shareablecodesystem-definitions.html#CodeSystem.concept.property.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

  <property> I 0..* BackboneElement  <!-- I 0..* Property value for the concept -->
   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <
   <|

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code value="[code]"/><!-- I 1..1 Reference to CodeSystem.property.code -->
   <value[x]><!-- I 1..1 code|Coding|string|integer|

     boolean|dateTime|decimal 
       Value of the property for this concept --></value[x]>
  </property>
  <</concept>

  <concept><!-- See http://hl7.org/fhir/StructureDefinition/CodeSystem#CodeSystem.concept  Child Concepts (is-a/contains/categorizes) --></concept>

 </concept>
</CodeSystem>
{ // 

{ // ShareableCodeSystem

  // from Element: extension
    "
    "
    "
    "
    "
    "<a href="shareablecodesystem-definitions.html#CodeSystem.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      }
    ],
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
    "identifier" : [{ Identifier }], // IAdditional identifier for the code system (business identifier)
    "version" : "<string>", // I R! Business version of the code system (Coding.version)
  // value[x]: How to compare versions. One of these 2:

    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this code system (computer friendly)
    "title" : "<string>", // I R! Name for this code system (human friendly)
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // I R! For testing purposes, not real usage
    "date" : "<dateTime>", // IDate last changed
    "publisher" : "<string>", // IName of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the code system
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for code system (if applicable)
    "purpose" : "<markdown>", // IWhy this code system is defined
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "copyrightLabel" : "<string>", // ICopyright holder and year(s)
    "approvalDate" : "<date>", // IWhen the CodeSystem was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the CodeSystem was last reviewed by the publisher
    "effectivePeriod" : { Period }, // IWhen the CodeSystem is expected to be used
    "topic" : [{ CodeableConcept }], // IE.g. Education, Treatment, Assessment, etc
    "author" : [{ ContactDetail }], // IWho authored the CodeSystem
    "editor" : [{ ContactDetail }], // IWho edited the CodeSystem
    "reviewer" : [{ ContactDetail }], // IWho reviewed the CodeSystem
    "endorser" : [{ ContactDetail }], // IWho endorsed the CodeSystem
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc
    "caseSensitive" : <boolean>, // I R! If code comparison is case sensitive
    "valueSet" : "<canonical>", // ICanonical reference to the value set with entire code system
    "hierarchyMeaning" : "<code>", // Igrouped-by | is-a | part-of | classified-with
    "compositional" : <boolean>, // IIf code system defines a compositional grammar
    "versionNeeded" : <boolean>, // IIf definitions are not stable
    "content" : "<code>", // I R! not-present | example | fragment | complete | supplement
    "supplements" : "<canonical>", // ICanonical URL of Code System this adds designations and properties to
    "count" : "<unsignedInt>", // ITotal concepts in the code system
    "filter" : [{ BackboneElement }], // IFilter that can be used in a value set
    "property" : [{ BackboneElement }], // IAdditional information supplied about each concept
    "concept" : [{ BackboneElement }], // IConcepts in the code system

  }

This structure is derived from CodeSystem .

Summary

Mandatory: 9 6 elements (+1 nested mandatory element)
Must-Support: 18 elements

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from indicates the differences between this profile and the base CodeSystem . structure.

1..1 0..1 0..1 0..1
Name Flags Card. Type Description & Constraints doco
. . CodeSystem C icon 1..1 CodeSystem Declares the existence of and describes a code system or code system supplement
scs-1: If a codesystem contains nested concepts, it must specify hierarchyMeaning
scs-2: If a codesystem contains example, fragment, or complete content, it must have at least one concept
. . url . knowledgeRepresentationLevel S 1..1 0..* uri code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level ( required )
... url S 1..1 uri Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
. . . version S 1..1 string Business version of the code system (Coding.version)
. . . name S 1..1 0 .. 1 string Name for this code system (computer friendly)
. . status . title S 1..1 code string Name for this code system (human friendly)
... status S 1 .. 1 code draft | active | retired | unknown
. . . experimental S 1..1 boolean For testing purposes, not real usage
. . . publisher S 0 .. 1 string Name of the publisher publisher/steward (organization or individual)
. . . description S 1..1 markdown Natural language description of the code system
. . . caseSensitive S 1..1 boolean If code comparison is case sensitive
. . . hierarchyMeaning S C icon 0 .. 1 code grouped-by | is-a | part-of | classified-with
.. . concept content S C icon 1..* 1 .. 1 BackboneElement code not-present | example | fragment | complete | supplement
... concept S C icon 0 .. * BackboneElement Concepts in the code system
. . . . code S 1..1 code Code that identifies concept
. . . . display S 0 .. 1 string Text to display to the user
. . . . definition S 0 .. 1 string Formal definition
. . . . concept S C icon 0..* See concept (CodeSystem) Child Concepts (is-a/contains/categorizes)

doco Documentation for this format icon

Snapshot View

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base CodeSystem structure.

Max Binding 0..1 Details
Name Flags Card. Type Description & Constraints doco
. . CodeSystem I C icon 1..1 CodeSystem Declares the existence of and describes a code system or code system supplement
scs-1: If a codesystem contains nested concepts, it must specify hierarchyMeaning
scs-2: If a codesystem contains example, fragment, or complete content, it must have at least one concept
. . . id Σ 0..1 id Logical id of this artifact
. . . meta Σ 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ 0..1 uri A set of rules under which this content was created
. . . language 0..1 code Language of the resource content
Binding: Common All Languages ( preferred required ): IETF language tag for a human language

Additional Bindings Purpose All Languages Max Binding
. . . text 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . Slices for extension 0..* Extension Additional content defined Extension
Slice: Unordered, Open by implementations value:url
. . . knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level ( required )
... modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored
. . . url S Σ C icon 1..1 uri Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
. . . identifier Σ 0..* Identifier Additional identifier for the code system (business identifier)
. . . version S Σ 1..1 string Business version of the code system (Coding.version)
. . . versionAlgorithm[x] S Σ 0..1 How to compare versions
Binding: Version Algorithm ( extensible )
.... versionAlgorithmString string
.... versionAlgorithmCoding Coding
. . . name S Σ C icon 1..1 0..1 string Name for this code system (computer friendly)
. . . title S Σ 0..1 1..1 string Name for this code system (human friendly)
. . . status ?! S Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus ( required ): The lifecycle status of an artifact.

. . . experimental S Σ 1..1 boolean For testing purposes, not real usage
. . . date Σ 0..1 dateTime Date last changed
. . . publisher S Σ 1..1 0..1 string Name of the publisher publisher/steward (organization or individual)
. . . contact Σ 0..* ContactDetail Contact details for the publisher
. . . description S 1..1 markdown Natural language description of the code system
. . . useContext Σ TU 0..* UsageContext The context that the content is intended to support
. . . jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for code system (if applicable)
Binding: Jurisdiction ValueSet ( extensible ): Countries and regions within which this artifact is targeted for use.


. . . purpose 0..1 markdown Why this code system is defined
. . . copyright 0..1 markdown Use and/or publishing restrictions
. . . copyrightLabel 0..1 string Copyright holder and year(s)
... approvalDate TU 0..1 date When the CodeSystem was approved by publisher
... lastReviewDate TU 0..1 date When the CodeSystem was last reviewed by the publisher
... effectivePeriod Σ TU 0..1 Period When the CodeSystem is expected to be used
... topic TU 0..* CodeableConcept E.g. Education, Treatment, Assessment, etc
Binding: Definition Topic ( example )
... author TU 0..* ContactDetail Who authored the CodeSystem
... editor TU 0..* ContactDetail Who edited the CodeSystem
... reviewer TU 0..* ContactDetail Who reviewed the CodeSystem
... endorser TU 0..* ContactDetail Who endorsed the CodeSystem
... relatedArtifact TU 0..* RelatedArtifact Additional documentation, citations, etc
... caseSensitive S Σ 0..1 1..1 boolean If code comparison is case sensitive
. . . valueSet Σ 0..1 canonical ( ValueSet ) Canonical reference to the value set with entire code system
. . . hierarchyMeaning S Σ C icon 0..1 code grouped-by | is-a | part-of | classified-with
Binding: CodeSystemHierarchyMeaning Code System Hierarchy Meaning ( required ): The meaning of the hierarchy of concepts in a code system.

. . . compositional Σ 0..1 boolean If code system defines a compositional grammar
. . . versionNeeded Σ 0..1 boolean If definitions are not stable
. . . content S Σ C icon 1..1 code not-present | example | fragment | complete | supplement
Binding: CodeSystemContentMode Code System Content Mode ( required ): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.

. . . supplements Σ C icon TU 0..1 canonical ( CodeSystem ) Canonical URL of Code System this adds designations and properties to
. . . count Σ 0..1 unsignedInt Total concepts in the code system
. . . filter Σ 0..* BackboneElement Filter that can be used in a value set
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code Σ 1..1 code Code that identifies the filter
. . . . description Σ 0..1 string How or why the filter is used
. . . . operator Σ 1..* code = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists
Binding: FilterOperator Filter Operator ( required ): The kind of operation to perform as a part of a property based filter.


. . . . value Σ 1..1 string What to use for the value
. . . property Σ 0..* BackboneElement Additional information supplied about each concept
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code Σ 1..1 code Identifies the property on the concepts, and when referred to in operations
. . . . uri Σ 0..1 uri Formal identifier for the property
. . . . description Σ 0..1 string Why the property is defined, and/or what it conveys
. . . . type Σ 1..1 code code | Coding | string | integer | boolean | dateTime | decimal
Binding: PropertyType Property Type ( required ): The type of a property value.

. . . concept S C icon 1..* 0..* BackboneElement Concepts in the code system
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code S C icon 1..1 code Code that identifies concept
. . . . display S 0..1 string Text to display to the user
. . . . definition S 0..1 string Formal definition
. . . . designation C icon 0..* BackboneElement Additional representations for the concept
. . . . . id 0..1 string Unique id for inter-element referencing
. . . . . extension 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . language 0..1 code Human language of the designation
Binding: Common All Languages ( preferred required ): IETF language tag for a human language

Additional Bindings . . Purpose . . . use C icon All Languages 0..1 Coding Details how this designation would be used
Binding: Designation Use ( extensible ): Details of how a designation would be used.

. . . . use . additionalUse C icon 0..* Coding Additional ways how this designation would be used
Binding: Designation Use ( extensible ): Details of how a designation would be used.


. . . . . value 1..1 string The text value for this designation
. . . . property C icon 0..* BackboneElement Property value for the concept
. . . . . id 0..1 string Unique id for inter-element referencing
. . . . . extension 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . code C icon 1..1 code Reference to CodeSystem.property.code
. . . . . value[x] 1..1 Value of the property for this concept
. . . . . . valueCode code
. . . . . . valueCoding Coding
. . . . . . valueString string
. . . . . . valueInteger integer
. . . . . . valueBoolean boolean
. . . . . . valueDateTime dateTime
. . . . . . valueDecimal decimal
. . . . concept S C icon 0..* See concept (CodeSystem) Child Concepts (is-a/contains/categorizes)

doco Documentation for this format icon

XML Template

<!-- Shareable CodeSystem -->

<!-- ShareableCodeSystem -->doco


<CodeSystem xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <</meta>
 <
 <
 <

 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <</contained>
 <<a href="shareablecodesystem-definitions.html#CodeSystem.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 

     Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system) -->
 <

 <identifier><!-- I 0..* Identifier 

     Additional identifier for the code system (business identifier) --></identifier>
 <
 <
 <
 <
 <
 <
 <
 <</contact>
 <
 <

 <version value="[string]"/><!-- I 1..1 Business version of the code system (Coding.version) -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this code system (computer friendly) -->
 <title value="[string]"/><!-- I 1..1 Name for this code system (human friendly) -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 1..1 For testing purposes, not real usage -->
 <date value="[dateTime]"/><!-- I 0..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the code system -->
 <useContext><!-- I 0..* UsageContext 

     The context that the content is intended to support --></useContext>
 <</jurisdiction>
 <
 <
 <
 <
 <
 <
 <
 <
 <
 <
 <
  <<a href="shareablecodesystem-definitions.html#CodeSystem.filter.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for code system (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this code system is defined -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <approvalDate value="[date]"/><!-- I 0..1 When the CodeSystem was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the CodeSystem was last reviewed by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the CodeSystem is expected to be used --></effectivePeriod>
 <topic><!-- I 0..* CodeableConcept E.g. Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the CodeSystem --></author>
 <editor><!-- I 0..* ContactDetail Who edited the CodeSystem --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the CodeSystem --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the CodeSystem --></endorser>
 <relatedArtifact><!-- I 0..* RelatedArtifact 
     Additional documentation, citations, etc --></relatedArtifact>
 <caseSensitive value="[boolean]"/><!-- I 1..1 If code comparison is case sensitive -->
 <valueSet value="[canonical]"/><!-- I 0..1 Canonical reference to the value set with entire code system -->
 <hierarchyMeaning value="[code]"/><!-- I 0..1 grouped-by | is-a | part-of | classified-with   -->
 <compositional value="[boolean]"/><!-- I 0..1 If code system defines a compositional grammar -->
 <versionNeeded value="[boolean]"/><!-- I 0..1 If definitions are not stable -->
 <content value="[code]"/><!-- I 1..1 not-present | example | fragment | complete | supplement   -->
 <supplements value="[canonical]"/><!-- I 0..1 Canonical URL of Code System this adds designations and properties to -->
 <count value="[unsignedInt]"/><!-- I 0..1 Total concepts in the code system -->
 <filter> I 0..* BackboneElement  <!-- I 0..* Filter that can be used in a value set -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <
  <
  <
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code value="[code]"/><!-- I 1..1 Code that identifies the filter -->
  <description value="[string]"/><!-- I 0..1 How or why the filter is used -->
  <operator value="[code]"/><!-- I 1..* = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists   -->
  <value value="[string]"/><!-- I 1..1 What to use for the value -->

 </filter>
 <
  <<a href="shareablecodesystem-definitions.html#CodeSystem.property.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <property> I 0..* BackboneElement  <!-- I 0..* Additional information supplied about each concept -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code value="[code]"/><!-- I 1..1 

      Identifies the property on the concepts, and when referred to in operations -->
  <
  <
  <

  <uri value="[uri]"/><!-- I 0..1 Formal identifier for the property -->
  <description value="[string]"/><!-- I 0..1 Why the property is defined, and/or what it conveys -->
  <type value="[code]"/><!-- I 1..1 code | Coding | string | integer | boolean | dateTime | decimal   -->

 </property>
 <
  <<a href="shareablecodesystem-definitions.html#CodeSystem.concept.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

 <concept> I 0..* BackboneElement  <!-- I 0..* Concepts in the code system -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <
  <
  <
  <
   <<a href="shareablecodesystem-definitions.html#CodeSystem.concept.designation.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code value="[code]"/><!-- I 1..1 Code that identifies concept -->
  <display value="[string]"/><!-- I 0..1 Text to display to the user -->
  <definition value="[string]"/><!-- I 0..1 Formal definition -->
  <designation> I 0..* BackboneElement  <!-- I 0..* Additional representations for the concept -->
   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <
   <</use>
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <language value="[code]"/><!-- I 0..1 Human language of the designation   -->
   <use><!-- I 0..1 Coding Details how this designation would be used   --></use>
   <additionalUse><!-- I 0..* Coding Additional ways how this designation would be used   --></additionalUse>
   <value value="[string]"/><!-- I 1..1 The text value for this designation -->

  </designation>
  <
   <<a href="shareablecodesystem-definitions.html#CodeSystem.concept.property.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

  <property> I 0..* BackboneElement  <!-- I 0..* Property value for the concept -->
   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <
   <|

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code value="[code]"/><!-- I 1..1 Reference to CodeSystem.property.code -->
   <value[x]><!-- I 1..1 code|Coding|string|integer|

     boolean|dateTime|decimal 
       Value of the property for this concept --></value[x]>
  </property>
  <</concept>

  <concept><!-- See http://hl7.org/fhir/StructureDefinition/CodeSystem#CodeSystem.concept  Child Concepts (is-a/contains/categorizes) --></concept>

 </concept>
</CodeSystem>

JSON Template

{ // 

{ // ShareableCodeSystem

  // from Element: extension
    "
    "
    "
    "
    "
    "<a href="shareablecodesystem-definitions.html#CodeSystem.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      }
    ],
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
    "identifier" : [{ Identifier }], // IAdditional identifier for the code system (business identifier)
    "version" : "<string>", // I R! Business version of the code system (Coding.version)
  // value[x]: How to compare versions. One of these 2:

    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this code system (computer friendly)
    "title" : "<string>", // I R! Name for this code system (human friendly)
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // I R! For testing purposes, not real usage
    "date" : "<dateTime>", // IDate last changed
    "publisher" : "<string>", // IName of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the code system
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for code system (if applicable)
    "purpose" : "<markdown>", // IWhy this code system is defined
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "copyrightLabel" : "<string>", // ICopyright holder and year(s)
    "approvalDate" : "<date>", // IWhen the CodeSystem was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the CodeSystem was last reviewed by the publisher
    "effectivePeriod" : { Period }, // IWhen the CodeSystem is expected to be used
    "topic" : [{ CodeableConcept }], // IE.g. Education, Treatment, Assessment, etc
    "author" : [{ ContactDetail }], // IWho authored the CodeSystem
    "editor" : [{ ContactDetail }], // IWho edited the CodeSystem
    "reviewer" : [{ ContactDetail }], // IWho reviewed the CodeSystem
    "endorser" : [{ ContactDetail }], // IWho endorsed the CodeSystem
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc
    "caseSensitive" : <boolean>, // I R! If code comparison is case sensitive
    "valueSet" : "<canonical>", // ICanonical reference to the value set with entire code system
    "hierarchyMeaning" : "<code>", // Igrouped-by | is-a | part-of | classified-with
    "compositional" : <boolean>, // IIf code system defines a compositional grammar
    "versionNeeded" : <boolean>, // IIf definitions are not stable
    "content" : "<code>", // I R! not-present | example | fragment | complete | supplement
    "supplements" : "<canonical>", // ICanonical URL of Code System this adds designations and properties to
    "count" : "<unsignedInt>", // ITotal concepts in the code system
    "filter" : [{ BackboneElement }], // IFilter that can be used in a value set
    "property" : [{ BackboneElement }], // IAdditional information supplied about each concept
    "concept" : [{ BackboneElement }], // IConcepts in the code system

  }

 

Alternate definitions: Master Definition ( XML , JSON ), Schematron

Path Name Conformance ValueSet
CodeSystem.language Common All Languages preferred required Common All Languages
CodeSystem.versionAlgorithm[x] Version Algorithm extensible Version Algorithm
CodeSystem.status PublicationStatus required PublicationStatus
CodeSystem.jurisdiction Jurisdiction ValueSet extensible Jurisdiction ValueSet
CodeSystem.topic Definition Topic example Definition Topic
CodeSystem.hierarchyMeaning CodeSystemHierarchyMeaning Code System Hierarchy Meaning required CodeSystemHierarchyMeaning Code System Hierarchy Meaning
CodeSystem.content CodeSystemContentMode Code System Content Mode required CodeSystemContentMode Code System Content Mode
CodeSystem.filter.operator FilterOperator Filter Operator required FilterOperator Filter Operator
CodeSystem.property.type PropertyType Property Type required PropertyType Property Type
CodeSystem.concept.designation.language Common All Languages preferred required Common All Languages
CodeSystem.concept.designation.use Designation Use extensible Designation Use
CodeSystem.concept.designation.additionalUse Designation Use extensible Designation Use
Rule Rule
Id Path Details Requirements
scs-1 CodeSystem If a codesystem contains nested concepts, it must specify hierarchyMeaning
Expression icon: concept.concept.exists() implies hierarchyMeaning.exists()
scs-2 CodeSystem If a codesystem contains example, fragment, or complete content, it must have at least one concept
Expression icon: content in ( 'example' | 'fragment' | 'complete' ) implies concept.exists()
. .