This
page
is
part
of
the
FHIR
Specification
(v4.0.1:
R4
-
Mixed
Normative
and
STU
(v5.0.0-snapshot3:
R5
Snapshot
#3,
to
support
Connectathon
32
)
in
it's
permanent
home
(it
will
always
be
available
at
this
URL).
).
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
Raw
XML
Search
Parameter
Registry
for
the
careplan
resource
9.5.15
(
canonical
form
Search
Parameters
Search
parameter
list
for
this
resource.
The
common
parameters
+
also
see
XML
Format
Specification
apply.
See
Searching
)
for
more
information
about
searching
in
REST,
messaging,
and
services.
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OperationDefinition : A formal computable definition of an operation (on the RESTful interface)
or a named query (using the search interaction).
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black; background-color: #e6ffe6
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padding:0px 4px 0px 4pxDefinition of an operation or a named query
+ Warning: Name should be usable as an identifier for the module by machine processing
applications such as code generation
Elements defined in Ancestors:
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.,
The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the resource.,
A reference to a set of rules that were followed when the resource was constructed, and
which must be understood when processing the content. Often, this is a reference to an
implementation guide that defines the special rules along with other profiles etc.,
,
A human-readable narrative that contains a summary of the resource and can be used to
represent the content of the resource to a human. The narrative need not encode all the
structured data, but is required to contain sufficient detail to make it "clinically
safe" for a human to just read the narrative. Resource definitions may define what
content should be represented in the narrative to ensure clinical safety.,
These resources do not have an independent existence apart from the resource that contains
them - they cannot be identified independently, and nor can they have their own independent
transaction scope.,
May be used to represent additional information that is not part of the basic definition
of the resource. 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.,
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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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OperationDefinition.url : An absolute URI that is used to identify this operation definition
when it is referenced in a specification, model, design or an instance; also called its
canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at
which at which an authoritative instance of this operation definition is (or will be)
published. This URL can be the target of a canonical reference. It SHALL remain the same
when the operation definition is stored on different servers.
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solid; padding:0px 4px 0px 4px
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OperationDefinition.version : The identifier that is used to identify this version of
the operation definition when it is referenced in a specification, model, design or instance.
This is an arbitrary value managed by the operation definition author and is not expected
to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed
version is not available. There is also no expectation that versions can be placed in
a lexicographical sequence.
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OperationDefinition.name : A natural language name identifying the operation definition.
This name should be usable as an identifier for the module by machine processing applications
such as code generation.
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OperationDefinition.title : A short, descriptive, user-friendly title for the operation
definition.
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OperationDefinition.status : The status of this operation definition. Enables tracking
the life-cycle of the content.
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(
)
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padding:0px 4px 0px 4pxoperation | query
(
)
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solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
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OperationDefinition.experimental : A Boolean value to indicate that this operation definition
is authored for testing purposes (or education/evaluation/marketing) and is not intended
to be used for genuine usage.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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OperationDefinition.date : The date (and optionally time) when the operation definition
was published. The date must change when the business version changes and it must change
if the status code changes. In addition, it should change when the substantive content
of the operation definition changes.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
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OperationDefinition.publisher : The name of the organization or individual that published
the operation definition.
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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
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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OperationDefinition.contact : Contact details to assist a user in finding and communicating
with the publisher.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4pxContact details for the publisher
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OperationDefinition.description : A free text natural language description of the operation
definition from a consumer's perspective.
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solid; padding:0px 4px 0px 4px
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OperationDefinition.useContext : The content was developed with a focus and intent of
supporting the contexts that are listed. These contexts may be general categories (gender,
age, ...) or may be references to specific programs (insurance plans, studies, ...) and
may be used to assist with indexing and searching for appropriate operation definition
instances.
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padding:0px 4px 0px 4px
padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxThe context that the content is intended to support
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OperationDefinition.jurisdiction : A legal or geographic region in which the operation
definition is intended to be used.
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxIntended jurisdiction for operation definition (if applicable)
(
To be conformant, the concept in this element SHALL be from the specified value set if
any of the codes within the value set can apply to the concept being communicated. If
the value set does not cover the concept (based on human review), alternate codings (or,
data type allowing, text) may be included instead.)
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OperationDefinition.purpose : Explanation of why this operation definition is needed and
why it has been designed as it has.
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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OperationDefinition.affectsState : Whether the operation affects state. Side effects such
as producing audit trail entries do not count as 'affecting state'.
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
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: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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OperationDefinition.comment : Additional information about how to use this operation or
named query.
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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
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: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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OperationDefinition.base : Indicates that this operation definition is a constraining
profile on the base.
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
(
)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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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
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxTypes this operation applies to
(
)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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sPVYVAgIJrA/sAAAAASUVORK5CYII=)
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
TRgwAAAABJRU5ErkJggg==
OperationDefinition.system : Indicates whether this operation or named query can be invoked
at the system level (e.g. without needing to choose a resource type for the context).
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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OperationDefinition.type : Indicates whether this operation or named query can be invoked
at the resource type level for any given resource type level (e.g. without needing to
choose a specific resource id for the context).
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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
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: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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OperationDefinition.instance : Indicates whether this operation can be invoked on a particular
instance of one of the given types.
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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OperationDefinition.inputProfile : Additional validation information for the in parameters
- a single profile that covers all the parameters. The profile is a constraint on the
parameters resource as a whole.
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
(
)
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: white; border: 0px #F0F0F0 solid;
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OperationDefinition.outputProfile : Additional validation information for the out parameters
- a single profile that covers all the parameters. The profile is a constraint on the
parameters resource.
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padding:0px 4px 0px 4px
(
)
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padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4pxParameters for the operation/query
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CZBkurQFbnaRSlAAAAAElFTkSuQmCC)
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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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 4pxin | out
(
)
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OperationDefinition.parameter.min : The minimum number of times this parameter SHALL appear
in the request or response.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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OperationDefinition.parameter.max : The maximum number of times this element is permitted
to appear in the request or response.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4pxWhat type this parameter has
A list of all the concrete types defined in this version of the FHIR specification - Abstract
Types, Data Types and Resource Types. (
)
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padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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OperationDefinition.parameter.targetProfile : Used when the type is "Reference"
or "canonical", and identifies a profile structure or implementation Guide that
applies to the target of the reference this parameter refers to. If any profiles are specified,
then the content must conform to at least one of them. The URL can be a local reference
- to a contained StructureDefinition, or a reference to another StructureDefinition or
Implementation Guide by a canonical URL. When an implementation guide is specified, the
target resource SHALL conform to at least one profile defined in the implementation guide.
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
(
)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxIf type is Reference | canonical, allowed targets
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)
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NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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OperationDefinition.parameter.searchType : How the parameter is understood as a search
parameter. This is only used if the parameter type is 'string'.
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
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxnumber | date | string | token | reference | composite | quantity | uri | special
(
)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAO
CZBkurQFbnaRSlAAAAAElFTkSuQmCC)
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NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
data: image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw
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OperationDefinition.parameter.binding : Binds to a value set if this parameter is coded
(code, Coding, CodeableConcept).
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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OperationDefinition.parameter.binding.strength : Indicates the degree of conformance expectations
associated with this binding - that is, the degree to which the provided value set must
be adhered to in the instances.
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
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxrequired | extensible | preferred | example
(
)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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CZBkurQFbnaRSlAAAAAElFTkSuQmCC)
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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OperationDefinition.parameter.binding.valueSet : Points to the value set or external definition
(e.g. implicit value set) that identifies the set of codes to be used.
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
(
)
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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OperationDefinition.parameter.referencedFrom : Identifies other resource parameters within
the operation invocation that are expected to resolve to this resource.
vertical-align: top; text-align : left; background-color: #F7F7F7; 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: #fff5e6
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 4pxReferences to this parameter
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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5pTFFALJuuCkgAAAAASUVORK5CYII=)
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OperationDefinition.parameter.referencedFrom.source : The name of the parameter or dot-separated
path of parameter names pointing to the resource parameter that is expected to contain
a reference to this resource.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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OperationDefinition.parameter.referencedFrom.sourceId : The id of the element in the referencing
resource that is expected to resolve to this resource.
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solid; padding:0px 4px 0px 4px
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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
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxsee
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxParts of a nested Parameter
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solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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jgNAAAAAASUVORK5CYII=)
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5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==
OperationDefinition.overload : Defines an appropriate combination of parameters to use
when invoking this operation, to help code generators when generating overloaded parameter
sets for this operation.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxDefine overloaded variants for when generating code
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxName of parameter to include in overload
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solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iV
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jgNAAAAAASUVORK5CYII=)
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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Documentation for this format
A formal computable definition of an operation (on the RESTful interface) or a named query
(using the search interaction).
A formal computable definition of an operation (on the RESTful interface) or a named query
(using the search interaction).
If the resource is contained in another resource, it SHALL be referred to from elsewhere
in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
anonical) = '#').exists()).not()).trace('unmatched', id).empty()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:refere
nce/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
a meta.lastUpdated
When a resource has no narrative, only systems that fully understand the data can display
the resource to a human safely. Including a human readable representation in the resource
makes for a much more robust eco-system and cheaper handling of resources by intermediary
systems. Some ecosystems restrict distribution of resources to only those systems that
do fully understand the resources, and as a consequence implementers may believe that
the narrative is superfluous. However experience shows that such eco-systems often open
up to new participants over time.
Name should be usable as an identifier for the module by machine processing applications
such as code generation
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.
The only time that a resource does not have an id is when it is being submitted to the
server using a create operation.
<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
(j) -->
The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the resource.
A reference to a set of rules that were followed when the resource was constructed, and
which must be understood when processing the content. Often, this is a reference to an
implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of
trading partners. This inherently limits the usefulness of the data in the long term.
However, the existing health eco-system is highly fractured, and not yet ready to define,
collect, and exchange data in a generally computable sense. Wherever possible, implementers
and/or specification writers should avoid using this element. Often, when used, the URL
is a reference to an implementation guide that defines these special rules as part of
it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies it's meaning or interpretation
Language is provided to support indexing and accessibility (typically, services such as
text to speech use the language tag). The html language tag in the narrative applies
to the narrative. The language tag on the resource may be used to specify the language
of other presentations generated from the data in the resource. Not all the content has
to be in the base language. The Resource.language should not be assumed to apply to the
narrative automatically. If a language is specified, it should it also be specified on
the div element in the html (see rules in HTML5 for information about the relationship
between xml:lang and the html lang attribute).
A human-readable narrative that contains a summary of the resource and can be used to
represent the content of the resource to a human. The narrative need not encode all the
structured data, but is required to contain sufficient detail to make it "clinically
safe" for a human to just read the narrative. Resource definitions may define what
content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have
a narrative. In some cases, a resource may only have text with little or no additional
discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary
for data from legacy systems where information is captured as a "text blob"
or where text is additionally entered raw or narrated and encoded information is added
later.
These resources do not have an independent existence apart from the resource that contains
them - they cannot be identified independently, and nor can they have their own independent
transaction scope.
This should never be done when the content can be identified properly, as once identification
is lost, it is extremely difficult (and context dependent) to restore it again. Contained
resources may have profiles and tags In their meta elements, but SHALL NOT have security
labels.
May be used to represent additional information that is not part of the basic definition
of the resource. 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.
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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource
that contains them
An absolute URI that is used to identify this operation definition when it is referenced
in a specification, model, design or an instance; also called its canonical identifier.
This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
instance of this operation definition is (or will be) published. This URL can be the target
of a canonical reference. It SHALL remain the same when the operation definition is stored
on different servers.
Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances
may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new version)
vs. defining a new artifact is up to the author. Considerations for making this decision
are found in [Technical and Business Versions](resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url itself
cannot change. Implementations can use the [meta.source](resource.html#meta) element to
indicate where the current master source of the resource can be found.
The identifier that is used to identify this version of the operation definition when
it is referenced in a specification, model, design or instance. This is an arbitrary value
managed by the operation definition author and is not expected to be globally unique.
For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
There is also no expectation that versions can be placed in a lexicographical sequence.
There may be different operation definition instances that have the same identifier but
different versions. The version can be appended to the url in a reference to allow a
reference to a particular business version of the operation definition with the format
[url]|[version].
A natural language name identifying the operation definition. This name should be usable
as an identifier for the module by machine processing applications such as code generation.
The name is not expected to be globally unique. The name should be a simple alphanumeric
type name to ensure that it is machine-processing friendly.
This name does not need to be machine-processing friendly and may contain punctuation,
white-space, etc.
This is labeled as "Is Modifier" because applications should not use a retired
{{title}} without due consideration
A Boolean value to indicate that this operation definition is authored for testing purposes
(or education/evaluation/marketing) and is not intended to be used for genuine usage.
Enables experimental content to be developed following the same lifecycle that would be
used for a production-level operation definition.
The date (and optionally time) when the operation definition was published. The date
must change when the business version changes and it must change if the status code changes.
In addition, it should change when the substantive content of the operation definition
changes.
Note that this is not the same as the resource last-modified-date, since the resource
may be a secondary representation of the operation definition. Additional specific dates
may be added as extensions or be found by consulting Provenances associated with past
versions of the resource.
Usually an organization but may be an individual. The publisher (or steward) of the operation
definition is the organization or individual primarily responsible for the maintenance
and upkeep of the operation definition. This is not necessarily the same individual or
organization that developed and initially authored the content. The publisher is the primary
point of contact for questions or issues with the operation definition. This item SHOULD
be populated unless the information is available from context.
Helps establish the "authority/credibility" of the operation definition. May
also allow for contact.
A free text natural language description of the operation definition from a consumer's
perspective.
This description can be used to capture details such as why the operation definition was
built, comments about misuse, instructions for clinical use and interpretation, literature
references, examples from the paper world, etc. It is not a rendering of the operation
definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
populated unless the information is available from context (e.g. the language of the operation
definition is presumed to be the predominant language in the place the operation definition
was created).
The content was developed with a focus and intent of supporting the contexts that are
listed. These contexts may be general categories (gender, age, ...) or may be references
to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
and searching for appropriate operation definition instances.
When multiple useContexts are specified, there is no expectation that all or any of the
contexts apply.
It may be possible for the operation definition to be used in jurisdictions other than
those for which it was originally designed or intended.
Explanation of why this operation definition is needed and why it has been designed as
it has.
This element does not describe the usage of the operation definition. Instead, it provides
traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.
This may be used to point to source materials or specifications that drove the structure
of this operation definition.
Whether the operation affects state. Side effects such as producing audit trail entries
do not count as 'affecting state'.
What http methods can be used for the operation depends on the .affectsState value and
whether the input parameters are primitive or complex:
1. Servers SHALL support POST method for all operations.
2. Servers SHALL support GET method if all the parameters for the operation are primitive
or there are no parameters and the operation has affectsState = false.
If the type is an abstract resource ("Resource" or "DomainResource")
then the operation can be invoked on any concrete specialization.
Indicates whether this operation or named query can be invoked at the system level (e.g.
without needing to choose a resource type for the context).
Indicates whether this operation or named query can be invoked at the resource type level
for any given resource type level (e.g. without needing to choose a specific resource
id for the context).
Indicates whether this operation can be invoked on a particular instance of one of the
given types.
Additional validation information for the in parameters - a single profile that covers
all the parameters. The profile is a constraint on the parameters resource as a whole.
If present the profile shall not conflict with what is specified in the parameters in
the operation definition (max/min etc.), though it may provide additional constraints.
The constraints expressed in the profile apply whether the operation is invoked by a POST
wih parameters or not.
Additional validation information for the out parameters - a single profile that covers
all the parameters. The profile is a constraint on the parameters resource.
If present the profile shall not conflict with what is specified in the parameters in
the operation definition (max/min etc.), though it may provide additional constraints.
The constraints expressed in the profile apply whether the operation is invoked by a POST
wih parameters or not.
Query Definitions only have one output parameter, named "result". This might
not be described, but can be to allow a profile to be defined.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
(j) -->
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.
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).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
This name must be a token (start with a letter in a..z, and only contain letters, numerals,
and underscore. Note that for search parameters (type = string, with a search type), the
name may be altered by the search modifiers.
If a parameter name is used for both an input and an output parameter, the parameter should
be defined twice.
if there is no stated parameter, then the parameter is a multi-part parameter; type and
must have at least one part defined.
A list of all the concrete types defined in this version of the FHIR specification - Abstract
Types, Data Types and Resource Types.
Used when the type is "Reference" or "canonical", and identifies a
profile structure or implementation Guide that applies to the target of the reference
this parameter refers to. If any profiles are specified, then the content must conform
to at least one of them. The URL can be a local reference - to a contained StructureDefinition,
or a reference to another StructureDefinition or Implementation Guide by a canonical URL.
When an implementation guide is specified, the target resource SHALL conform to at least
one profile defined in the implementation guide.
Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/StructureDefi
nition/Patient).
How the parameter is understood as a search parameter. This is only used if the parameter
type is 'string'.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
(j) -->
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.
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).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
Indicates the degree of conformance expectations associated with this binding - that is,
the degree to which the provided value set must be adhered to in the instances.
Points to the value set or external definition (e.g. implicit value set) that identifies
the set of codes to be used.
For value sets with a referenceResource, the display can contain the value set description.
The reference may be version-specific or not.
Identifies other resource parameters within the operation invocation that are expected
to resolve to this resource.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
(j) -->
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.
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).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
The name of the parameter or dot-separated path of parameter names pointing to the resource
parameter that is expected to contain a reference to this resource.
The id of the element in the referencing resource that is expected to resolve to this
resource.
Query Definitions only have one output parameter, named "result". This might
not be described, but can be to allow a profile to be defined.
Defines an appropriate combination of parameters to use when invoking this operation,
to help code generators when generating overloaded parameter sets for this operation.
The combinations are suggestions as to which sets of parameters to use together, but the
combinations are not intended to be authoritative.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
<!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
(j) -->
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.
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).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
A formal computable definition of an operation (on the RESTful interface) or a named query
(using the search interaction).
Name should be usable as an identifier for the module by machine processing applications
such as code generation
An absolute URI that is used to identify this operation definition when it is referenced
in a specification, model, design or an instance; also called its canonical identifier.
This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
instance of this operation definition is (or will be) published. This URL can be the target
of a canonical reference. It SHALL remain the same when the operation definition is stored
on different servers.
Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances
may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new version)
vs. defining a new artifact is up to the author. Considerations for making this decision
are found in [Technical and Business Versions](resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url itself
cannot change. Implementations can use the [meta.source](resource.html#meta) element to
indicate where the current master source of the resource can be found.
The identifier that is used to identify this version of the operation definition when
it is referenced in a specification, model, design or instance. This is an arbitrary value
managed by the operation definition author and is not expected to be globally unique.
For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
There is also no expectation that versions can be placed in a lexicographical sequence.
There may be different operation definition instances that have the same identifier but
different versions. The version can be appended to the url in a reference to allow a
reference to a particular business version of the operation definition with the format
[url]|[version].
A natural language name identifying the operation definition. This name should be usable
as an identifier for the module by machine processing applications such as code generation.
The name is not expected to be globally unique. The name should be a simple alphanumeric
type name to ensure that it is machine-processing friendly.
This name does not need to be machine-processing friendly and may contain punctuation,
white-space, etc.
This is labeled as "Is Modifier" because applications should not use a retired
{{title}} without due consideration
A Boolean value to indicate that this operation definition is authored for testing purposes
(or education/evaluation/marketing) and is not intended to be used for genuine usage.
Enables experimental content to be developed following the same lifecycle that would be
used for a production-level operation definition.
The date (and optionally time) when the operation definition was published. The date
must change when the business version changes and it must change if the status code changes.
In addition, it should change when the substantive content of the operation definition
changes.
Note that this is not the same as the resource last-modified-date, since the resource
may be a secondary representation of the operation definition. Additional specific dates
may be added as extensions or be found by consulting Provenances associated with past
versions of the resource.
Usually an organization but may be an individual. The publisher (or steward) of the operation
definition is the organization or individual primarily responsible for the maintenance
and upkeep of the operation definition. This is not necessarily the same individual or
organization that developed and initially authored the content. The publisher is the primary
point of contact for questions or issues with the operation definition. This item SHOULD
be populated unless the information is available from context.
Helps establish the "authority/credibility" of the operation definition. May
also allow for contact.
A free text natural language description of the operation definition from a consumer's
perspective.
This description can be used to capture details such as why the operation definition was
built, comments about misuse, instructions for clinical use and interpretation, literature
references, examples from the paper world, etc. It is not a rendering of the operation
definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
populated unless the information is available from context (e.g. the language of the operation
definition is presumed to be the predominant language in the place the operation definition
was created).
The content was developed with a focus and intent of supporting the contexts that are
listed. These contexts may be general categories (gender, age, ...) or may be references
to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
and searching for appropriate operation definition instances.
When multiple useContexts are specified, there is no expectation that all or any of the
contexts apply.
It may be possible for the operation definition to be used in jurisdictions other than
those for which it was originally designed or intended.
Explanation of why this operation definition is needed and why it has been designed as
it has.
This element does not describe the usage of the operation definition. Instead, it provides
traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.
This may be used to point to source materials or specifications that drove the structure
of this operation definition.
Whether the operation affects state. Side effects such as producing audit trail entries
do not count as 'affecting state'.
What http methods can be used for the operation depends on the .affectsState value and
whether the input parameters are primitive or complex:
1. Servers SHALL support POST method for all operations.
2. Servers SHALL support GET method if all the parameters for the operation are primitive
or there are no parameters and the operation has affectsState = false.
If the type is an abstract resource ("Resource" or "DomainResource")
then the operation can be invoked on any concrete specialization.
Indicates whether this operation or named query can be invoked at the system level (e.g.
without needing to choose a resource type for the context).
Indicates whether this operation or named query can be invoked at the resource type level
for any given resource type level (e.g. without needing to choose a specific resource
id for the context).
Indicates whether this operation can be invoked on a particular instance of one of the
given types.
Additional validation information for the in parameters - a single profile that covers
all the parameters. The profile is a constraint on the parameters resource as a whole.
If present the profile shall not conflict with what is specified in the parameters in
the operation definition (max/min etc.), though it may provide additional constraints.
The constraints expressed in the profile apply whether the operation is invoked by a POST
wih parameters or not.
Additional validation information for the out parameters - a single profile that covers
all the parameters. The profile is a constraint on the parameters resource.
If present the profile shall not conflict with what is specified in the parameters in
the operation definition (max/min etc.), though it may provide additional constraints.
The constraints expressed in the profile apply whether the operation is invoked by a POST
wih parameters or not.
Query Definitions only have one output parameter, named "result". This might
not be described, but can be to allow a profile to be defined.
This name must be a token (start with a letter in a..z, and only contain letters, numerals,
and underscore. Note that for search parameters (type = string, with a search type), the
name may be altered by the search modifiers.
If a parameter name is used for both an input and an output parameter, the parameter should
be defined twice.
if there is no stated parameter, then the parameter is a multi-part parameter; type and
must have at least one part defined.
A list of all the concrete types defined in this version of the FHIR specification - Abstract
Types, Data Types and Resource Types.
Used when the type is "Reference" or "canonical", and identifies a
profile structure or implementation Guide that applies to the target of the reference
this parameter refers to. If any profiles are specified, then the content must conform
to at least one of them. The URL can be a local reference - to a contained StructureDefinition,
or a reference to another StructureDefinition or Implementation Guide by a canonical URL.
When an implementation guide is specified, the target resource SHALL conform to at least
one profile defined in the implementation guide.
Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/StructureDefi
nition/Patient).
How the parameter is understood as a search parameter. This is only used if the parameter
type is 'string'.
Indicates the degree of conformance expectations associated with this binding - that is,
the degree to which the provided value set must be adhered to in the instances.
Points to the value set or external definition (e.g. implicit value set) that identifies
the set of codes to be used.
For value sets with a referenceResource, the display can contain the value set description.
The reference may be version-specific or not.
Identifies other resource parameters within the operation invocation that are expected
to resolve to this resource.
The name of the parameter or dot-separated path of parameter names pointing to the resource
parameter that is expected to contain a reference to this resource.
The id of the element in the referencing resource that is expected to resolve to this
resource.
Query Definitions only have one output parameter, named "result". This might
not be described, but can be to allow a profile to be defined.
Defines an appropriate combination of parameters to use when invoking this operation,
to help code generators when generating overloaded parameter sets for this operation.
The combinations are suggestions as to which sets of parameters to use together, but the
combinations are not intended to be authoritative.
Resources
Expression
CarePlan.identifier
Usage
Normal
Multiples
The
parameter
cannot
repeat
or
have
multiple
values
Matches
if
the
examples
are
correct
and
useful,
but
they
are
not
practitioner
is
listed
as
a
normative
part
performer
in
any
of
the
specification.
"simple"
activities.
(For
performers
of
the
detailed
activities,
chain
through
the
activitydetail
search
parameter.)