FHIR Release 3 (STU) 4

This page is part of the FHIR Specification (v3.0.2: (v4.0.1: R4 - Mixed Normative and STU 3). ) 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 R4 R3 R4 R3 R2

Annotation.profile.json

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

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

StructureDefinition for Annotation

{
  "resourceType": "StructureDefinition",
  "id": "Annotation",
  "meta": {
    "lastUpdated": "2019-10-24T11:53:00+11:00"

  "resourceType" : "StructureDefinition",
  "id" : "Annotation",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+11:00"

  },
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"

  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"

  },
  "url": "http://hl7.org/fhir/StructureDefinition/Annotation",
  "name": "Annotation",
  "status": "draft",
  "date": "2019-10-24T11:53:00+11:00",
  "publisher": "HL7 FHIR Standard",
  "contact": [

  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "normative"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
    "valueCode" : "4.0.0"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/Annotation",
  "version" : "4.0.1",
  "name" : "Annotation",
  "status" : "active",
  "date" : "2019-11-01T09:29:23+11:00",
  "publisher" : "HL7 FHIR Standard",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "Base StructureDefinition for Annotation Type: A  text note which also  contains information about who made the statement and when.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "type" : "Annotation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "Annotation",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      }],
      "path" : "Annotation",
      "short" : "Text node with attribution",
      "definition" : "A  text note which also  contains information about who made the statement and when.",
      "comment" : "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time.  This element may need to be included in narrative because of the potential for modifying information.  *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Annotation",
        "min" : 0,
        "max" : "*"
      },
      "condition" : ["ele-1"],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      },
      {
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act"
      }]
    },

    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "Base StructureDefinition for Annotation Type",
  "fhirVersion": "3.0.2",
  "mapping": [

      "id" : "Annotation.id",
      "path" : "Annotation.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl" : "string"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },

    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"

      "id" : "Annotation.extension",
      "path" : "Annotation.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "description" : "Extensions are always sliced by (at least) url",
        "rules" : "open"
      },
      "short" : "Additional content defined by implementations",
      "definition" : "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.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      },
      {
        "key" : "ext-1",
        "severity" : "error",
        "human" : "Must have either extensions or value[x], not both",
        "expression" : "extension.exists() != value.exists()",
        "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]

    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "type": "Annotation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "element": [

      "id" : "Annotation.author[x]",
      "path" : "Annotation.author[x]",
      "short" : "Individual responsible for the annotation",
      "definition" : "The individual responsible for making the annotation.",
      "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Annotation.author[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      },

      {
        "id": "Annotation",
        "path": "Annotation",
        "short": "Text node with attribution",
        "definition": "A  text note which also  contains information about who made the statement and when.",
        "comment": "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time.  This element may need to be included in narrative because of the potential for modifying information.  *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).",
        "min": 0,
        "max": "*",
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act"
          }
        ]

        "code" : "string"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"

      },
      {
        "id": "Annotation.id",
        "path": "Annotation.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]

        "identity" : "rim",
        "map" : "Act.participant[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Annotation.time",
      "path" : "Annotation.time",
      "short" : "When the annotation was made",
      "definition" : "Indicates when this particular annotation was made.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Annotation.time",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"

      },
      {
        "id": "Annotation.extension",
        "path": "Annotation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]

        "identity" : "rim",
        "map" : "Act.effectiveTime"
      }]
    },
    {
      "id" : "Annotation.text",
      "path" : "Annotation.text",
      "short" : "The annotation  - text content (as markdown)",
      "definition" : "The text of the annotation in markdown format.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Annotation.text",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"

      },
      {
        "id": "Annotation.author[x]",
        "path": "Annotation.author[x]",
        "short": "Individual responsible for the annotation",
        "definition": "The individual responsible for making the annotation.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.participant[typeCode=AUT].role"
          }
        ]

        "identity" : "rim",
        "map" : "Act.text"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "Annotation",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"

      },
      {
        "id": "Annotation.time",
        "path": "Annotation.time",
        "short": "When the annotation was made",
        "definition": "Indicates when this particular annotation was made.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.effectiveTime"
          }
        ]

        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      }],
      "path" : "Annotation",
      "short" : "Text node with attribution",
      "definition" : "A  text note which also  contains information about who made the statement and when.",
      "comment" : "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time.  This element may need to be included in narrative because of the potential for modifying information.  *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"

      },
      {
        "id": "Annotation.text",
        "path": "Annotation.text",
        "short": "The annotation  - text content",
        "definition": "The text of the annotation.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.text"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [

        "identity" : "rim",
        "map" : "Act"
      }]
    },
    {
      "id" : "Annotation.author[x]",
      "path" : "Annotation.author[x]",
      "short" : "Individual responsible for the annotation",
      "definition" : "The individual responsible for making the annotation.",
      "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      },

      {
        "id": "Annotation",
        "path": "Annotation",
        "short": "Text node with attribution",
        "definition": "A  text note which also  contains information about who made the statement and when.",
        "comment": "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time.  This element may need to be included in narrative because of the potential for modifying information.  *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).",
        "min": 0,
        "max": "*",
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act"
          }
        ]

        "code" : "string"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"

      },
      {
        "id": "Annotation.author[x]",
        "path": "Annotation.author[x]",
        "short": "Individual responsible for the annotation",
        "definition": "The individual responsible for making the annotation.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.participant[typeCode=AUT].role"
          }
        ]

        "identity" : "rim",
        "map" : "Act.participant[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Annotation.time",
      "path" : "Annotation.time",
      "short" : "When the annotation was made",
      "definition" : "Indicates when this particular annotation was made.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"

      },
      {
        "id": "Annotation.time",
        "path": "Annotation.time",
        "short": "When the annotation was made",
        "definition": "Indicates when this particular annotation was made.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.effectiveTime"
          }
        ]

        "identity" : "rim",
        "map" : "Act.effectiveTime"
      }]
    },
    {
      "id" : "Annotation.text",
      "path" : "Annotation.text",
      "short" : "The annotation  - text content (as markdown)",
      "definition" : "The text of the annotation in markdown format.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"

      },
      {
        "id": "Annotation.text",
        "path": "Annotation.text",
        "short": "The annotation  - text content",
        "definition": "The text of the annotation.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.text"
          }
        ]
      }
    ]

        "identity" : "rim",
        "map" : "Act.text"
      }]
    }]

  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.