Foundation
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
| Modeling and Methodology Work Group | Maturity Level : N/A |
|
Raw JSON ( canonical form + also see JSON Format Specification )
StructureDefinition for Narrative
{
"resourceType": "StructureDefinition",
"id": "Narrative",
"meta": {
"lastUpdated": "2019-10-24T11:53:00+11:00"
"resourceType" : "StructureDefinition",
"id" : "Narrative",
"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/Narrative",
"name": "Narrative",
"status": "draft",
"date": "2019-10-24T11:53:00+11:00",
"publisher": "HL7 FHIR Standard",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org/fhir"
}
]
}
],
"description": "Base StructureDefinition for Narrative Type",
"fhirVersion": "3.0.2",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"type": "Narrative",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
"derivation": "specialization",
"snapshot": {
"element": [
"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/Narrative",
"version" : "4.0.1",
"name" : "Narrative",
"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 Narrative Type: A human-readable summary of the resource conveying the essential clinical and business information for the resource.",
"fhirVersion" : "4.0.1",
"mapping" : [{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}],
"kind" : "complex-type",
"abstract" : false,
"type" : "Narrative",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
"derivation" : "specialization",
"snapshot" : {
"element" : [{
"id" : "Narrative",
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"id": "Narrative",
"path": "Narrative",
"short": "A human-readable formatted text, including images",
"definition": "A human-readable formatted text, including images.",
"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": "rim",
"map": "N/A"
}
]
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}],
"path" : "Narrative",
"short" : "Human-readable summary of the resource (essential clinical and business information)",
"definition" : "A human-readable summary of the resource conveying the essential clinical and business information for the resource.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Narrative",
"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"
},
{
"id": "Narrative.id",
"path": "Narrative.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" : "N/A"
}]
},
{
"id" : "Narrative.id",
"path" : "Narrative.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"
}]
},
{
"id" : "Narrative.extension",
"path" : "Narrative.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"
},
{
"id": "Narrative.extension",
"path": "Narrative.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"
}
]
"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"
}]
},
{
"id" : "Narrative.status",
"path" : "Narrative.status",
"short" : "generated | extensions | additional | empty",
"definition" : "The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Narrative.status",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"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" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "NarrativeStatus"
}],
"strength" : "required",
"description" : "The status of a resource narrative.",
"valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1"
},
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Narrative.div",
"path" : "Narrative.div",
"short" : "Limited xhtml content",
"definition" : "The actual narrative content, a stripped down version of XHTML.",
"comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Narrative.div",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "xhtml"
}],
"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"
},
{
"id": "Narrative.status",
"path": "Narrative.status",
"short": "generated | extensions | additional | empty",
"definition": "The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "NarrativeStatus"
}
],
"strength": "required",
"description": "The status of a resource narrative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/narrative-status"
}
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
"key" : "txt-1",
"severity" : "error",
"human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes",
"expression" : "htmlChecks()",
"xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"
},
{
"id": "Narrative.div",
"path": "Narrative.div",
"short": "Limited xhtml content",
"definition": "The actual narrative content, a stripped down version of XHTML.",
"comment": "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.",
"min": 1,
"max": "1",
"type": [
{
"code": "xhtml"
}
],
"constraint": [
{
"key": "txt-1",
"severity": "error",
"human": "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes",
"expression": "htmlchecks()",
"xpath": "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"
},
{
"key": "txt-2",
"severity": "error",
"human": "The narrative SHALL have some non-whitespace content",
"expression": "htmlchecks()",
"xpath": "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
"key" : "txt-2",
"severity" : "error",
"human" : "The narrative SHALL have some non-whitespace content",
"expression" : "htmlChecks()",
"xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
}]
},
"differential": {
"element": [
{
"id": "Narrative",
"path": "Narrative",
"short": "A human-readable formatted text, including images",
"definition": "A human-readable formatted text, including images.",
"min": 0,
"max": "*",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
"differential" : {
"element" : [{
"id" : "Narrative",
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"id": "Narrative.status",
"path": "Narrative.status",
"short": "generated | extensions | additional | empty",
"definition": "The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "NarrativeStatus"
}
],
"strength": "required",
"description": "The status of a resource narrative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/narrative-status"
}
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}],
"path" : "Narrative",
"short" : "Human-readable summary of the resource (essential clinical and business information)",
"definition" : "A human-readable summary of the resource conveying the essential clinical and business information for the resource.",
"min" : 0,
"max" : "*",
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Narrative.status",
"path" : "Narrative.status",
"short" : "generated | extensions | additional | empty",
"definition" : "The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "code"
}],
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "NarrativeStatus"
}],
"strength" : "required",
"description" : "The status of a resource narrative.",
"valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.0.1"
},
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Narrative.div",
"path" : "Narrative.div",
"short" : "Limited xhtml content",
"definition" : "The actual narrative content, a stripped down version of XHTML.",
"comment" : "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "xhtml"
}],
"constraint" : [{
"key" : "txt-1",
"severity" : "error",
"human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes",
"expression" : "htmlChecks()",
"xpath" : "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"
},
{
"id": "Narrative.div",
"path": "Narrative.div",
"short": "Limited xhtml content",
"definition": "The actual narrative content, a stripped down version of XHTML.",
"comment": "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.",
"min": 1,
"max": "1",
"type": [
{
"code": "xhtml"
}
],
"constraint": [
{
"key": "txt-1",
"severity": "error",
"human": "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes",
"expression": "htmlchecks()",
"xpath": "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"
},
{
"key": "txt-2",
"severity": "error",
"human": "The narrative SHALL have some non-whitespace content",
"expression": "htmlchecks()",
"xpath": "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
"key" : "txt-2",
"severity" : "error",
"human" : "The narrative SHALL have some non-whitespace content",
"expression" : "htmlChecks()",
"xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"
}],
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
}]
}
}
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.
®©
HL7.org
2011+.
FHIR
Release
3
(STU;
v3.0.2-11200)
4
(Technical
Correction
#1)
(v4.0.1)
generated
on
Thurs,
Oct
24,
Fri,
Nov
1,
2019
11:53+1100.
09:34+1100.
QA
Page
Links:
Search
|
Version
History
|
Table
of
Contents
|
Credits
|
Compare
to
DSTU2
R3
|
|
Propose
a
change