{
  "resourceType": "StructureDefinition",
  "id": "spark125",
  "meta": {
    "versionId": "spark125",
    "lastUpdated": "2015-10-02T11:59:22.55+00:00"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table style=\"border: 0px; font-size: 11px; font-family: verdana; vertical-align: top;\" cellpadding=\"0\" border=\"0\" cellspacing=\"0\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"The logical name of the element\" href=\"formats.html#table\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Information about the use of the element\" href=\"formats.html#table\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Minimum and Maximum # of times the the element can appear in the instance\" href=\"formats.html#table\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a title=\"Reference to the type of the element\" href=\"formats.html#table\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Additional information about the element\" href=\"formats.html#table\">Description &amp; Constraints</a><span style=\"float: right\"><a title=\"Legend for this format\" href=\"formats.html#table\"><img style=\"background-color: inherit\" alt=\"doco\" src=\"help16.png\" /></a></span></th></tr><tr style=\"border: 0px; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)\" class=\"hierarchy\"><img style=\"background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==\" /><img title=\"Element\" style=\"background-color: white; background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw/npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZGmepqeqqOgxjBZFa+19r4ftWQUAgqDgltthMshMIJAZ4jYDHsBARSAmFOJvq+g6HIdEFgcYmBWNxoNAsDjGHgBnmV5bCoUDHLBIq9sFEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7\" /><a title=\"CodeableConcept : A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.\" href=\"datatypes-definitions.html#CodeableConcept\">CodeableConcept</a><a name=\"CodeableConcept\"></a></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span title=\"This element is included in summaries\">Σ</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"element.html\">Element</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\">Concept - reference to a terminology or just  text</td></tr><tr style=\"border: 0px; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)\" class=\"hierarchy\"><img style=\"background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==\" /><img style=\"background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC\" /><img title=\"Data Type\" style=\"background-color: white; background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,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\" /><a title=\"CodeableConcept.coding : A reference to a code defined by a terminology system.\" href=\"datatypes-definitions.html#CodeableConcept.coding\">coding</a><a name=\"CodeableConcept.coding\"></a></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span title=\"This element is included in summaries\">Σ</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system</td></tr><tr style=\"border: 0px; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAAAASUVORK5CYII=)\" class=\"hierarchy\"><img style=\"background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==\" /><img style=\"background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC\" /><img title=\"Primitive Data Type\" style=\"background-color: white; background-color: inherit\" alt=\".\" class=\"hierarchy\" src=\"data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC\" /><a title=\"CodeableConcept.text : A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.\" href=\"datatypes-definitions.html#CodeableConcept.text\">text</a><a name=\"CodeableConcept.text\"></a></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span title=\"This element is included in summaries\">Σ</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px\" class=\"hierarchy\">Plain text representation of the concept</td></tr><tr><td colspan=\"5\" class=\"hierarchy\"><br /><a title=\"Legend for this format\" href=\"formats.html#table\"><img style=\"background-color: inherit\" alt=\"doco\" src=\"help16.png\" /> Documentation for this format\r\n                  </a></td></tr></table></div>"
  },
  "url": "http://hl7.org/fhir/StructureDefinition/CodeableConcept",
  "name": "CodeableConcept",
  "status": "draft",
  "publisher": "HL7 FHIR Standard",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "date": "2015-09-22T03:47:23+00:00",
  "description": "Base StructureDefinition for CodeableConcept Type",
  "requirements": "This is a common pattern in healthcare - a concept that may be defined by one or more codes from formal definitions including LOINC and SNOMED CT, and/or defined by the provision of text that captures a human sense of the concept.",
  "fhirVersion": "1.0.1",
  "mapping": [
    {
      "identity": "orim",
      "uri": "http://hl7.org/orim",
      "name": "Ontological RIM Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM"
    }
  ],
  "kind": "datatype",
  "abstract": false,
  "base": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "path": "CodeableConcept",
        "short": "Concept - reference to a terminology or just  text",
        "definition": "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.",
        "comments": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          }
        ]
      },
      {
        "path": "CodeableConcept.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "id"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "path": "CodeableConcept.extension",
        "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.",
        "comments": "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": "*",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "path": "CodeableConcept.coding",
        "short": "Code defined by a terminology system",
        "definition": "A reference to a code defined by a terminology system.",
        "comments": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.",
        "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          },
          {
            "identity": "v2",
            "map": "C*E.1-8, C*E.10-22"
          },
          {
            "identity": "rim",
            "map": "union(., ./translation)"
          }
        ]
      },
      {
        "path": "CodeableConcept.text",
        "short": "Plain text representation of the concept",
        "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
        "comments": "Very often the text is the same as a displayName of one of the codings.",
        "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          },
          {
            "identity": "v2",
            "map": "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity": "rim",
            "map": "./originalText[mediaType/code=\"text/plain\"]/data"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "path": "CodeableConcept",
        "short": "Concept - reference to a terminology or just  text",
        "definition": "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.",
        "comments": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          }
        ]
      },
      {
        "path": "CodeableConcept.coding",
        "short": "Code defined by a terminology system",
        "definition": "A reference to a code defined by a terminology system.",
        "comments": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.",
        "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          },
          {
            "identity": "v2",
            "map": "C*E.1-8, C*E.10-22"
          },
          {
            "identity": "rim",
            "map": "union(., ./translation)"
          }
        ]
      },
      {
        "path": "CodeableConcept.text",
        "short": "Plain text representation of the concept",
        "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
        "comments": "Very often the text is the same as a displayName of one of the codings.",
        "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          },
          {
            "identity": "v2",
            "map": "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity": "rim",
            "map": "./originalText[mediaType/code=\"text/plain\"]/data"
          }
        ]
      }
    ]
  }
}