Library

Description

We adapted the Library FHIR Resource to collect information about registries and secondary data sources.

Title	Canonical
NFDI4Health PR MDS Registry	https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry

References

Reference direction	Title	Path
is referenced by	NFDI4Health PR MDS Provenance	Provenance.target
is referenced by	NFDI4Health PR MDS Composition	Composition.subject
references to	NFDI4Health PR MDS Group Eligibility	Library.subjectReference
references to	NFDI4Health PR MDS Related Artifact Resource	Library.relatedArtifact

Library	I		Library	Element id Library Short description Represents a library of quality improvement components Definition The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets. Data type Library Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: 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(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` lib-0: Name should be usable as an identifier for the module by machine processing applications such as code generation `name.matches('[A-Z]([A-Za-z0-9_]){0,254}')` biosamples-a: 0.., if Design.dataSource.general == 'C70699' `extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists() implies extension.extension.where(url='biosamples').exists()` biosamples-b:* 0..0, if Design.dataSource.general != 'C70699' `extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists().not() implies extension.extension.where(url='biosamples').exists().not()` imaging-a: 0.., if Design.dataSource.general == '031' `extension.extension.where(url='general').valueCoding.where(code = '031').exists() implies extension.extension.where(url='imaging').exists()` imaging-b:* 0..0, if Design.dataSource.general != '031' `extension.extension.where(url='general').valueCoding.where(code = '031').exists().not() implies extension.extension.where(url='imaging').exists().not()` omics-a: 0.., if Design.dataSource.general == '033' `extension.extension.where(url='general').valueCoding.where(code = '033').exists() implies extension.extension.where(url='omics').exists()` omics-b:* 0..0, if Design.dataSource.general != '033' `extension.extension.where(url='general').valueCoding.where(code = '033').exists().not() implies extension.extension.where(url='omics').exists().not()` supportingInformation-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='supportingInformation').exists()` supportingInformation-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='supportingInformation').exists().not()` timeFrame-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='timeFrame').exists()` timeFrame-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='timeFrame').exists().not()` accessCriteria-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='accessCriteria').exists()` accessCriteria-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='accessCriteria').exists().not()` recordLinkage-a: Cardinality: 1..1, if Design.dataSharingPlan.recordLinkage == 'Yes' `extension.extension.where(url='recordLinkage').where(value=true).exists() implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists()` recordLinkage-b: Cardinality: 0..0, if Design.dataSharingPlan.recordLinkage == 'No' `extension.extension.where(url='recordLinkage').where(value=false).exists() implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists().not()` legalBasisDetails-a: Cardinality: 1..1, if RecordLinkage.legalBasis == 'True' `extension.extension.where(url='legalBasis').where(value=true).exists() implies extension.extension.where(url='legalBasisDetails').exists()` legalBasisDetails-b: Cardinality: 0..0, if RecordLinkage.legalBasis == 'False' `extension.extension.where(url='legalBasis').where(value=false).exists() implies extension.extension.where(url='legalBasisDetails').exists().not()` Mappings rim: Entity. Role, or Act rim: Act[classCode=GROUPER;moodCode=EVN] NFDI4Health: Design
id	Σ	0..1	string	There are no (further) constraints on this element Element id Library.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Library.meta Short description Metadata about the resource Definition 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Library.implicitRules Short description A set of rules under which this content was created Definition 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. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Library.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id Library.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition 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. Comments 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Library.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition 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. Comments 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. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	5..*	Extension	Element id Library.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
groupsOfDiseases	I	1..1	Extension(Complex)	Element id Library.extension:groupsOfDiseases Short description Groups of diseases or conditions Alternate names extensions, user content Definition Description: Group of items providing information about groups of diseases or conditions on which the data were collected in the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-groups-of-diseases Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.groupsOfDiseases
ethicsCommitteeApproval	I	0..1	Extension(Coding)	Element id Library.extension:ethicsCommitteeApproval Short description Status of the ethics committee approval Alternate names extensions, user content Definition Status of the study approval from the (leading) ethics committee 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-ethics-approval Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.administrativeInformation.ethicsCommitteeApproval
keywords	I	0..*	Extension(CodeableConcept)	Element id Library.extension:keywords Short description Keyword(s) describing the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about keywords describing the [RESOURCE]. Comments Additional information: The findability of the [RESOURCE] can be significantly increased if proper keywords are stated. Data type Extension(CodeableConcept) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-keywords Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Resource.keywords
descriptions	I	1..1	Extension(Complex)	Element id Library.extension:descriptions Short description Descriptions of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the description(s) of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-descriptions Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Resource.descriptions
dataSource	I	0..1	Extension(Complex)	Element id Library.extension:dataSource Short description Data sources of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about data sources from which the data of the [RESOURCE] are generated or extracted. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-source Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataSource
subject	I	1..1	Extension(Coding)	Element id Library.extension:subject Short description Primary subject Alternate names extensions, user content Definition The primary subject addressed by the [RESOURCE], i.e. a person, an animal or other subject types. Comments Short input help: Select one value from the list. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-subject Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.subject
outcomes	I	0..*	Extension(Complex)	Element id Library.extension:outcomes Short description Outcome measures in the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about outcome measures. Comments Additional information: The items are optional, especially for non-interventional studies. [Backport Extension from R5: ResearchStudy.outcomeMeasure; Please note that some cardinalities have been adapted and some of the elements are not relevant for NFDI4Health. We changed the DataType from description to string and added an element to capture the time frame.] Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-outcomes Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.outcomes
assessments	I	0..*	Extension(Coding)	Element id Library.extension:assessments Short description Additional assessments/measurements in the [RESOURCE] Alternate names extensions, user content Definition Any additional assessments/measurements included in the [RESOURCE]. Comments Select all that apply. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-assessments Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.assessments
dataSharingPlan	I	1..1	Extension(Complex)	Element id Library.extension:dataSharingPlan Short description Data sharing strategy of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the data sharing strategy of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-sharing-plan Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataSharingPlan
dataProviders	I	0..1	Extension(Coding)	Element id Library.extension:dataProviders Short description One or more data providers? Alternate names extensions, user content Definition Status of the study approval from the (leading) ethics committee 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataProviders
dataProvidersNumber	I	0..1	Extension(Coding)	Element id Library.extension:dataProvidersNumber Short description Number of data providers Alternate names extensions, user content Definition Number of data providers involved in the [RESOURCE]. 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers-number Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataProviders
population	I	1..1	Extension(Complex)	Element id Library.extension:population Short description Population of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the population of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-population Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.population
recordLinkage	I	0..1	Extension(Complex)	Element id Library.extension:recordLinkage Short description Information about record linkage for the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information on record linkage. Comments Applies only if 1.17.26.9 Design.dataSharingPlan.recordLinkage has been answered with Yes Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: RL1 RecordLinkage
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Library.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition 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). Requirements 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.url Short description Canonical identifier for this library, represented as a URI (globally unique) Definition An absolute URI that is used to identify this library 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 library is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the library is stored on different servers. Requirements Allows the library to be referenced by a single globally unique identifier. Comments 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. 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 element to indicate where the current master source of the resource can be found. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.url w5: FiveWs.identifier rim: .identifier[scope=BUSN;reliability=ISS]
identifier	Σ	0..*	Identifier	Element id Library.identifier Short description Alternative identifiers Definition Group of items providing information about identifiers (IDs) assigned to the given [RESOURCE] by another registering systems, e.g. a registry of clinical trials or a data repository. Requirements Allows externally provided and/or usable business identifiers to be easily associated with the module. Comments Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this library outside of FHIR, where it is not possible to use the logical URI. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Definition.identifier w5: FiveWs.identifier rim: .identifier objimpl: no-gen-base NFDI4Health: Resource.idsAlternative
id		0..1	string	There are no (further) constraints on this element Element id Library.identifier.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Library.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	Σ	1..1	CodeableConceptBinding	Element id Library.identifier.type Short description Type of the registry Definition Type/name of the system where the given [RESOURCE] is already registered. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding Value set defining codes to specify the type of a resource identifier. NFDI4Health_VS_MDS_ID_TYPE_NCI_Local (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context NFDI4Health: Resource.idsAlternative.scheme
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	Σ	1..1	string	Element id Library.identifier.value Short description The value that is unique Definition Identifier Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Identifier (ID) assigned to the given [RESOURCE] by another registering system, e.g. by a registry of clinical trials or a data repository. ISRCTN91495258 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value NFDI4Health: Resource.idsAlternative.identifier
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Library.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Library.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
version	Σ	0..1	string	There are no (further) constraints on this element Element id Library.version Short description Business version of the library Definition The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library 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. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts. Comments There may be different library 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 library with the format [url]\|[version]. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.version w5: FiveWs.version rim: N/A (to add?)
name	Σ I	0..1	string	There are no (further) constraints on this element Element id Library.name Short description Name for this library (computer friendly) Definition A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation. Requirements Support human navigation and code generation. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
title	Σ	0..1	string	There are no (further) constraints on this element Element id Library.title Short description Name for this library (human friendly) Definition A short, descriptive, user-friendly title for the library. Comments This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.title rim: .title
subtitle		0..1	string	There are no (further) constraints on this element Element id Library.subtitle Short description Subordinate title of the library Definition An explanatory or alternate title for the library giving additional information about its content. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
status	Σ ?!	1..1	codeBindingFixed Value	Element id Library.status Short description draft \| active \| retired \| unknown Definition The status of this library. Enables tracking the life-cycle of the content. Comments The item does not exist in NFDI4Health' MDS. Fixed to 'active' for all studies. Data type code Binding The lifecycle status of an artifact. PublicationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value active Mappings rim: n/a workflow: Definition.status w5: FiveWs.status rim: .status
experimental	Σ	0..1	boolean	There are no (further) constraints on this element Element id Library.experimental Short description For testing purposes, not real usage Definition A Boolean value to indicate that this library is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. Requirements Enables experimental content to be developed following the same lifecycle that would be used for a production-level library. Comments Allows filtering of librarys that are appropriate for use versus not. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.experimental w5: FiveWs.class rim: N/A (to add?)
type	Σ	1..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Library.type Short description logic-library \| model-definition \| asset-collection \| module-definition Definition Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition. 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. Data type CodeableConcept Binding The type of knowledge asset this library contains. LibraryType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.what[x] rim: .code
subject[x]		0..1	Binding	Element id Library.subject[x] Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Sliced: Unordered, Open, by $this(Type) Binding The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). SubjectType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
subjectReference		0..1	Reference(NFDI4Health PR MDS Group Eligibility)	Element id Library.subject[x]:subjectReference Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Data type Reference(NFDI4Health PR MDS Group Eligibility) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a NFDI4Health: Design.eligibilityCriteria
subjectCodeableConcept		0..1	CodeableConceptBinding	Element id Library.subject[x]:subjectCodeableConcept Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Data type CodeableConcept Binding The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). SubjectType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a NFDI4Health: Design.subject
date	Σ	0..1	dateTime	There are no (further) constraints on this element Element id Library.date Short description Date last changed Alternate names Revision Date Definition The date (and optionally time) when the library 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 library changes. Comments Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the library. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.date w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
publisher	Σ	0..1	string	There are no (further) constraints on this element Element id Library.publisher Short description Name of the publisher (organization or individual) Definition The name of the organization or individual that published the library. Requirements Helps establish the "authority/credibility" of the library. May also allow for contact. Comments Usually an organization but may be an individual. The publisher (or steward) of the library is the organization or individual primarily responsible for the maintenance and upkeep of the library. 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 library. This item SHOULD be populated unless the information is available from context. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.publisher w5: FiveWs.witness rim: .participation[typeCode=AUT].role
contact	Σ	0..*	ContactDetail	There are no (further) constraints on this element Element id Library.contact Short description Contact details for the publisher Definition Contact details to assist a user in finding and communicating with the publisher. Comments May be a web site, an email address, a telephone number, etc. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.contact rim: .participation[typeCode=CALLBCK].role
description	Σ	0..1	markdown	Element id Library.description Short description Additional information about the [RESOURCE] Definition Any additional information about specific aspects of the [RESOURCE] that could not be captured by other fields.. Comments Short input help: You can provide here specific aspects of the [RESOURCE] that could not be captured by other fields. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.description rim: .text NFDI4Health: Design.comment
useContext	Σ	0..*	UsageContext	There are no (further) constraints on this element Element id Library.useContext Short description The context that the content is intended to support Definition 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 library instances. Requirements Assist in searching for appropriate content. Comments When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. Data type UsageContext Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.useContext rim: N/A (to add?)
jurisdiction	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Library.jurisdiction Short description Intended jurisdiction for library (if applicable) Definition A legal or geographic region in which the library is intended to be used. Comments It may be possible for the library to be used in jurisdictions other than those for which it was originally designed or intended. Data type CodeableConcept Binding Countries and regions within which this artifact is targeted for use. Jurisdiction ValueSet (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Definition.jurisdiction rim: N/A (to add?)
purpose		0..1	markdown	There are no (further) constraints on this element Element id Library.purpose Short description Why this library is defined Definition Explanation of why this library is needed and why it has been designed as it has. Comments This element does not describe the usage of the library. 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 library. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.purpose w5: FiveWs.why[x] rim: .reasonCode.text objimpl: no-gen-base
usage		0..1	string	There are no (further) constraints on this element Element id Library.usage Short description Describes the clinical usage of the library Definition A detailed description of how the library is used from a clinical perspective. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
copyright		0..1	markdown	There are no (further) constraints on this element Element id Library.copyright Short description Use and/or publishing restrictions Alternate names License, Restrictions Definition A copyright statement relating to the library and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the library. Requirements Consumers must be able to determine any legal restrictions on the use of the library and/or its content. Comments Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/ Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.copyright rim: N/A (to add?) objimpl: no-gen-base
approvalDate		0..1	date	There are no (further) constraints on this element Element id Library.approvalDate Short description When the library was approved by publisher Definition The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. Comments The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.approvalDate rim: .outboundRelationship[typeCode="SUBJ"].act[classCode=CACT;moodCode=EVN;code="approval"].effectiveTime objimpl: no-gen-base
lastReviewDate		0..1	date	There are no (further) constraints on this element Element id Library.lastReviewDate Short description When the library was last reviewed Definition The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. Requirements Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant. Comments If specified, this date follows the original approval date. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.lastReviewDate rim: .outboundRelationship[typeCode="SUBJ"; subsetCode="RECENT"].act[classCode=CACT;moodCode=EVN;code="review"].effectiveTime objimpl: no-gen-base
effectivePeriod	Σ I	0..1	Period	Element id Library.effectivePeriod Short description When the library is expected to be used Definition The period during which the library content was or is planned to be in active use. Requirements Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the library are or are expected to be used instead. Comments The effective period for a library determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] workflow: Definition.effectivePeriod rim: N/A (to add?) objimpl: no-gen-base NFDI4Health: Design.administrativeInformation.startDate NFDI4Health: Design.administrativeInformation.endDate
id		0..1	string	There are no (further) constraints on this element Element id Library.effectivePeriod.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.effectivePeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	Σ I	0..1	dateTime	Element id Library.effectivePeriod.start Short description Start date Definition Start date of data collection for the [RESOURCE]. Comments Additional information: Preferred date format: DD.MM.YYYY. \| Short input help: In case of a planned [RESOURCE], enter the intended start date. In case of an ongoing [RESOURCE], enter the actual start date. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id Library.effectivePeriod.end Short description End date Definition In case of a [RESOURCE] with patients or other participants, it is the date when the last participant is examined or receives an intervention, or the date of the last participant's last visit. Comments Additional information: Preferred date format: DD.MM.YYYY. \| Short input help: In case of a planned or ongoing [RESOURCE], enter the intended end date. In case of a completed [RESOURCE], enter the actual end date. Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high
topic		0..*	CodeableConcept	Element id Library.topic Short description Primary focus of the [RESOURCE] Definition Group of items providing information about the focus of the [RESOURCE] (e.g. medication, food, therapy, device, etc.). Requirements Repositories must be able to determine how to categorize the library so that it can be found by topical searches. 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. Data type CodeableConcept Binding High-level categorization of the definition, used for searching, sorting, and filtering. DefinitionTopic (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: N/A (to add?) NFDI4Health: Design.focus
id		0..1	string	There are no (further) constraints on this element Element id Library.topic.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.topic.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
uri	I	0..1	Extension(uri)	Element id Library.topic.extension:uri Short description Code of the health condition[conditions] or disease Alternate names extensions, user content Definition Code of the health condition[conditions] or disease in the terminology/classification used. Comments Short input help: If known, you can provide the code from the terminology/classification used. Data type Extension(uri) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Examples Example of an URI for a SNOMED CT concept. http://snomed.info/id/840533007 Mappings rim: n/a rim: N/A NFDI4Health: Design.focus.code
coding	Σ	1..1	CodingBinding	Element id Library.topic.coding Short description Terminology/classification Definition Terminology/classification used for the focus area. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Short Input Help: If used, name of the terminology/classification. Data type Coding Binding NFDI4Health_VS_MDS_Study_Conditions_Classification_NCI_Local (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples Example of a terminology/classification C49469 Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.topic.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.topic.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element id Library.topic.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code NFDI4Health: Design.focus.classification
display	Σ	0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Library.topic.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	1..1	string	Element id Library.topic.text Short description Focus area Definition Focus area of the [RESOURCE] (e.g. medication, food, therapy, device, etc.). 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. Comments Additional Information: The use of terms from established terminologies/classifications (e.g. SNOMED CT, ICD, etc.) is preferred. However, also self-assigned terms are allowed. \| Short input help: Preferably, use terms from SNOMED CT (https://browser.ihtsdotools.org). Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText NFDI4Health: Design.focus.label
author		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.author Short description Who authored the content Definition An individiual or organization primarily involved in the creation and maintenance of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=AUT]
editor		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.editor Short description Who edited the content Definition An individual or organization primarily responsible for internal coherence of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
reviewer		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.reviewer Short description Who reviewed the content Definition An individual or organization primarily responsible for review of some aspect of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}
endorser		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.endorser Short description Who endorsed the content Definition An individual or organization responsible for officially endorsing the content for use in some setting. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}
relatedArtifact		0..1	NFDI4Health PR MDS Related Artifact Resource	Element id Library.relatedArtifact Short description Related publications, datasets, study documents, web pages, etc. Definition Group of items providing information about identifiers (IDs) of the resources related to the given resource, e.g. DOIs of publications, datasets, study documents or links to web pages. Requirements Libraries must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content. Comments Short input help: If existing, you can specify identifier(s) of any related resources, e.g. DOIs of publications, datasets, study documents, links to web pages, etc. Data type NFDI4Health PR MDS Related Artifact Resource Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV w/ inversionInd=true; No support for citation}
parameter		0..*	ParameterDefinition	There are no (further) constraints on this element Element id Library.parameter Short description Parameters defined by the library Definition The parameter element defines parameters used by the library. Data type ParameterDefinition Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
dataRequirement		0..*	DataRequirement	There are no (further) constraints on this element Element id Library.dataRequirement Short description What data is referenced by this library Definition Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library. Data type DataRequirement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
content	Σ I	0..*	Attachment	There are no (further) constraints on this element Element id Library.content Short description Contents of the library, either embedded or referenced Definition The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content. Comments When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent". Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1: If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim: n/a v2: ED/RP rim: ED rim: .text

Library	I		Library	Element id Library Short description Represents a library of quality improvement components Definition The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets. Data type Library Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: 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(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` lib-0: Name should be usable as an identifier for the module by machine processing applications such as code generation `name.matches('[A-Z]([A-Za-z0-9_]){0,254}')` biosamples-a: 0.., if Design.dataSource.general == 'C70699' `extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists() implies extension.extension.where(url='biosamples').exists()` biosamples-b:* 0..0, if Design.dataSource.general != 'C70699' `extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists().not() implies extension.extension.where(url='biosamples').exists().not()` imaging-a: 0.., if Design.dataSource.general == '031' `extension.extension.where(url='general').valueCoding.where(code = '031').exists() implies extension.extension.where(url='imaging').exists()` imaging-b:* 0..0, if Design.dataSource.general != '031' `extension.extension.where(url='general').valueCoding.where(code = '031').exists().not() implies extension.extension.where(url='imaging').exists().not()` omics-a: 0.., if Design.dataSource.general == '033' `extension.extension.where(url='general').valueCoding.where(code = '033').exists() implies extension.extension.where(url='omics').exists()` omics-b:* 0..0, if Design.dataSource.general != '033' `extension.extension.where(url='general').valueCoding.where(code = '033').exists().not() implies extension.extension.where(url='omics').exists().not()` supportingInformation-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='supportingInformation').exists()` supportingInformation-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='supportingInformation').exists().not()` timeFrame-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='timeFrame').exists()` timeFrame-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='timeFrame').exists().not()` accessCriteria-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='accessCriteria').exists()` accessCriteria-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='accessCriteria').exists().not()` recordLinkage-a: Cardinality: 1..1, if Design.dataSharingPlan.recordLinkage == 'Yes' `extension.extension.where(url='recordLinkage').where(value=true).exists() implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists()` recordLinkage-b: Cardinality: 0..0, if Design.dataSharingPlan.recordLinkage == 'No' `extension.extension.where(url='recordLinkage').where(value=false).exists() implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists().not()` legalBasisDetails-a: Cardinality: 1..1, if RecordLinkage.legalBasis == 'True' `extension.extension.where(url='legalBasis').where(value=true).exists() implies extension.extension.where(url='legalBasisDetails').exists()` legalBasisDetails-b: Cardinality: 0..0, if RecordLinkage.legalBasis == 'False' `extension.extension.where(url='legalBasis').where(value=false).exists() implies extension.extension.where(url='legalBasisDetails').exists().not()` Mappings rim: Entity. Role, or Act rim: Act[classCode=GROUPER;moodCode=EVN] NFDI4Health: Design
id	Σ	0..1	string	There are no (further) constraints on this element Element id Library.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Library.meta Short description Metadata about the resource Definition 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Library.implicitRules Short description A set of rules under which this content was created Definition 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. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Library.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id Library.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition 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. Comments 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Library.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition 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. Comments 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. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	5..*	Extension	Element id Library.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
groupsOfDiseases	I	1..1	Extension(Complex)	Element id Library.extension:groupsOfDiseases Short description Groups of diseases or conditions Alternate names extensions, user content Definition Description: Group of items providing information about groups of diseases or conditions on which the data were collected in the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-groups-of-diseases Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.groupsOfDiseases
ethicsCommitteeApproval	I	0..1	Extension(Coding)	Element id Library.extension:ethicsCommitteeApproval Short description Status of the ethics committee approval Alternate names extensions, user content Definition Status of the study approval from the (leading) ethics committee 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-ethics-approval Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.administrativeInformation.ethicsCommitteeApproval
keywords	I	0..*	Extension(CodeableConcept)	Element id Library.extension:keywords Short description Keyword(s) describing the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about keywords describing the [RESOURCE]. Comments Additional information: The findability of the [RESOURCE] can be significantly increased if proper keywords are stated. Data type Extension(CodeableConcept) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-keywords Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Resource.keywords
descriptions	I	1..1	Extension(Complex)	Element id Library.extension:descriptions Short description Descriptions of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the description(s) of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-descriptions Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Resource.descriptions
dataSource	I	0..1	Extension(Complex)	Element id Library.extension:dataSource Short description Data sources of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about data sources from which the data of the [RESOURCE] are generated or extracted. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-source Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataSource
subject	I	1..1	Extension(Coding)	Element id Library.extension:subject Short description Primary subject Alternate names extensions, user content Definition The primary subject addressed by the [RESOURCE], i.e. a person, an animal or other subject types. Comments Short input help: Select one value from the list. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-subject Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.subject
outcomes	I	0..*	Extension(Complex)	Element id Library.extension:outcomes Short description Outcome measures in the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about outcome measures. Comments Additional information: The items are optional, especially for non-interventional studies. [Backport Extension from R5: ResearchStudy.outcomeMeasure; Please note that some cardinalities have been adapted and some of the elements are not relevant for NFDI4Health. We changed the DataType from description to string and added an element to capture the time frame.] Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-outcomes Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.outcomes
assessments	I	0..*	Extension(Coding)	Element id Library.extension:assessments Short description Additional assessments/measurements in the [RESOURCE] Alternate names extensions, user content Definition Any additional assessments/measurements included in the [RESOURCE]. Comments Select all that apply. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-assessments Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.assessments
dataSharingPlan	I	1..1	Extension(Complex)	Element id Library.extension:dataSharingPlan Short description Data sharing strategy of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the data sharing strategy of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-sharing-plan Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataSharingPlan
dataProviders	I	0..1	Extension(Coding)	Element id Library.extension:dataProviders Short description One or more data providers? Alternate names extensions, user content Definition Status of the study approval from the (leading) ethics committee 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataProviders
dataProvidersNumber	I	0..1	Extension(Coding)	Element id Library.extension:dataProvidersNumber Short description Number of data providers Alternate names extensions, user content Definition Number of data providers involved in the [RESOURCE]. 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers-number Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataProviders
population	I	1..1	Extension(Complex)	Element id Library.extension:population Short description Population of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the population of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-population Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.population
recordLinkage	I	0..1	Extension(Complex)	Element id Library.extension:recordLinkage Short description Information about record linkage for the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information on record linkage. Comments Applies only if 1.17.26.9 Design.dataSharingPlan.recordLinkage has been answered with Yes Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: RL1 RecordLinkage
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Library.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition 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). Requirements 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.url Short description Canonical identifier for this library, represented as a URI (globally unique) Definition An absolute URI that is used to identify this library 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 library is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the library is stored on different servers. Requirements Allows the library to be referenced by a single globally unique identifier. Comments 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. 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 element to indicate where the current master source of the resource can be found. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.url w5: FiveWs.identifier rim: .identifier[scope=BUSN;reliability=ISS]
identifier	Σ	0..*	Identifier	Element id Library.identifier Short description Alternative identifiers Definition Group of items providing information about identifiers (IDs) assigned to the given [RESOURCE] by another registering systems, e.g. a registry of clinical trials or a data repository. Requirements Allows externally provided and/or usable business identifiers to be easily associated with the module. Comments Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this library outside of FHIR, where it is not possible to use the logical URI. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Definition.identifier w5: FiveWs.identifier rim: .identifier objimpl: no-gen-base NFDI4Health: Resource.idsAlternative
id		0..1	string	There are no (further) constraints on this element Element id Library.identifier.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Library.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	Σ	1..1	CodeableConceptBinding	Element id Library.identifier.type Short description Type of the registry Definition Type/name of the system where the given [RESOURCE] is already registered. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding Value set defining codes to specify the type of a resource identifier. NFDI4Health_VS_MDS_ID_TYPE_NCI_Local (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context NFDI4Health: Resource.idsAlternative.scheme
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	Σ	1..1	string	Element id Library.identifier.value Short description The value that is unique Definition Identifier Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Identifier (ID) assigned to the given [RESOURCE] by another registering system, e.g. by a registry of clinical trials or a data repository. ISRCTN91495258 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value NFDI4Health: Resource.idsAlternative.identifier
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Library.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Library.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
version	Σ	0..1	string	There are no (further) constraints on this element Element id Library.version Short description Business version of the library Definition The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library 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. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts. Comments There may be different library 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 library with the format [url]\|[version]. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.version w5: FiveWs.version rim: N/A (to add?)
name	Σ I	0..1	string	There are no (further) constraints on this element Element id Library.name Short description Name for this library (computer friendly) Definition A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation. Requirements Support human navigation and code generation. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
title	Σ	0..1	string	There are no (further) constraints on this element Element id Library.title Short description Name for this library (human friendly) Definition A short, descriptive, user-friendly title for the library. Comments This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.title rim: .title
subtitle		0..1	string	There are no (further) constraints on this element Element id Library.subtitle Short description Subordinate title of the library Definition An explanatory or alternate title for the library giving additional information about its content. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
status	Σ ?!	1..1	codeBindingFixed Value	Element id Library.status Short description draft \| active \| retired \| unknown Definition The status of this library. Enables tracking the life-cycle of the content. Comments The item does not exist in NFDI4Health' MDS. Fixed to 'active' for all studies. Data type code Binding The lifecycle status of an artifact. PublicationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value active Mappings rim: n/a workflow: Definition.status w5: FiveWs.status rim: .status
experimental	Σ	0..1	boolean	There are no (further) constraints on this element Element id Library.experimental Short description For testing purposes, not real usage Definition A Boolean value to indicate that this library is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. Requirements Enables experimental content to be developed following the same lifecycle that would be used for a production-level library. Comments Allows filtering of librarys that are appropriate for use versus not. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.experimental w5: FiveWs.class rim: N/A (to add?)
type	Σ	1..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Library.type Short description logic-library \| model-definition \| asset-collection \| module-definition Definition Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition. 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. Data type CodeableConcept Binding The type of knowledge asset this library contains. LibraryType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.what[x] rim: .code
subject[x]		0..1	Binding	Element id Library.subject[x] Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Sliced: Unordered, Open, by $this(Type) Binding The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). SubjectType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
subjectReference		0..1	Reference(NFDI4Health PR MDS Group Eligibility)	Element id Library.subject[x]:subjectReference Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Data type Reference(NFDI4Health PR MDS Group Eligibility) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a NFDI4Health: Design.eligibilityCriteria
subjectCodeableConcept		0..1	CodeableConceptBinding	Element id Library.subject[x]:subjectCodeableConcept Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Data type CodeableConcept Binding The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). SubjectType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a NFDI4Health: Design.subject
date	Σ	0..1	dateTime	There are no (further) constraints on this element Element id Library.date Short description Date last changed Alternate names Revision Date Definition The date (and optionally time) when the library 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 library changes. Comments Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the library. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.date w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
publisher	Σ	0..1	string	There are no (further) constraints on this element Element id Library.publisher Short description Name of the publisher (organization or individual) Definition The name of the organization or individual that published the library. Requirements Helps establish the "authority/credibility" of the library. May also allow for contact. Comments Usually an organization but may be an individual. The publisher (or steward) of the library is the organization or individual primarily responsible for the maintenance and upkeep of the library. 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 library. This item SHOULD be populated unless the information is available from context. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.publisher w5: FiveWs.witness rim: .participation[typeCode=AUT].role
contact	Σ	0..*	ContactDetail	There are no (further) constraints on this element Element id Library.contact Short description Contact details for the publisher Definition Contact details to assist a user in finding and communicating with the publisher. Comments May be a web site, an email address, a telephone number, etc. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.contact rim: .participation[typeCode=CALLBCK].role
description	Σ	0..1	markdown	Element id Library.description Short description Additional information about the [RESOURCE] Definition Any additional information about specific aspects of the [RESOURCE] that could not be captured by other fields.. Comments Short input help: You can provide here specific aspects of the [RESOURCE] that could not be captured by other fields. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.description rim: .text NFDI4Health: Design.comment
useContext	Σ	0..*	UsageContext	There are no (further) constraints on this element Element id Library.useContext Short description The context that the content is intended to support Definition 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 library instances. Requirements Assist in searching for appropriate content. Comments When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. Data type UsageContext Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.useContext rim: N/A (to add?)
jurisdiction	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Library.jurisdiction Short description Intended jurisdiction for library (if applicable) Definition A legal or geographic region in which the library is intended to be used. Comments It may be possible for the library to be used in jurisdictions other than those for which it was originally designed or intended. Data type CodeableConcept Binding Countries and regions within which this artifact is targeted for use. Jurisdiction ValueSet (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Definition.jurisdiction rim: N/A (to add?)
purpose		0..1	markdown	There are no (further) constraints on this element Element id Library.purpose Short description Why this library is defined Definition Explanation of why this library is needed and why it has been designed as it has. Comments This element does not describe the usage of the library. 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 library. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.purpose w5: FiveWs.why[x] rim: .reasonCode.text objimpl: no-gen-base
usage		0..1	string	There are no (further) constraints on this element Element id Library.usage Short description Describes the clinical usage of the library Definition A detailed description of how the library is used from a clinical perspective. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
copyright		0..1	markdown	There are no (further) constraints on this element Element id Library.copyright Short description Use and/or publishing restrictions Alternate names License, Restrictions Definition A copyright statement relating to the library and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the library. Requirements Consumers must be able to determine any legal restrictions on the use of the library and/or its content. Comments Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/ Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.copyright rim: N/A (to add?) objimpl: no-gen-base
approvalDate		0..1	date	There are no (further) constraints on this element Element id Library.approvalDate Short description When the library was approved by publisher Definition The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. Comments The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.approvalDate rim: .outboundRelationship[typeCode="SUBJ"].act[classCode=CACT;moodCode=EVN;code="approval"].effectiveTime objimpl: no-gen-base
lastReviewDate		0..1	date	There are no (further) constraints on this element Element id Library.lastReviewDate Short description When the library was last reviewed Definition The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. Requirements Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant. Comments If specified, this date follows the original approval date. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.lastReviewDate rim: .outboundRelationship[typeCode="SUBJ"; subsetCode="RECENT"].act[classCode=CACT;moodCode=EVN;code="review"].effectiveTime objimpl: no-gen-base
effectivePeriod	Σ I	0..1	Period	Element id Library.effectivePeriod Short description When the library is expected to be used Definition The period during which the library content was or is planned to be in active use. Requirements Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the library are or are expected to be used instead. Comments The effective period for a library determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] workflow: Definition.effectivePeriod rim: N/A (to add?) objimpl: no-gen-base NFDI4Health: Design.administrativeInformation.startDate NFDI4Health: Design.administrativeInformation.endDate
id		0..1	string	There are no (further) constraints on this element Element id Library.effectivePeriod.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.effectivePeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	Σ I	0..1	dateTime	Element id Library.effectivePeriod.start Short description Start date Definition Start date of data collection for the [RESOURCE]. Comments Additional information: Preferred date format: DD.MM.YYYY. \| Short input help: In case of a planned [RESOURCE], enter the intended start date. In case of an ongoing [RESOURCE], enter the actual start date. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id Library.effectivePeriod.end Short description End date Definition In case of a [RESOURCE] with patients or other participants, it is the date when the last participant is examined or receives an intervention, or the date of the last participant's last visit. Comments Additional information: Preferred date format: DD.MM.YYYY. \| Short input help: In case of a planned or ongoing [RESOURCE], enter the intended end date. In case of a completed [RESOURCE], enter the actual end date. Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high
topic		0..*	CodeableConcept	Element id Library.topic Short description Primary focus of the [RESOURCE] Definition Group of items providing information about the focus of the [RESOURCE] (e.g. medication, food, therapy, device, etc.). Requirements Repositories must be able to determine how to categorize the library so that it can be found by topical searches. 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. Data type CodeableConcept Binding High-level categorization of the definition, used for searching, sorting, and filtering. DefinitionTopic (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: N/A (to add?) NFDI4Health: Design.focus
id		0..1	string	There are no (further) constraints on this element Element id Library.topic.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.topic.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
uri	I	0..1	Extension(uri)	Element id Library.topic.extension:uri Short description Code of the health condition[conditions] or disease Alternate names extensions, user content Definition Code of the health condition[conditions] or disease in the terminology/classification used. Comments Short input help: If known, you can provide the code from the terminology/classification used. Data type Extension(uri) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Examples Example of an URI for a SNOMED CT concept. http://snomed.info/id/840533007 Mappings rim: n/a rim: N/A NFDI4Health: Design.focus.code
coding	Σ	1..1	CodingBinding	Element id Library.topic.coding Short description Terminology/classification Definition Terminology/classification used for the focus area. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Short Input Help: If used, name of the terminology/classification. Data type Coding Binding NFDI4Health_VS_MDS_Study_Conditions_Classification_NCI_Local (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples Example of a terminology/classification C49469 Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.topic.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.topic.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element id Library.topic.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code NFDI4Health: Design.focus.classification
display	Σ	0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Library.topic.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	1..1	string	Element id Library.topic.text Short description Focus area Definition Focus area of the [RESOURCE] (e.g. medication, food, therapy, device, etc.). 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. Comments Additional Information: The use of terms from established terminologies/classifications (e.g. SNOMED CT, ICD, etc.) is preferred. However, also self-assigned terms are allowed. \| Short input help: Preferably, use terms from SNOMED CT (https://browser.ihtsdotools.org). Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText NFDI4Health: Design.focus.label
author		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.author Short description Who authored the content Definition An individiual or organization primarily involved in the creation and maintenance of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=AUT]
editor		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.editor Short description Who edited the content Definition An individual or organization primarily responsible for internal coherence of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
reviewer		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.reviewer Short description Who reviewed the content Definition An individual or organization primarily responsible for review of some aspect of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}
endorser		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.endorser Short description Who endorsed the content Definition An individual or organization responsible for officially endorsing the content for use in some setting. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}
relatedArtifact		0..1	NFDI4Health PR MDS Related Artifact Resource	Element id Library.relatedArtifact Short description Related publications, datasets, study documents, web pages, etc. Definition Group of items providing information about identifiers (IDs) of the resources related to the given resource, e.g. DOIs of publications, datasets, study documents or links to web pages. Requirements Libraries must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content. Comments Short input help: If existing, you can specify identifier(s) of any related resources, e.g. DOIs of publications, datasets, study documents, links to web pages, etc. Data type NFDI4Health PR MDS Related Artifact Resource Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV w/ inversionInd=true; No support for citation}
parameter		0..*	ParameterDefinition	There are no (further) constraints on this element Element id Library.parameter Short description Parameters defined by the library Definition The parameter element defines parameters used by the library. Data type ParameterDefinition Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
dataRequirement		0..*	DataRequirement	There are no (further) constraints on this element Element id Library.dataRequirement Short description What data is referenced by this library Definition Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library. Data type DataRequirement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
content	Σ I	0..*	Attachment	There are no (further) constraints on this element Element id Library.content Short description Contents of the library, either embedded or referenced Definition The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content. Comments When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent". Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1: If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim: n/a v2: ED/RP rim: ED rim: .text

Library	I		Library	Element id Library Short description Represents a library of quality improvement components Definition The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets. Data type Library Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: 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(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` lib-0: Name should be usable as an identifier for the module by machine processing applications such as code generation `name.matches('[A-Z]([A-Za-z0-9_]){0,254}')` biosamples-a: 0.., if Design.dataSource.general == 'C70699' `extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists() implies extension.extension.where(url='biosamples').exists()` biosamples-b:* 0..0, if Design.dataSource.general != 'C70699' `extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists().not() implies extension.extension.where(url='biosamples').exists().not()` imaging-a: 0.., if Design.dataSource.general == '031' `extension.extension.where(url='general').valueCoding.where(code = '031').exists() implies extension.extension.where(url='imaging').exists()` imaging-b:* 0..0, if Design.dataSource.general != '031' `extension.extension.where(url='general').valueCoding.where(code = '031').exists().not() implies extension.extension.where(url='imaging').exists().not()` omics-a: 0.., if Design.dataSource.general == '033' `extension.extension.where(url='general').valueCoding.where(code = '033').exists() implies extension.extension.where(url='omics').exists()` omics-b:* 0..0, if Design.dataSource.general != '033' `extension.extension.where(url='general').valueCoding.where(code = '033').exists().not() implies extension.extension.where(url='omics').exists().not()` supportingInformation-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='supportingInformation').exists()` supportingInformation-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='supportingInformation').exists().not()` timeFrame-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='timeFrame').exists()` timeFrame-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='timeFrame').exists().not()` accessCriteria-a: Cardinality: 0.., if Design.dataSharingPlan.generally == '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='accessCriteria').exists()` accessCriteria-b:* Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001' `extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='accessCriteria').exists().not()` recordLinkage-a: Cardinality: 1..1, if Design.dataSharingPlan.recordLinkage == 'Yes' `extension.extension.where(url='recordLinkage').where(value=true).exists() implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists()` recordLinkage-b: Cardinality: 0..0, if Design.dataSharingPlan.recordLinkage == 'No' `extension.extension.where(url='recordLinkage').where(value=false).exists() implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists().not()` legalBasisDetails-a: Cardinality: 1..1, if RecordLinkage.legalBasis == 'True' `extension.extension.where(url='legalBasis').where(value=true).exists() implies extension.extension.where(url='legalBasisDetails').exists()` legalBasisDetails-b: Cardinality: 0..0, if RecordLinkage.legalBasis == 'False' `extension.extension.where(url='legalBasis').where(value=false).exists() implies extension.extension.where(url='legalBasisDetails').exists().not()` Mappings rim: Entity. Role, or Act rim: Act[classCode=GROUPER;moodCode=EVN] NFDI4Health: Design
id	Σ	0..1	string	There are no (further) constraints on this element Element id Library.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Library.meta Short description Metadata about the resource Definition 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Library.implicitRules Short description A set of rules under which this content was created Definition 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. Comments 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Library.language Short description Language of the resource content Definition The base language in which the resource is written. Comments 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id Library.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition 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. Comments 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Library.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition 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. Comments 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. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	5..*	Extension	Element id Library.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
groupsOfDiseases	I	1..1	Extension(Complex)	Element id Library.extension:groupsOfDiseases Short description Groups of diseases or conditions Alternate names extensions, user content Definition Description: Group of items providing information about groups of diseases or conditions on which the data were collected in the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-groups-of-diseases Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.groupsOfDiseases
ethicsCommitteeApproval	I	0..1	Extension(Coding)	Element id Library.extension:ethicsCommitteeApproval Short description Status of the ethics committee approval Alternate names extensions, user content Definition Status of the study approval from the (leading) ethics committee 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-ethics-approval Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.administrativeInformation.ethicsCommitteeApproval
keywords	I	0..*	Extension(CodeableConcept)	Element id Library.extension:keywords Short description Keyword(s) describing the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about keywords describing the [RESOURCE]. Comments Additional information: The findability of the [RESOURCE] can be significantly increased if proper keywords are stated. Data type Extension(CodeableConcept) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-keywords Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Resource.keywords
descriptions	I	1..1	Extension(Complex)	Element id Library.extension:descriptions Short description Descriptions of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the description(s) of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-descriptions Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Resource.descriptions
dataSource	I	0..1	Extension(Complex)	Element id Library.extension:dataSource Short description Data sources of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about data sources from which the data of the [RESOURCE] are generated or extracted. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-source Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataSource
subject	I	1..1	Extension(Coding)	Element id Library.extension:subject Short description Primary subject Alternate names extensions, user content Definition The primary subject addressed by the [RESOURCE], i.e. a person, an animal or other subject types. Comments Short input help: Select one value from the list. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-subject Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.subject
outcomes	I	0..*	Extension(Complex)	Element id Library.extension:outcomes Short description Outcome measures in the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about outcome measures. Comments Additional information: The items are optional, especially for non-interventional studies. [Backport Extension from R5: ResearchStudy.outcomeMeasure; Please note that some cardinalities have been adapted and some of the elements are not relevant for NFDI4Health. We changed the DataType from description to string and added an element to capture the time frame.] Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-outcomes Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.outcomes
assessments	I	0..*	Extension(Coding)	Element id Library.extension:assessments Short description Additional assessments/measurements in the [RESOURCE] Alternate names extensions, user content Definition Any additional assessments/measurements included in the [RESOURCE]. Comments Select all that apply. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-assessments Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.assessments
dataSharingPlan	I	1..1	Extension(Complex)	Element id Library.extension:dataSharingPlan Short description Data sharing strategy of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the data sharing strategy of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-sharing-plan Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataSharingPlan
dataProviders	I	0..1	Extension(Coding)	Element id Library.extension:dataProviders Short description One or more data providers? Alternate names extensions, user content Definition Status of the study approval from the (leading) ethics committee 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataProviders
dataProvidersNumber	I	0..1	Extension(Coding)	Element id Library.extension:dataProvidersNumber Short description Number of data providers Alternate names extensions, user content Definition Number of data providers involved in the [RESOURCE]. 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. Data type Extension(Coding) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers-number Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.dataProviders
population	I	1..1	Extension(Complex)	Element id Library.extension:population Short description Population of the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information about the population of the [RESOURCE]. 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. Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-population Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: Design.population
recordLinkage	I	0..1	Extension(Complex)	Element id Library.extension:recordLinkage Short description Information about record linkage for the [RESOURCE] Alternate names extensions, user content Definition Group of items providing information on record linkage. Comments Applies only if 1.17.26.9 Design.dataSharingPlan.recordLinkage has been answered with Yes Data type Extension(Complex) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A NFDI4Health: RL1 RecordLinkage
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Library.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition 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). Requirements 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.url Short description Canonical identifier for this library, represented as a URI (globally unique) Definition An absolute URI that is used to identify this library 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 library is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the library is stored on different servers. Requirements Allows the library to be referenced by a single globally unique identifier. Comments 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. 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 element to indicate where the current master source of the resource can be found. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.url w5: FiveWs.identifier rim: .identifier[scope=BUSN;reliability=ISS]
identifier	Σ	0..*	Identifier	Element id Library.identifier Short description Alternative identifiers Definition Group of items providing information about identifiers (IDs) assigned to the given [RESOURCE] by another registering systems, e.g. a registry of clinical trials or a data repository. Requirements Allows externally provided and/or usable business identifiers to be easily associated with the module. Comments Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this library outside of FHIR, where it is not possible to use the logical URI. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Definition.identifier w5: FiveWs.identifier rim: .identifier objimpl: no-gen-base NFDI4Health: Resource.idsAlternative
id		0..1	string	There are no (further) constraints on this element Element id Library.identifier.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Library.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	Σ	1..1	CodeableConceptBinding	Element id Library.identifier.type Short description Type of the registry Definition Type/name of the system where the given [RESOURCE] is already registered. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding Value set defining codes to specify the type of a resource identifier. NFDI4Health_VS_MDS_ID_TYPE_NCI_Local (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context NFDI4Health: Resource.idsAlternative.scheme
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	Σ	1..1	string	Element id Library.identifier.value Short description The value that is unique Definition Identifier Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Identifier (ID) assigned to the given [RESOURCE] by another registering system, e.g. by a registry of clinical trials or a data repository. ISRCTN91495258 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value NFDI4Health: Resource.idsAlternative.identifier
period	Σ I	0..1	Period	There are no (further) constraints on this element Element id Library.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Library.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
version	Σ	0..1	string	There are no (further) constraints on this element Element id Library.version Short description Business version of the library Definition The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library 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. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts. Comments There may be different library 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 library with the format [url]\|[version]. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.version w5: FiveWs.version rim: N/A (to add?)
name	Σ I	0..1	string	There are no (further) constraints on this element Element id Library.name Short description Name for this library (computer friendly) Definition A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation. Requirements Support human navigation and code generation. Comments 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
title	Σ	0..1	string	There are no (further) constraints on this element Element id Library.title Short description Name for this library (human friendly) Definition A short, descriptive, user-friendly title for the library. Comments This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.title rim: .title
subtitle		0..1	string	There are no (further) constraints on this element Element id Library.subtitle Short description Subordinate title of the library Definition An explanatory or alternate title for the library giving additional information about its content. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
status	Σ ?!	1..1	codeBindingFixed Value	Element id Library.status Short description draft \| active \| retired \| unknown Definition The status of this library. Enables tracking the life-cycle of the content. Comments The item does not exist in NFDI4Health' MDS. Fixed to 'active' for all studies. Data type code Binding The lifecycle status of an artifact. PublicationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value active Mappings rim: n/a workflow: Definition.status w5: FiveWs.status rim: .status
experimental	Σ	0..1	boolean	There are no (further) constraints on this element Element id Library.experimental Short description For testing purposes, not real usage Definition A Boolean value to indicate that this library is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. Requirements Enables experimental content to be developed following the same lifecycle that would be used for a production-level library. Comments Allows filtering of librarys that are appropriate for use versus not. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.experimental w5: FiveWs.class rim: N/A (to add?)
type	Σ	1..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Library.type Short description logic-library \| model-definition \| asset-collection \| module-definition Definition Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition. 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. Data type CodeableConcept Binding The type of knowledge asset this library contains. LibraryType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.what[x] rim: .code
subject[x]		0..1	Binding	Element id Library.subject[x] Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Sliced: Unordered, Open, by $this(Type) Binding The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). SubjectType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
subjectReference		0..1	Reference(NFDI4Health PR MDS Group Eligibility)	Element id Library.subject[x]:subjectReference Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Data type Reference(NFDI4Health PR MDS Group Eligibility) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a NFDI4Health: Design.eligibilityCriteria
subjectCodeableConcept		0..1	CodeableConceptBinding	Element id Library.subject[x]:subjectCodeableConcept Short description Type of individual the library content is focused on Definition A code or group definition that describes the intended subject of the contents of the library. Meaning when missing Patient Data type CodeableConcept Binding The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). SubjectType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a NFDI4Health: Design.subject
date	Σ	0..1	dateTime	There are no (further) constraints on this element Element id Library.date Short description Date last changed Alternate names Revision Date Definition The date (and optionally time) when the library 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 library changes. Comments Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the library. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.date w5: FiveWs.recorded rim: .participation[typeCode=AUT].time
publisher	Σ	0..1	string	There are no (further) constraints on this element Element id Library.publisher Short description Name of the publisher (organization or individual) Definition The name of the organization or individual that published the library. Requirements Helps establish the "authority/credibility" of the library. May also allow for contact. Comments Usually an organization but may be an individual. The publisher (or steward) of the library is the organization or individual primarily responsible for the maintenance and upkeep of the library. 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 library. This item SHOULD be populated unless the information is available from context. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.publisher w5: FiveWs.witness rim: .participation[typeCode=AUT].role
contact	Σ	0..*	ContactDetail	There are no (further) constraints on this element Element id Library.contact Short description Contact details for the publisher Definition Contact details to assist a user in finding and communicating with the publisher. Comments May be a web site, an email address, a telephone number, etc. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.contact rim: .participation[typeCode=CALLBCK].role
description	Σ	0..1	markdown	Element id Library.description Short description Additional information about the [RESOURCE] Definition Any additional information about specific aspects of the [RESOURCE] that could not be captured by other fields.. Comments Short input help: You can provide here specific aspects of the [RESOURCE] that could not be captured by other fields. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.description rim: .text NFDI4Health: Design.comment
useContext	Σ	0..*	UsageContext	There are no (further) constraints on this element Element id Library.useContext Short description The context that the content is intended to support Definition 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 library instances. Requirements Assist in searching for appropriate content. Comments When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. Data type UsageContext Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.useContext rim: N/A (to add?)
jurisdiction	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Library.jurisdiction Short description Intended jurisdiction for library (if applicable) Definition A legal or geographic region in which the library is intended to be used. Comments It may be possible for the library to be used in jurisdictions other than those for which it was originally designed or intended. Data type CodeableConcept Binding Countries and regions within which this artifact is targeted for use. Jurisdiction ValueSet (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Definition.jurisdiction rim: N/A (to add?)
purpose		0..1	markdown	There are no (further) constraints on this element Element id Library.purpose Short description Why this library is defined Definition Explanation of why this library is needed and why it has been designed as it has. Comments This element does not describe the usage of the library. 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 library. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.purpose w5: FiveWs.why[x] rim: .reasonCode.text objimpl: no-gen-base
usage		0..1	string	There are no (further) constraints on this element Element id Library.usage Short description Describes the clinical usage of the library Definition A detailed description of how the library is used from a clinical perspective. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
copyright		0..1	markdown	There are no (further) constraints on this element Element id Library.copyright Short description Use and/or publishing restrictions Alternate names License, Restrictions Definition A copyright statement relating to the library and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the library. Requirements Consumers must be able to determine any legal restrictions on the use of the library and/or its content. Comments Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/ Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.copyright rim: N/A (to add?) objimpl: no-gen-base
approvalDate		0..1	date	There are no (further) constraints on this element Element id Library.approvalDate Short description When the library was approved by publisher Definition The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. Comments The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.approvalDate rim: .outboundRelationship[typeCode="SUBJ"].act[classCode=CACT;moodCode=EVN;code="approval"].effectiveTime objimpl: no-gen-base
lastReviewDate		0..1	date	There are no (further) constraints on this element Element id Library.lastReviewDate Short description When the library was last reviewed Definition The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. Requirements Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant. Comments If specified, this date follows the original approval date. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Definition.lastReviewDate rim: .outboundRelationship[typeCode="SUBJ"; subsetCode="RECENT"].act[classCode=CACT;moodCode=EVN;code="review"].effectiveTime objimpl: no-gen-base
effectivePeriod	Σ I	0..1	Period	Element id Library.effectivePeriod Short description When the library is expected to be used Definition The period during which the library content was or is planned to be in active use. Requirements Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the library are or are expected to be used instead. Comments The effective period for a library determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] workflow: Definition.effectivePeriod rim: N/A (to add?) objimpl: no-gen-base NFDI4Health: Design.administrativeInformation.startDate NFDI4Health: Design.administrativeInformation.endDate
id		0..1	string	There are no (further) constraints on this element Element id Library.effectivePeriod.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.effectivePeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	Σ I	0..1	dateTime	Element id Library.effectivePeriod.start Short description Start date Definition Start date of data collection for the [RESOURCE]. Comments Additional information: Preferred date format: DD.MM.YYYY. \| Short input help: In case of a planned [RESOURCE], enter the intended start date. In case of an ongoing [RESOURCE], enter the actual start date. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low
end	Σ I	0..1	dateTime	Element id Library.effectivePeriod.end Short description End date Definition In case of a [RESOURCE] with patients or other participants, it is the date when the last participant is examined or receives an intervention, or the date of the last participant's last visit. Comments Additional information: Preferred date format: DD.MM.YYYY. \| Short input help: In case of a planned or ongoing [RESOURCE], enter the intended end date. In case of a completed [RESOURCE], enter the actual end date. Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high
topic		0..*	CodeableConcept	Element id Library.topic Short description Primary focus of the [RESOURCE] Definition Group of items providing information about the focus of the [RESOURCE] (e.g. medication, food, therapy, device, etc.). Requirements Repositories must be able to determine how to categorize the library so that it can be found by topical searches. 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. Data type CodeableConcept Binding High-level categorization of the definition, used for searching, sorting, and filtering. DefinitionTopic (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: N/A (to add?) NFDI4Health: Design.focus
id		0..1	string	There are no (further) constraints on this element Element id Library.topic.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.topic.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
uri	I	0..1	Extension(uri)	Element id Library.topic.extension:uri Short description Code of the health condition[conditions] or disease Alternate names extensions, user content Definition Code of the health condition[conditions] or disease in the terminology/classification used. Comments Short input help: If known, you can provide the code from the terminology/classification used. Data type Extension(uri) Extension URL https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Examples Example of an URI for a SNOMED CT concept. http://snomed.info/id/840533007 Mappings rim: n/a rim: N/A NFDI4Health: Design.focus.code
coding	Σ	1..1	CodingBinding	Element id Library.topic.coding Short description Terminology/classification Definition Terminology/classification used for the focus area. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Short Input Help: If used, name of the terminology/classification. Data type Coding Binding NFDI4Health_VS_MDS_Study_Conditions_Classification_NCI_Local (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples Example of a terminology/classification C49469 Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.id Short description 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. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Library.topic.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Library.topic.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element id Library.topic.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code NFDI4Health: Design.focus.classification
display	Σ	0..1	string	There are no (further) constraints on this element Element id Library.topic.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Library.topic.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	1..1	string	Element id Library.topic.text Short description Focus area Definition Focus area of the [RESOURCE] (e.g. medication, food, therapy, device, etc.). 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. Comments Additional Information: The use of terms from established terminologies/classifications (e.g. SNOMED CT, ICD, etc.) is preferred. However, also self-assigned terms are allowed. \| Short input help: Preferably, use terms from SNOMED CT (https://browser.ihtsdotools.org). Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText NFDI4Health: Design.focus.label
author		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.author Short description Who authored the content Definition An individiual or organization primarily involved in the creation and maintenance of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=AUT]
editor		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.editor Short description Who edited the content Definition An individual or organization primarily responsible for internal coherence of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
reviewer		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.reviewer Short description Who reviewed the content Definition An individual or organization primarily responsible for review of some aspect of the content. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}
endorser		0..*	ContactDetail	There are no (further) constraints on this element Element id Library.endorser Short description Who endorsed the content Definition An individual or organization responsible for officially endorsing the content for use in some setting. Data type ContactDetail Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}
relatedArtifact		0..1	NFDI4Health PR MDS Related Artifact Resource	Element id Library.relatedArtifact Short description Related publications, datasets, study documents, web pages, etc. Definition Group of items providing information about identifiers (IDs) of the resources related to the given resource, e.g. DOIs of publications, datasets, study documents or links to web pages. Requirements Libraries must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content. Comments Short input help: If existing, you can specify identifier(s) of any related resources, e.g. DOIs of publications, datasets, study documents, links to web pages, etc. Data type NFDI4Health PR MDS Related Artifact Resource Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV w/ inversionInd=true; No support for citation}
parameter		0..*	ParameterDefinition	There are no (further) constraints on this element Element id Library.parameter Short description Parameters defined by the library Definition The parameter element defines parameters used by the library. Data type ParameterDefinition Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
dataRequirement		0..*	DataRequirement	There are no (further) constraints on this element Element id Library.dataRequirement Short description What data is referenced by this library Definition Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library. Data type DataRequirement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A (to add?)
content	Σ I	0..*	Attachment	There are no (further) constraints on this element Element id Library.content Short description Contents of the library, either embedded or referenced Definition The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content. Comments When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent". Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1: If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim: n/a v2: ED/RP rim: ED rim: .text

{
    "resourceType": "StructureDefinition",
    "id": "nfdi4health-pr-mds-registry",
    "url": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry",
    "version": "0.9",
    "name": "NFDI4Health_PR_MDS_Registry",
    "title": "NFDI4Health PR MDS Registry",
    "status": "draft",
    "publisher": "NFDI4Health",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.nfdi4health.de"
                }
            ]
        }
    ],
    "description": "Group of items applicable only to registries.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "workflow",
            "uri": "http://hl7.org/fhir/workflow",
            "name": "Workflow Pattern"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        },
        {
            "identity": "objimpl",
            "uri": "http://hl7.org/fhir/object-implementation",
            "name": "Object Implementation Information"
        },
        {
            "identity": "NFDI4Health",
            "name": "NFDI4Health to FHIR Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Library",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Library",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Library",
                "path": "Library",
                "constraint":  [
                    {
                        "key": "biosamples-a",
                        "severity": "error",
                        "human": "0..*, if Design.dataSource.general == 'C70699'",
                        "expression": "extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists() implies extension.extension.where(url='biosamples').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "biosamples-b",
                        "severity": "error",
                        "human": "0..0, if Design.dataSource.general != 'C70699'",
                        "expression": "extension.extension.where(url='general').valueCoding.where(code = 'C70699').exists().not() implies extension.extension.where(url='biosamples').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "imaging-a",
                        "severity": "error",
                        "human": "0..*, if Design.dataSource.general == '031'",
                        "expression": "extension.extension.where(url='general').valueCoding.where(code = '031').exists() implies extension.extension.where(url='imaging').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "imaging-b",
                        "severity": "error",
                        "human": "0..0, if Design.dataSource.general != '031'",
                        "expression": "extension.extension.where(url='general').valueCoding.where(code = '031').exists().not() implies extension.extension.where(url='imaging').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "omics-a",
                        "severity": "error",
                        "human": "0..*, if Design.dataSource.general == '033'",
                        "expression": "extension.extension.where(url='general').valueCoding.where(code = '033').exists() implies extension.extension.where(url='omics').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "omics-b",
                        "severity": "error",
                        "human": "0..0, if Design.dataSource.general != '033'",
                        "expression": "extension.extension.where(url='general').valueCoding.where(code = '033').exists().not() implies extension.extension.where(url='omics').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "supportingInformation-a",
                        "severity": "error",
                        "human": "Cardinality: 0..*, if Design.dataSharingPlan.generally == '373066001'",
                        "expression": "extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='supportingInformation').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "supportingInformation-b",
                        "severity": "error",
                        "human": "Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001'",
                        "expression": "extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='supportingInformation').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "timeFrame-a",
                        "severity": "error",
                        "human": "Cardinality: 0..*, if Design.dataSharingPlan.generally == '373066001'",
                        "expression": "extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='timeFrame').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "timeFrame-b",
                        "severity": "error",
                        "human": "Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001'",
                        "expression": "extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='timeFrame').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "accessCriteria-a",
                        "severity": "error",
                        "human": "Cardinality: 0..*, if Design.dataSharingPlan.generally == '373066001'",
                        "expression": "extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists() implies extension.extension.where(url='accessCriteria').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "accessCriteria-b",
                        "severity": "error",
                        "human": "Cardinality: 0..0, if Design.dataSharingPlan.generally != '373066001'",
                        "expression": "extension.extension.where(url='generally').valueCoding.where(code = '373066001').exists().not() implies extension.extension.where(url='accessCriteria').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "recordLinkage-a",
                        "severity": "error",
                        "human": "Cardinality: 1..1, if Design.dataSharingPlan.recordLinkage == 'Yes'",
                        "expression": "extension.extension.where(url='recordLinkage').where(value=true).exists()  implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "recordLinkage-b",
                        "severity": "error",
                        "human": "Cardinality: 0..0, if Design.dataSharingPlan.recordLinkage == 'No'",
                        "expression": "extension.extension.where(url='recordLinkage').where(value=false).exists() implies extension.where(url='https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "legalBasisDetails-a",
                        "severity": "error",
                        "human": "Cardinality: 1..1, if RecordLinkage.legalBasis == 'True'",
                        "expression": "extension.extension.where(url='legalBasis').where(value=true).exists() implies extension.extension.where(url='legalBasisDetails').exists()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    },
                    {
                        "key": "legalBasisDetails-b",
                        "severity": "error",
                        "human": "Cardinality: 0..0, if RecordLinkage.legalBasis == 'False'",
                        "expression": "extension.extension.where(url='legalBasis').where(value=false).exists() implies extension.extension.where(url='legalBasisDetails').exists().not()",
                        "source": "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-registry"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design"
                    }
                ]
            },
            {
                "id": "Library.extension",
                "path": "Library.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "min": 5
            },
            {
                "id": "Library.extension:groupsOfDiseases",
                "path": "Library.extension",
                "sliceName": "groupsOfDiseases",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-groups-of-diseases"
                        ]
                    }
                ],
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.groupsOfDiseases"
                    }
                ]
            },
            {
                "id": "Library.extension:ethicsCommitteeApproval",
                "path": "Library.extension",
                "sliceName": "ethicsCommitteeApproval",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-ethics-approval"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:keywords",
                "path": "Library.extension",
                "sliceName": "keywords",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-keywords"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:descriptions",
                "path": "Library.extension",
                "sliceName": "descriptions",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-descriptions"
                        ]
                    }
                ],
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Resource.descriptions"
                    }
                ]
            },
            {
                "id": "Library.extension:dataSource",
                "path": "Library.extension",
                "sliceName": "dataSource",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-source"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:subject",
                "path": "Library.extension",
                "sliceName": "subject",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-subject"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:outcomes",
                "path": "Library.extension",
                "sliceName": "outcomes",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-outcomes"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:assessments",
                "path": "Library.extension",
                "sliceName": "assessments",
                "min": 0,
                "max": "*",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-assessments"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:dataSharingPlan",
                "path": "Library.extension",
                "sliceName": "dataSharingPlan",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-data-sharing-plan"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:dataProviders",
                "path": "Library.extension",
                "sliceName": "dataProviders",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:dataProvidersNumber",
                "path": "Library.extension",
                "sliceName": "dataProvidersNumber",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-data-providers-number"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:population",
                "path": "Library.extension",
                "sliceName": "population",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-library-population"
                        ]
                    }
                ]
            },
            {
                "id": "Library.extension:recordLinkage",
                "path": "Library.extension",
                "sliceName": "recordLinkage",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-record-linkage"
                        ]
                    }
                ]
            },
            {
                "id": "Library.identifier",
                "path": "Library.identifier",
                "short": "Alternative identifiers",
                "definition": "Group of items providing information about identifiers (IDs) assigned to the given [RESOURCE] by another registering systems, e.g. a registry of clinical trials or a data repository.",
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Resource.idsAlternative"
                    }
                ]
            },
            {
                "id": "Library.identifier.type",
                "path": "Library.identifier.type",
                "short": "Type of the registry",
                "definition": "Type/name of the system where the given [RESOURCE] is already registered.",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://www.nfdi4health.de/fhir/metadataschema/ValueSet/nfdi4health-vs-mds-id-type-nci-local",
                    "description": "Value set defining codes to specify the type of a resource identifier."
                },
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Resource.idsAlternative.scheme"
                    }
                ]
            },
            {
                "id": "Library.identifier.value",
                "path": "Library.identifier.value",
                "definition": "Identifier",
                "min": 1,
                "example":  [
                    {
                        "label": "Identifier (ID) assigned to the given [RESOURCE] by another registering system, e.g. by a registry of clinical trials or a data repository.",
                        "valueString": "ISRCTN91495258"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Resource.idsAlternative.identifier"
                    }
                ]
            },
            {
                "id": "Library.status",
                "path": "Library.status",
                "comment": "The item does not exist in NFDI4Health' MDS. Fixed to 'active' for all studies.",
                "fixedCode": "active"
            },
            {
                "id": "Library.subject[x]",
                "path": "Library.subject[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                }
            },
            {
                "id": "Library.subject[x]:subjectReference",
                "path": "Library.subject[x]",
                "sliceName": "subjectReference",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-group-intended"
                        ]
                    }
                ],
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.eligibilityCriteria"
                    }
                ]
            },
            {
                "id": "Library.subject[x]:subjectCodeableConcept",
                "path": "Library.subject[x]",
                "sliceName": "subjectCodeableConcept",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.subject"
                    }
                ]
            },
            {
                "id": "Library.description",
                "path": "Library.description",
                "short": "Additional information about the [RESOURCE]",
                "definition": "Any additional information about specific aspects of the [RESOURCE] that could not be captured by other fields..",
                "comment": "Short input help: You can provide here specific aspects of the [RESOURCE] that could not be captured by other fields.",
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.comment"
                    }
                ]
            },
            {
                "id": "Library.effectivePeriod",
                "path": "Library.effectivePeriod",
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.administrativeInformation.startDate"
                    },
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.administrativeInformation.endDate"
                    }
                ]
            },
            {
                "id": "Library.effectivePeriod.start",
                "path": "Library.effectivePeriod.start",
                "short": "Start date",
                "definition": "Start date of data collection for the [RESOURCE].",
                "comment": "Additional information: Preferred date format: DD.MM.YYYY. | Short input help: In case of a planned [RESOURCE], enter the intended start date. In case of an ongoing [RESOURCE], enter the actual start date."
            },
            {
                "id": "Library.effectivePeriod.end",
                "path": "Library.effectivePeriod.end",
                "short": "End date",
                "definition": "In case of a [RESOURCE] with patients or other participants, it is the date when the last participant is examined or receives an intervention, or the date of the last participant's last visit.",
                "comment": "Additional information: Preferred date format: DD.MM.YYYY. | Short input help: In case of a planned or ongoing [RESOURCE], enter the intended end date. In case of a completed [RESOURCE], enter the actual end date."
            },
            {
                "id": "Library.topic",
                "path": "Library.topic",
                "short": "Primary focus of the [RESOURCE]",
                "definition": "Group of items providing information about the focus of the [RESOURCE] (e.g. medication, food, therapy, device, etc.).",
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.focus"
                    }
                ]
            },
            {
                "id": "Library.topic.extension:uri",
                "path": "Library.topic.extension",
                "sliceName": "uri",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-ex-mds-uri"
                        ]
                    }
                ],
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.focus.code"
                    }
                ]
            },
            {
                "id": "Library.topic.coding",
                "path": "Library.topic.coding",
                "short": "Terminology/classification",
                "definition": "Terminology/classification used for the focus area.",
                "comment": "Short Input Help: If used, name of the terminology/classification.",
                "min": 1,
                "max": "1",
                "example":  [
                    {
                        "label": "Example of a terminology/classification",
                        "valueCode": "C49469"
                    }
                ],
                "binding": {
                    "strength": "required",
                    "valueSet": "https://www.nfdi4health.de/fhir/metadataschema/ValueSet/nfdi4health-vs-mds-study-conditions-classification-nci-local"
                }
            },
            {
                "id": "Library.topic.coding.code",
                "path": "Library.topic.coding.code",
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.focus.classification"
                    }
                ]
            },
            {
                "id": "Library.topic.text",
                "path": "Library.topic.text",
                "short": "Focus area",
                "definition": "Focus area of the [RESOURCE] (e.g. medication, food, therapy, device, etc.).",
                "comment": "Additional Information: The use of terms from established terminologies/classifications (e.g. SNOMED CT, ICD, etc.) is preferred. However, also self-assigned terms are allowed. | Short input help: Preferably, use terms from SNOMED CT (https://browser.ihtsdotools.org).",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "NFDI4Health",
                        "map": "Design.focus.label"
                    }
                ]
            },
            {
                "id": "Library.relatedArtifact",
                "path": "Library.relatedArtifact",
                "max": "1",
                "type":  [
                    {
                        "code": "RelatedArtifact",
                        "profile":  [
                            "https://www.nfdi4health.de/fhir/metadataschema/StructureDefinition/nfdi4health-pr-mds-related-artifact-resource"
                        ]
                    }
                ]
            }
        ]
    }
}

Example

Example data for NFDI4Health PR MDS Study used to represent metadata from studies

Example data from the HCR Registry:
InstanceOfLibraryHKR