ZIV_Vertragskopien (Contract) | C | | Contract | There are no (further) constraints on this element Element idContract Short descriptionLegal Agreement DefinitionLegally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.
Data typeContract Constraints- dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty() - dom-6: A resource should have narrative for robust management
text.`div`.exists() Mappings- rim: Entity. Role, or Act
- workflow: Request
- rim: FinancialContract
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idContract.id Short descriptionLogical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
CommentsThe only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Data typestring |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idContract.meta Short descriptionMetadata about the resource DefinitionThe 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 typeMeta Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idContract.implicitRules Short descriptionA set of rules under which this content was created DefinitionA 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.
CommentsAsserting 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 typeuri Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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language | | 0..1 | codeBinding | There are no (further) constraints on this element Element idContract.language Short descriptionLanguage of the resource content DefinitionThe base language in which the resource is written.
CommentsLanguage 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 typecode BindingCommonLanguages (preferred) Binding extensionsConstraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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text | | 0..1 | Narrative | There are no (further) constraints on this element Element idContract.text Short descriptionText summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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.
CommentsContained 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 typeNarrative Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
contained | | 0..* | Resource | There are no (further) constraints on this element Element idContract.contained Short descriptionContained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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.
CommentsThis 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 typeResource Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.modifierExtension Short descriptionExtensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idContract.identifier Short descriptionContract number DefinitionUnique identifier for this Contract or a derivative that references a Source Contract.
RequirementsThis is the business identifier of the contract content conveyed. It may be a derivative of the legally binding contract, in which case, the identifier of the basal contract is contained in the Contract.binding referenced Contract.
Data typeIdentifier Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.identifier
- rim: FinancialContract id
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url | S | 0..1 | uri | There are no (further) constraints on this element Element idContract.url Short descriptionBasal definition DefinitionCanonical identifier for this contract, represented as a URI (globally unique).
RequirementsAn absolute URI that is used to identify this contract when it is referenced in a specification, model, design, instance or a contract derivative; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which this plan definition is (or will be) published.
CommentsUsed in a domain that uses a supplied contract repository.
Data typeuri Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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version | S Σ | 1..1 | string | Element idContract.version Short descriptionBusiness edition DefinitionAn edition identifier used for business purposes to label business significant variants.
ZIV: Für Klinik und Patient einsehbar.
RequirementsThe identifier that is used to identify this version of the contract when it is referenced in a specification, model, design, instance, or contract derivative. This is an arbitrary value managed by the contract 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.
CommentsNote - This is a business versionId, not a resource version id (see discussion http://build.fhir.org/resource.html#versions)
Comments - There may be different contract 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 plan definition with the format [url]|[version].
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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status | S Σ ?! | 0..1 | codeBinding | Element idContract.status Short descriptionamended | appended | cancelled | disputed | entered-in-error | executable | executed | negotiable | offered | policy | rejected | renewed | revoked | resolved | terminated DefinitionThe status of the resource instance.
ZIV: Für Klinik änderbar, für Patient einsehbar.
RequirementsThis is the Contract Business Workflow Status.
CommentsThis element is labeled as a modifier because the status contains codes that mark the contract as not currently valid or active.
Data typecode BindingA code specifying the state of the resource instance.
ContractResourceStatusCodes (required) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.status
- w5: FiveWs.status
- rim: Act.status
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legalState | S | 0..1 | CodeableConceptBinding | Element idContract.legalState Short descriptionNegotiation status DefinitionLegal states of the formation of a legal instrument, which is a formally executed written document that can be formally attributed to its author, records and formally expresses a legally enforceable act, process, or contractual duty, obligation, or right, and therefore evidences that act, process, or agreement.
ZIV: Für Klinik änderbar, für Patient einsehbar.
RequirementsThe legal state of a contract follows a prescribed flow as defined by the legal community and these state may be indepenedent of the workflow state.
Data typeCodeableConcept BindingDetailed codes for the legal state of a contract.
ContractResourceLegalStateCodes (extensible) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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instantiatesCanonical | | 0..1 | Reference(Contract) | There are no (further) constraints on this element Element idContract.instantiatesCanonical Short descriptionSource Contract Definition DefinitionThe URL pointing to a FHIR-defined Contract Definition that is adhered to in whole or part by this Contract.
Data typeReference(Contract) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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instantiatesUri | | 0..1 | uri | There are no (further) constraints on this element Element idContract.instantiatesUri Short descriptionExternal Contract Definition DefinitionThe URL pointing to an externally maintained definition that is adhered to in whole or in part by this Contract.
Data typeuri Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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contentDerivative | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.contentDerivative Short descriptionContent derived from the basal information DefinitionThe minimal content derived from the basal information source at a specific stage in its lifecycle.
RequirementsIn the context of a contract, the information source of the content derivative shall be the information referenced by the contract.binding.
The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse.
However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.
If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.
Data typeCodeableConcept BindingThis is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source.
ContractContentDerivationCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: Maps partially to several v3 codes: ActClass: REG (registration) Description: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment.
The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system. Observation: VERIF (Verification) Description: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details. TRFR (transfer) Description: The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD. _ActDetectedIssueManagementCode [abstract term] Description: Codes dealing with the management of Detected Issue observations. _ActInformationAccessContextCode [abstract term] Description: Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information. _ActListCode [abstract term]vDescription: Provides codes associated with ActClass value of LIST (working list). RefusalReasonCode [abstract term] Description:
Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
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issued | S Σ | 0..1 | dateTime | Element idContract.issued Short descriptionWhen this Contract was issued DefinitionWhen this Contract was issued.
ZIV: Für Klinik und Patient einsehbar.
RequirementsThe Contract issuance dateTime often precedes the Contract effective dateTime.
Data typedateTime Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.authoredOn
- rim: Act.availabilityTime. Definition: A time expression specifying when an Observation, Procedure, or other Act occurs, or, depending on the mood, is supposed to occur, scheduled to occur, etc. The activityTime includes the times of component actions (such as preparation and clean-up). For Procedures and SubstanceAdministrations, the activityTime can provide a needed administrative function by providing a more inclusive time to be anticipated in scheduling. UsageNotes:The activityTime is primarily of administrative rather than clinical use. The clinically relevant time is the effectiveTime. When an observation of a prior symptom is made, the activityTime describes the time the observation is made, as opposed to effectiveTime which is the time the symptom is reported to have occurred. Thus the activityTime may be entirely different from the effectiveTime of the same Act. However, even apart from clinical use cases, designers should first consider effectiveTime as the primary relevant time for an Act. ActivityTime indicates when an Act occurs, not when it is recorded.
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applies | S Σ | 0..1 | Period | Element idContract.applies Short descriptionEffective time DefinitionRelevant time or time-period when this Contract is applicable.
ZIV: Für Klinik und Patient einsehbar.
RequirementsThe dateTime upon which the Contract is binding.
Data typePeriod Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.occurrence[x]
- rim: Act.effectiveTime Definition: The clinically or operationally relevant time of an act, exclusive of administrative activity.
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.applies.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.applies.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension SlicingUnordered, 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 |
start | S Σ C | 0..1 | dateTime | Element idContract.applies.start Short descriptionStarting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive.
ZIV: Für Klinik und Patient einsehbar.
CommentsIf the low element is missing, the meaning is that the low boundary is not known.
Data typedateTime ConditionsThe cardinality or value of this element may be affected by these constraints: per-1 Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
end | Σ C | 0..1 | dateTime | Element idContract.applies.end Short descriptionEnd time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
ZIV: Für Klinik und Patient einsehbar, wenn zutreffend.
CommentsThe high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Meaning when missingIf the end of the period is missing, it means that the period is ongoing
Data typedateTime ConditionsThe cardinality or value of this element may be affected by these constraints: per-1 Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
expirationType | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.expirationType Short descriptionContract cessation cause DefinitionEvent resulting in discontinuation or termination of this Contract instance by one or more parties to the contract.
Data typeCodeableConcept BindingCodes for the Cessation of Contracts.
ContractResourceExpirationTypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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subject | S Σ | 0..* | Reference(Resource) | Element idContract.subject Short descriptionContract Target Entity Alternate namesPatient DefinitionThe target entity impacted by or of interest to parties to the agreement.
ZIV: Für Klinik und Patient einsehbar.
RequirementsThe Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.
CommentsThe Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason.
In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.
Data typeReference(Resource) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.subject
- rim: RoleClass, RoleCode
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authority | S | 0..* | Reference(Organization) | Element idContract.authority Short descriptionAuthority under which this Contract has standing DefinitionA formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.
ZIV: Für Klinik und Patient einsehbar. Für Patienten wichtig mit wem der Vertrag abgeschlossen ist.
RequirementsThe governance framework responsible for ensuring compliance with or enforcement of the contract or policy.
Data typeReference(Organization) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: Organization Role. CONCEPT DOMAIN: OrganizationEntityType Description: Further classifies entities of EntityClass ORG.
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domain | | 0..* | Reference(Location) | There are no (further) constraints on this element Element idContract.domain Short descriptionA sphere of control governed by an authoritative jurisdiction, organization, or person Alternate namesscope of governance jurisdiction DefinitionRecognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources.
RequirementsThe entities bound by governance to comply with the enforcement of contracts or policies by a recognized authority.
Data typeReference(Location) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: TERR (territory of authority) Description: Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory "Region 4 of Alberta" (player) in matters of health.
Entity Class = Place? A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place might or might not be constant.
CONCEPT DOMAIN: TerritoryEntityType Description: A territorial entity that may be cited as the body over which an agency exercises jurisdiction, or which defines a sphere in which a party has a particular responsibility. CONCEPT DOMAIN: OrganizationEntityType
Description: Further classifies entities of EntityClass ORG.
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site | S | 0..* | Reference(Location) | Element idContract.site Short descriptionSpecific Location DefinitionSites in which the contract is complied with, exercised, or in force.
ZIV: Für Klinik und Patient einsehbar.
Data typeReference(Location) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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name | Σ | 0..1 | string | There are no (further) constraints on this element Element idContract.name Short descriptionComputer friendly designation DefinitionA natural language name identifying this Contract definition, derivative, or instance in any legal state. Provides additional information about its content. This name should be usable as an identifier for the module by machine processing applications such as code generation.
RequirementsSupport human navigation and code generation.
CommentsThe 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 typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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title | S Σ | 0..1 | string | Element idContract.title Short descriptionHuman Friendly name DefinitionA short, descriptive, user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.
ZIV: Für Klinik und Patient einsehbar.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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subtitle | | 0..1 | string | Element idContract.subtitle Short descriptionSubordinate Friendly name DefinitionAn explanatory or alternate user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.
ZIV: Für Klinik und Patient einsehbar.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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alias | | 0..* | string | There are no (further) constraints on this element Element idContract.alias Short descriptionAcronym or short name DefinitionAlternative representation of the title for this Contract definition, derivative, or instance in any legal state., e.g., a domain specific contract number related to legislation.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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author | S | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Organization) | There are no (further) constraints on this element Element idContract.author Short descriptionSource of Contract DefinitionThe individual or organization that authored the Contract definition, derivative, or instance in any legal state.
Data typeReference(Patient | Practitioner | PractitionerRole | Organization) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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scope | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.scope Short descriptionRange of Legal Concerns DefinitionA selector of legal concerns for this Contract definition, derivative, or instance in any legal state.
Data typeCodeableConcept BindingCodes for the range of legal concerns.
ContractResourceScopeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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topic[x] | | 0..1 | | There are no (further) constraints on this element Element idContract.topic[x] Short descriptionFocus of contract interest DefinitionNarrows the range of legal concerns to focus on the achievement of specific contractual objectives.
RequirementsRequirement: May be used to focus the topic of a Contract definition, derivative, or instance in any legal state.
Comment: Contractual areas of concern are very broad. This element supports narrowing the area of concern to more specific term topics within this Contract. Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts.
One way to determine the Contract.topic is to answer the question: “What is the overall objective of this legal instrument. The Contract.topic is described with more detail by the terms of the Contract.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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topicCodeableConcept | | | CodeableConcept | There are no (further) constraints on this element Data typeCodeableConcept |
topicReference | | | Reference(Resource) | There are no (further) constraints on this element Data typeReference(Resource) |
type | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.type Short descriptionLegal instrument category DefinitionA high-level category for the legal instrument, whether constructed as a Contract definition, derivative, or instance in any legal state. Provides additional information about its content within the context of the Contract's scope to distinguish the kinds of systems that would be interested in the contract.
Data typeCodeableConcept BindingList of overall contract codes.
ContractTypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.code
- w5: FiveWs.what[x]
- rim: Maps to multiple ActClass and ActCode Concept Domains and Code Systems such as the following: In the ActClass Concept Domain: ActClassPolicy. In the ActCode Concept Domain: ActContractType, which generalizes ActFinancialContractType, ActCoverageType, ActBillingArrangementType. ActConsentType, which generalizes ActDataConsentType; ActFinancialParticipationConsentType; ActInformationAccessCode; AdvanceBeneficiaryNoticeType. ActPolicyType, which generalizes: ActPrivacyPolicyType, ActSensitivityPrivacyPolicyType, ActSecurityPolicyType. In the ActClass Code System: CNTRCT (contract) Description: An agreement of obligation between two or more parties that is subject to contractual law and enforcement, lwhich generalizes FCNTRCT (financial contract) and COV (coverage). POLICY (policy) - Description: A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: The activity of another party; the behavior of another party; or the manner in which an act is executed. LEAF CONCEPTS: JURISPOL (jurisdictional policy) Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: The activity of another party; the behavior of another party; or the manner in which an act is executed.Examples:A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.ORGPOL (organizational policy)Examples:A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.SCOPOL (scope of practice policy)Description:An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications.Examples:An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide. STDPOL (standard of practice policy) Examples:A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems. CONS (consent)Description: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc. The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public.
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subType | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.subType Short descriptionSubtype within the context of type DefinitionSub-category for the Contract that distinguishes the kinds of systems that would be interested in the Contract within the context of the Contract's scope.
Data typeCodeableConcept BindingDetailed codes within the above.
ContractSubtypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: Examples of Contract or Policy subtypes in ActCodes:_ActCoverageTypeCode Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties. Generalizes: _ActInsurancePolicyCode; _ActInsuranceTypeCode; ActProgramTypeCode. _ActPolicyType Description:Types of policies that further specify the ActClassPolicy value set. Generalizes: _ActPrivacyPolicy; _ActPrivacyLaw; _InformationSensitivityPolicy; ActTrustPolicyType; SecurityPolicy. _ActInvoiceAdjudicationPaymentGroupCode Description: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc., e.g. RECOV (recovery) Description: Retroactive adjustment such as fee rate adjustment due to contract negotiations.
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contentDefinition | | 0..1 | BackboneElement | There are no (further) constraints on this element Element idContract.contentDefinition Short descriptionContract precursor content DefinitionPrecusory content developed with a focus and intent of supporting the formation a Contract instance, which may be associated with and transformable into a Contract.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.contentDefinition.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.contentDefinition.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.contentDefinition.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
type | | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.contentDefinition.type Short descriptionContent structure and use DefinitionPrecusory content structure and use, i.e., a boilerplate, template, application for a contract such as an insurance policy or benefits under a program, e.g., workers compensation.
Data typeCodeableConcept BindingDetailed codes for the definition of contracts.
ContractResourceDefinitionTypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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subType | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.contentDefinition.subType Short descriptionDetailed Content Type Definition DefinitionDetailed Precusory content type.
Data typeCodeableConcept BindingDetailed codes for the additional definition of contracts.
ContractResourceDefinitionSubtypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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publisher | | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | There are no (further) constraints on this element Element idContract.contentDefinition.publisher Short descriptionPublisher Entity DefinitionThe individual or organization that published the Contract precursor content.
Data typeReference(Practitioner | PractitionerRole | Organization) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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publicationDate | | 0..1 | dateTime | There are no (further) constraints on this element Element idContract.contentDefinition.publicationDate Short descriptionWhen published DefinitionThe date (and optionally time) when the contract 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 contract changes.
Data typedateTime Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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publicationStatus | | 1..1 | codeBinding | There are no (further) constraints on this element Element idContract.contentDefinition.publicationStatus Short descriptionamended | appended | cancelled | disputed | entered-in-error | executable | executed | negotiable | offered | policy | rejected | renewed | revoked | resolved | terminated Definitionamended | appended | cancelled | disputed | entered-in-error | executable | executed | negotiable | offered | policy | rejected | renewed | revoked | resolved | terminated.
Data typecode BindingStatus of the publication of contract content.
ContractResourcePublicationStatusCodes (required) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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copyright | | 0..1 | markdown | There are no (further) constraints on this element Element idContract.contentDefinition.copyright Short descriptionPublication Ownership DefinitionA copyright statement relating to Contract precursor content. Copyright statements are generally legal restrictions on the use and publishing of the Contract precursor content.
Data typemarkdown Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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term | S | 0..* | BackboneElement | Element idContract.term Short descriptionContract Term List DefinitionOne or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups.
ZIV: Für Klinik und Patient einsehbar.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: RIM mechanism for grouping or nesting rules, which are likely Acts and Observations.
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
identifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idContract.term.identifier Short descriptionContract Term Number DefinitionUnique identifier for this particular Contract Provision.
Data typeIdentifier Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.identifier
- rim: Act or Observation identifier.
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issued | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idContract.term.issued Short descriptionContract Term Issue Date Time DefinitionWhen this Contract Provision was issued.
Data typedateTime Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.authoredOn
- w5: FiveWs.recorded
- rim: Act availabilityTime
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applies | Σ | 0..1 | Period | There are no (further) constraints on this element Element idContract.term.applies Short descriptionContract Term Effective Time DefinitionRelevant time or time-period when this Contract Provision is applicable.
Data typePeriod Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.occurrence[x]
- w5: FiveWs.done[x]
- rim: Act effectiveTime
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topic[x] | | 0..1 | | There are no (further) constraints on this element Element idContract.term.topic[x] Short descriptionTerm Concern DefinitionThe entity that the term applies to.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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topicCodeableConcept | | | CodeableConcept | There are no (further) constraints on this element Data typeCodeableConcept |
topicReference | | | Reference(Resource) | There are no (further) constraints on this element Data typeReference(Resource) |
type | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.type Short descriptionContract Term Type or Form DefinitionA legal clause or condition contained within a contract that requires one or both parties to perform a particular requirement by some specified time or prevents one or both parties from performing a particular requirement by some specified time.
Data typeCodeableConcept BindingDetailed codes for the types of contract provisions.
ContractTermTypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.code
- w5: FiveWs.what[x]
- rim: See Contract.term mapping.
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subType | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.subType Short descriptionContract Term Type specific classification DefinitionA specialized legal clause or condition based on overarching contract type.
Data typeCodeableConcept BindingDetailed codes for the subtypes of contract provisions.
ContractTermSubtypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: See Contract.topic mapping.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idContract.term.text Short descriptionTerm Statement DefinitionStatement of a provision in a policy or a contract.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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securityLabel | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.securityLabel Short descriptionProtection for the Term DefinitionSecurity labels that protect the handling of information about the term and its elements, which may be specifically identified..
RequirementsRequirement - Within a Contract, a security label may apply to the one to many nested group of terms or to a term, whether inside a group or a singleton. This security label protects the term and its contained provision elements. The security label on the entire set of term provision elements may be different from the security labels on a contained offer, asset, valuedItem, or data such as sensitive information, and must be the high water mark of all security labels within the term. Rationale is that a labelled term, which may be disaggregated from the Contract, and must persist the label on the term and on contained elements within other contexts.
Requirement - If more than one policy dictates a level of confidentiality of the term, then each applicable policy may be represented by a security label specific to its requirements.
Comment - A Security Label is comprised of 1..1 confidentiality code and 0..* other security label codes (aka "privacy tags". A Security Label is metadata assigned (aka "tagged") to Resources and Resource elements, which specify the confidentiality and sensitivity of the Resource or element and their related attributes, the purposes for which tagged items may be collected, access, used or disclosed, any limitation on the type of entities authorized to engage in permitted purposes, and handling instructions that obligate or prohibit certain actions on the tagged items.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.securityLabel.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.securityLabel.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.securityLabel.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
number | | 0..* | unsignedInt | There are no (further) constraints on this element Element idContract.term.securityLabel.number Short descriptionLink to Security Labels DefinitionNumber used to link this term or term element to the applicable Security Label.
Data typeunsignedInt Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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classification | | 1..1 | Coding | There are no (further) constraints on this element Element idContract.term.securityLabel.classification Short descriptionConfidentiality Protection DefinitionSecurity label privacy tag that species the level of confidentiality protection required for this term and/or term elements.
Data typeCoding BindingCodes for confidentiality protection.
ContractResourceScopeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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category | | 0..* | Coding | There are no (further) constraints on this element Element idContract.term.securityLabel.category Short descriptionApplicable Policy DefinitionSecurity label privacy tag that species the applicable privacy and security policies governing this term and/or term elements.
Data typeCoding BindingCodes for policy category.
ContractResourceScopeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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control | | 0..* | Coding | There are no (further) constraints on this element Element idContract.term.securityLabel.control Short descriptionHandling Instructions DefinitionSecurity label privacy tag that species the manner in which term and/or term elements are to be protected.
Data typeCoding BindingCodes for handling instructions.
ContractResourceSecurityControlCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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offer | | 1..1 | BackboneElement | There are no (further) constraints on this element Element idContract.term.offer Short descriptionContext of the Contract term DefinitionThe matter of concern in the context of this provision of the agrement.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.offer.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.offer.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.offer.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
identifier | | 0..* | Identifier | There are no (further) constraints on this element Element idContract.term.offer.identifier Short descriptionOffer business ID DefinitionUnique identifier for this particular Contract Provision.
Data typeIdentifier Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
party | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.offer.party Short descriptionOffer Recipient DefinitionData typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.offer.party.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.offer.party.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.offer.party.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
reference | | 1..* | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization) | There are no (further) constraints on this element Element idContract.term.offer.party.reference Short descriptionReferenced entity DefinitionParticipant in the offer.
Data typeReference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
role | | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.offer.party.role Short descriptionParticipant engagement type DefinitionHow the party participates in the offer.
Data typeCodeableConcept BindingCodes for offer participant roles.
ContractResourcePartyRoleCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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topic | Σ | 0..1 | Reference(Resource) | There are no (further) constraints on this element Element idContract.term.offer.topic Short descriptionNegotiable offer asset DefinitionThe owner of an asset has the residual control rights over the asset: the right to decide all usages of the asset in any way not inconsistent with a prior contract, custom, or law (Hart, 1995, p. 30).
RequirementsIn the context of a contract, the topic is the matter under consideration in regards to which specific rights, privileges, obligations, restrictions, and prohibitions are binding on any grantor and grantee parties upon the execution of the contract.
Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype.
The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts.
One way to determine the Contract.topic is to answer the question: “What is the object of negotiation?”
Answer: The Contract.topic, which may be described with more detail in the [0..*]Contract.valuedItem @ [0..1] Contract.valuedItem.entity[x] Definition: Specific type of Contract Valued Item that may be priced. CodeableConcept|Reference(Any)
Contract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit.
Contract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason.
AContract.topic is “the what” governed by the execution of the contract to which any party’s rights, privileges, obligations, restrictions, and prohibitions apply.
CommentsThe Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee.
The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse.
However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.
If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.
Data typeReference(Resource) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Event.context
- rim: Includes many ActClass, ActCode, RoleClass, RoleCode, EntityClass, EntityCode, ParticipationType codes from HL7 concept domains and code systems. For example, RoleCode: HLD (held entity) Description: Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner. MANU (manufactured product) Description: Scoped by the manufacturer. OWN (owned entity) Description: An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own. This entitles the scoper to make decisions about the disposition of that material. WRTE (warranted product) Description:
A role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions.
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type | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.offer.type Short descriptionContract Offer Type or Form DefinitionType of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.
Data typeCodeableConcept BindingDetailed codes for the types of contract provisions.
ContractTermTypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: See Contract.term mapping.
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decision | | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idContract.term.offer.decision Short descriptionAccepting party choice DefinitionType of choice made by accepting party with respect to an offer made by an offeror/ grantee.
RequirementsIn some policy or contract contexts, the "offer" is made by an offeror wishing to be the "grantee" of the offer topic by the grantor. From this perspective, the grantor is the "offeree".
Data typeCodeableConcept BindingThe type of decision made by a grantor with respect to an offer made by a grantee.
v3.ActConsentDirective (extensible) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: ActCode: _ActConsentDirective [abstract term] Description: Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated. Usage Note: Such agreements may be considered "consent directives" or "contracts" depending on the context, and are considered closely related or synonymous from a legal perspective.
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decisionMode | | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.term.offer.decisionMode Short descriptionHow decision is conveyed DefinitionHow the decision about a Contract was conveyed.
Data typeCodeableConcept BindingCodes for conveying a decision.
ContractResourceDecisionModeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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answer | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.offer.answer Short descriptionResponse to offer text DefinitionData typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.offer.answer.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.offer.answer.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.offer.answer.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
value[x] | | 1..1 | | There are no (further) constraints on this element Element idContract.term.offer.answer.value[x] Short descriptionThe actual answer response DefinitionResponse to an offer clause or question text, which enables selection of values to be agreed to, e.g., the period of participation, the date of occupancy of a rental, warrently duration, or whether biospecimen may be used for further research.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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valueBoolean | | | boolean | There are no (further) constraints on this element Data typeboolean |
valueDecimal | | | decimal | There are no (further) constraints on this element Data typedecimal |
valueInteger | | | integer | There are no (further) constraints on this element Data typeinteger |
valueDate | | | date | There are no (further) constraints on this element Data typedate |
valueDateTime | | | dateTime | There are no (further) constraints on this element Data typedateTime |
valueTime | | | time | There are no (further) constraints on this element Data typetime |
valueString | | | string | There are no (further) constraints on this element Data typestring |
valueUri | | | uri | There are no (further) constraints on this element Data typeuri |
valueAttachment | | | Attachment | There are no (further) constraints on this element Data typeAttachment |
valueCoding | | | Coding | There are no (further) constraints on this element Data typeCoding |
valueQuantity | | | Quantity | There are no (further) constraints on this element Data typeQuantity |
valueReference | | | Reference(Resource) | There are no (further) constraints on this element Data typeReference(Resource) |
text | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.offer.text Short descriptionHuman readable offer text DefinitionHuman readable form of this Contract Offer.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
linkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.offer.linkId Short descriptionPointer to text DefinitionThe id of the clause or question text of the offer in the referenced questionnaire/response.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: .outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id
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securityLabelNumber | | 0..* | unsignedInt | There are no (further) constraints on this element Element idContract.term.offer.securityLabelNumber Short descriptionOffer restriction numbers DefinitionSecurity labels that protects the offer.
Data typeunsignedInt Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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asset | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.asset Short descriptionContract Term Asset List DefinitionContract Term Asset List.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: FinancialContract.paymentTermsCode
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.asset.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.asset.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.asset.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
scope | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.asset.scope Short descriptionRange of asset DefinitionDifferentiates the kind of the asset .
Data typeCodeableConcept BindingCodes for scoping an asset.
ContractResourceAssetScopeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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type | | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.term.asset.type Short descriptionAsset category DefinitionTarget entity type about which the term may be concerned.
Data typeCodeableConcept BindingCondes for the type of an asset.
ContractResourceAssetTypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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typeReference | | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idContract.term.asset.typeReference Short descriptionAssociated entities DefinitionData typeReference(Resource) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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subtype | | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.term.asset.subtype Short descriptionAsset sub-category DefinitionMay be a subtype or part of an offered asset.
Data typeCodeableConcept BindingCondes for the sub-type of an asset.
ContractResourceAssetSub-TypeCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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relationship | | 0..1 | CodingBinding | There are no (further) constraints on this element Element idContract.term.asset.relationship Short descriptionKinship of the asset DefinitionSpecifies the applicability of the term to an asset resource instance, and instances it refers to orinstances that refer to it, and/or are owned by the offeree.
Data typeCoding BindingThe class (type) of information a consent rule covers.
ConsentContentClass (extensible) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: FinancialContract.code
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context | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.asset.context Short descriptionCircumstance of the asset DefinitionCircumstance of the asset.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.asset.context.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.asset.context.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.asset.context.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
reference | | 0..1 | Reference(Resource) | There are no (further) constraints on this element Element idContract.term.asset.context.reference Short descriptionCreator,custodian or owner DefinitionAsset context reference may include the creator, custodian, or owning Person or Organization (e.g., bank, repository), location held, e.g., building, jurisdiction.
Data typeReference(Resource) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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code | | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.term.asset.context.code Short descriptionCodeable asset context DefinitionCoded representation of the context generally or of the Referenced entity, such as the asset holder type or location.
Data typeCodeableConcept BindingCodes for the context of the asset.
ContractResourceAssetContextCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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text | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.asset.context.text Short descriptionContext description DefinitionData typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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condition | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.asset.condition Short descriptionQuality desctiption of asset DefinitionDescription of the quality and completeness of the asset that imay be a factor in its valuation.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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periodType | | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.term.asset.periodType Short descriptionAsset availability types DefinitionType of Asset availability for use or ownership.
Data typeCodeableConcept BindingCodes for asset availability.
ContractResourceAssetAvailiabilityCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: FinancialContract.code
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period | | 0..* | Period | There are no (further) constraints on this element Element idContract.term.asset.period Short descriptionTime period of the asset DefinitionAsset relevant contractual time period.
Data typePeriod Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: FinancialContract.activityTime
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usePeriod | | 0..* | Period | There are no (further) constraints on this element Element idContract.term.asset.usePeriod Short descriptionTime period DefinitionTime period of asset use.
Data typePeriod Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: FinancialContract.effectiveTime
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text | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.asset.text Short descriptionAsset clause or question text DefinitionClause or question text (Prose Object) concerning the asset in a linked form, such as a QuestionnaireResponse used in the formation of the contract.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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linkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.asset.linkId Short descriptionPointer to asset text DefinitionId [identifier??] of the clause or question text about the asset in the referenced form or QuestionnaireResponse.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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answer | | 0..* | see (answer) | There are no (further) constraints on this element Element idContract.term.asset.answer Short descriptionResponse to assets DefinitionConstraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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securityLabelNumber | | 0..* | unsignedInt | There are no (further) constraints on this element Element idContract.term.asset.securityLabelNumber Short descriptionAsset restriction numbers DefinitionSecurity labels that protects the asset.
Data typeunsignedInt Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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valuedItem | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.asset.valuedItem Short descriptionContract Valued Item List DefinitionContract Valued Item List.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: COCT_RM440000UV09 ValuedItem classCode INVE
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
entity[x] | | 0..1 | | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.entity[x] Short descriptionContract Valued Item Type DefinitionSpecific type of Contract Valued Item that may be priced.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: COCT_RM440000UV09 ValuedItem code
|
entityCodeableConcept | | | CodeableConcept | There are no (further) constraints on this element Data typeCodeableConcept |
entityReference | | | Reference(Resource) | There are no (further) constraints on this element Data typeReference(Resource) |
identifier | | 0..1 | Identifier | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.identifier Short descriptionContract Valued Item Number DefinitionIdentifies a Contract Valued Item instance.
Data typeIdentifier Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: COCT_RM440000UV09 ValuedItem id
|
effectiveTime | | 0..1 | dateTime | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.effectiveTime Short descriptionContract Valued Item Effective Tiem DefinitionIndicates the time during which this Contract ValuedItem information is effective.
Data typedateTime Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.done[x]
- rim: COCT_RM440000UV09 ValuedItem effectiveTime
|
quantity | | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.quantity Short descriptionCount of Contract Valued Items DefinitionSpecifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.
Data typeSimpleQuantity Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: COCT_RM440000UV09 ValuedItem unitQuantity
|
unitPrice | | 0..1 | Money | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.unitPrice Short descriptionContract Valued Item fee, charge, or cost DefinitionA Contract Valued Item unit valuation measure.
Data typeMoney Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: COCT_RM440000UV09 ValuedItem unitPriceAmt
|
factor | | 0..1 | decimal | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.factor Short descriptionContract Valued Item Price Scaling Factor DefinitionA real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
Data typedecimal Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: COCT_RM440000UV09 ValuedItem factorNumber
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points | | 0..1 | decimal | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.points Short descriptionContract Valued Item Difficulty Scaling Factor DefinitionAn amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.
Data typedecimal Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: COCT_RM440000UV09 ValuedItem pointNumber
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net | | 0..1 | Money | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.net Short descriptionTotal Contract Valued Item Value DefinitionExpresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.
Data typeMoney Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: COCT_RM440000UV09 ValuedItem netAmt
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payment | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.payment Short descriptionTerms of valuation DefinitionData typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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paymentDate | | 0..1 | dateTime | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.paymentDate Short descriptionWhen payment is due DefinitionData typedateTime Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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responsible | | 0..1 | Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.responsible Short descriptionWho will make payment DefinitionData typeReference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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recipient | | 0..1 | Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.recipient Short descriptionWho will receive payment DefinitionWho will receive payment.
Data typeReference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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linkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.linkId Short descriptionPointer to specific item DefinitionId of the clause or question text related to the context of this valuedItem in the referenced form or QuestionnaireResponse.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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securityLabelNumber | | 0..* | unsignedInt | There are no (further) constraints on this element Element idContract.term.asset.valuedItem.securityLabelNumber Short descriptionSecurity Labels that define affected terms DefinitionA set of security labels that define which terms are controlled by this condition.
Data typeunsignedInt Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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action | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.action Short descriptionEntity being ascribed responsibility DefinitionAn actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.
RequirementsAn agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.
CommentsSeveral agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.
For example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.action.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.action.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.action.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
doNotPerform | ?! | 0..1 | boolean | There are no (further) constraints on this element Element idContract.term.action.doNotPerform Short descriptionTrue if the term prohibits the action DefinitionTrue if the term prohibits the action.
Data typeboolean Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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type | | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.action.type Short descriptionType or form of the action DefinitionActivity or service obligation to be done or not done, performed or not performed, effectuated or not by this Contract term.
Data typeCodeableConcept BindingDetailed codes for the contract action.
ContractActionCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.performer
- rim: RIM Role, Participation Type classes
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subject | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.term.action.subject Short descriptionEntity of the action DefinitionData typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.term.action.subject.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.action.subject.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.term.action.subject.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
reference | | 1..* | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization) | There are no (further) constraints on this element Element idContract.term.action.subject.reference Short descriptionEntity of the action DefinitionThe entity the action is performed or not performed on or for.
Data typeReference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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role | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.action.subject.role Short descriptionRole type of the agent DefinitionRole type of agent assigned roles in this Contract.
Data typeCodeableConcept BindingDetailed codes for the contract actor role.
ContractActorRoleCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: RoleClass, RoleCode, ParticipationType, ParticipationFunction codes
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intent | | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.action.intent Short descriptionPurpose for the Contract Term Action DefinitionReason or purpose for the action stipulated by this Contract Provision.
Data typeCodeableConcept BindingDetailed codes for the contract action reason.
v3.PurposeOfUse (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.reasonCode
- w5: FiveWs.why[x]
- rim: Examples from ActReason Concept Domains: ActCoverageReason Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties. ActInformationPrivacyReason Description: The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order. ClinicalResearchObservationReason Definition: Specifies the reason that a test was performed or observation collected in a clinical research study. SafetyInvestigationReportReasonType Description: Possible reasons generating a report providing information developed during the investigation of an adverse event or a product problem. ControlActReason Description: Indicates the motivation, cause or rationale of an Act which results in a trigger event. NonPerformanceReasonCode Description: The reason the action was not performed, e.g. why the medication was not taken. If an action was not performed, it is often clinically important to know why the action was not taken. RefusalReasonCode Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
Examples from HL7 ActReason Code System: QUALIMP (quality improvement) Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service. _PatientProfileQueryReasonCode Description: A collection of concepts identifying why the patient's profile is being queried. _ActInformationManagementReason Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy. _ActInvalidReason (ActInvalidReason) Description: Types of reasons why a substance is invalid for use. _NonPerformanceReasonCode Description: The reason the action wasn't performed, e.g. why the medication was not taken. If an action wasn"t performed, it is often clinically important to know why the action wasn"t taken.
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linkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.action.linkId Short descriptionPointer to specific item DefinitionId [identifier??] of the clause or question text related to this action in the referenced form or QuestionnaireResponse.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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status | | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.action.status Short descriptionState of the action DefinitionCurrent state of the term action.
Data typeCodeableConcept BindingCodes for the status of an term action.
ContractResourceActionStatusCodes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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context | | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element idContract.term.action.context Short descriptionEpisode associated with action DefinitionEncounter or Episode with primary association to specified term activity.
Data typeReference(Encounter | EpisodeOfCare) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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contextLinkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.action.contextLinkId Short descriptionPointer to specific item DefinitionId [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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occurrence[x] | | 0..1 | | There are no (further) constraints on this element Element idContract.term.action.occurrence[x] Short descriptionWhen action happens DefinitionConstraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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occurrenceDateTime | | | dateTime | There are no (further) constraints on this element Data typedateTime |
occurrencePeriod | | | Period | There are no (further) constraints on this element Data typePeriod |
occurrenceTiming | | | Timing | There are no (further) constraints on this element Data typeTiming |
requester | | 0..* | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization) | There are no (further) constraints on this element Element idContract.term.action.requester Short descriptionWho asked for action DefinitionWho or what initiated the action and has responsibility for its activation.
Data typeReference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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requesterLinkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.action.requesterLinkId Short descriptionPointer to specific item DefinitionId [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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performerType | | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.term.action.performerType Short descriptionKind of service performer DefinitionThe type of individual that is desired or required to perform or not perform the action.
Data typeCodeableConcept BindingCodes for the types of action perfomer.
ProvenanceParticipantType (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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performerRole | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idContract.term.action.performerRole Short descriptionCompetency of the performer DefinitionThe type of role or competency of an individual desired or required to perform or not perform the action.
Data typeCodeableConcept BindingCodes for the role of the action performer.
ProvenanceParticipantRole (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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performer | | 0..1 | Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | CareTeam | Device | Substance | Organization | Location) | There are no (further) constraints on this element Element idContract.term.action.performer Short descriptionActor that wil execute (or not) the action DefinitionIndicates who or what is being asked to perform (or not perform) the ction.
Data typeReference(RelatedPerson | Patient | Practitioner | PractitionerRole | CareTeam | Device | Substance | Organization | Location) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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performerLinkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.action.performerLinkId Short descriptionPointer to specific item DefinitionId [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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reasonCode | | 0..* | CodeableConcept | There are no (further) constraints on this element Element idContract.term.action.reasonCode Short descriptionWhy is action (not) needed? DefinitionRationale for the action to be performed or not performed. Describes why the action is permitted or prohibited.
Data typeCodeableConcept BindingDetailed codes for the contract action reason.
v3.PurposeOfUse (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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reasonReference | | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference | Questionnaire | QuestionnaireResponse) | There are no (further) constraints on this element Element idContract.term.action.reasonReference Short descriptionWhy is action (not) needed? DefinitionIndicates another resource whose existence justifies permitting or not permitting this action.
Data typeReference(Condition | Observation | DiagnosticReport | DocumentReference | Questionnaire | QuestionnaireResponse) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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reason | | 0..* | string | There are no (further) constraints on this element Element idContract.term.action.reason Short descriptionWhy action is to be performed DefinitionDescribes why the action is to be performed or not performed in textual form.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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reasonLinkId | | 0..* | string | There are no (further) constraints on this element Element idContract.term.action.reasonLinkId Short descriptionPointer to specific item DefinitionId [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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note | | 0..* | Annotation | There are no (further) constraints on this element Element idContract.term.action.note Short descriptionComments about the action DefinitionComments made about the term action made by the requester, performer, subject or other participants.
Data typeAnnotation Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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securityLabelNumber | | 0..* | unsignedInt | There are no (further) constraints on this element Element idContract.term.action.securityLabelNumber Short descriptionAction restriction numbers DefinitionSecurity labels that protects the action.
Data typeunsignedInt Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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group | | 0..* | see (term) | There are no (further) constraints on this element Element idContract.term.group Short descriptionNested Contract Term Group DefinitionNested group of Contract Provisions.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: RIM Grouping or Nesting mechanisms
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supportingInfo | S | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idContract.supportingInfo Short descriptionExtra Information DefinitionInformation that may be needed by/relevant to the performer in their execution of this term action.
Data typeReference(Resource) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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relevantHistory | | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idContract.relevantHistory Short descriptionKey event in Contract History DefinitionLinks to Provenance records for past versions of this Contract definition, derivative, or instance, which identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the Contract. The Provence.entity indicates the target that was changed in the update. http://build.fhir.org/provenance-definitions.html#Provenance.entity.
Data typeReference(Provenance) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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signer | S | 0..* | BackboneElement | Element idContract.signer Short descriptionContract Signatory DefinitionParties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness.
ZIV: Für Klinik und Patient einsehbar.
RequirementsThe Contract.signer applies a signature to the Contract.binding referenced resource, which is the documentation that is the legal "source of truth". The Contract.signer may delegate, such as a legally recognized personal representative, or have a delegate assigned e.g., by a court of law, to actually sign the Contract, such as a trustee in the case of incompetence.
CommentsSigners who are principal parties to the contract are bound by the Contract.activity related to the Contract.topic, and the Contract.term(s), which either extend or restrict the overall action on the topic by, for example, stipulating specific policies or obligations constraining actions, action reason, or agents with respect to some or all of the topic.
For example, specifying how policies or obligations shall constrain actions and action reasons permitted or denied on all or a subset of the Contract.topic (e.g., all or a portion of property being transferred by the contract), agents (e.g., who can resell, assign interests, or alter the property being transferred by the contract), actions, and action reasons; or with respect to Contract.terms, stipulating, extending, or limiting the Contract.period of applicability or valuation of items under consideration.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
id | | 0..1 | string | There are no (further) constraints on this element Element idContract.signer.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.signer.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.signer.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
type | | 1..1 | CodingBinding | There are no (further) constraints on this element Element idContract.signer.type Short descriptionContract Signatory Role DefinitionRole of this Contract signer, e.g. notary, grantee.
Data typeCoding BindingList of parties who may be signing.
ContractSignerTypeCodes (preferred) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.actor
- rim: RoleClass, RoleCode, ParticipationType, ParticipationFunction class codes.
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party | | 1..1 | Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) | There are no (further) constraints on this element Element idContract.signer.party Short descriptionContract Signatory Party DefinitionParty which is a signator to this Contract.
Data typeReference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- workflow: Request.requester
- w5: FiveWs.author
- rim: Role Class
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signature | | 1..* | Signature | There are no (further) constraints on this element Element idContract.signer.signature Short descriptionContract Documentation Signature DefinitionLegally binding Contract DSIG signature contents in Base64.
Data typeSignature Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.author
- rim: Participation.signatureCode :: CD (0..1) Definition: Whether the participant has attested participation through a signature, or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants; The participant intends to provide a signature. Participation.signatureText :: ED (0..1) Definition: A textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. UsageNotes: The signature can be represented either inline or by reference according to the ED data type. Typical cases are
1) Paper-based signatures: the ED data type may refer to a document or other resource that can be retrieved through an electronic interface to a hardcopy archive. 2) Electronic signature: this attribute can represent virtually any electronic signature scheme. 3) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. Examples: 1) An "author" participant assumes accountability for the truth of the Act statement to the best of his knowledge. 2) An information recipient only attests to the fact that he or she has received the information.
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friendly | S | 0..* | BackboneElement | Element idContract.friendly Short descriptionContract Friendly Language DefinitionThe "patient friendly language" versionof the Contract in whole or in parts. "Patient friendly language" means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.
ZIV: Für Klinik und Patient einsehbar, als auch hochrelevant für den Patienten.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: LanguageCommunication
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.friendly.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.friendly.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.friendly.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
content[x] | | 1..1 | | There are no (further) constraints on this element Element idContract.friendly.content[x] Short descriptionEasily comprehended representation of this Contract DefinitionHuman readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: Act.text Definition: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act.
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contentAttachment | | | Attachment | There are no (further) constraints on this element Data typeAttachment |
contentReference | | | Reference(Composition | DocumentReference | QuestionnaireResponse) | There are no (further) constraints on this element Data typeReference(Composition | DocumentReference | QuestionnaireResponse) |
legal | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.legal Short descriptionContract Legal Language DefinitionList of Legal expressions or representations of this Contract.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: LanguageCommunication
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.legal.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.legal.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.legal.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
content[x] | | 1..1 | | There are no (further) constraints on this element Element idContract.legal.content[x] Short descriptionContract Legal Text DefinitionContract legal text in human renderable form.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: Example: Act.text of an Act coded as with ActPrivacyLaw, ActPolicy code
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contentAttachment | | | Attachment | There are no (further) constraints on this element Data typeAttachment |
contentReference | | | Reference(Composition | DocumentReference | QuestionnaireResponse) | There are no (further) constraints on this element Data typeReference(Composition | DocumentReference | QuestionnaireResponse) |
rule | | 0..* | BackboneElement | There are no (further) constraints on this element Element idContract.rule Short descriptionComputable Contract Language DefinitionList of Computable Policy Rule Language Representations of this Contract.
Data typeBackboneElement Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: LanguageCommunication
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id | | 0..1 | string | There are no (further) constraints on this element Element idContract.rule.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idContract.rule.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay 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.
CommentsThere 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 typeExtension 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 |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idContract.rule.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere 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 typeExtension 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 |
content[x] | | 1..1 | | There are no (further) constraints on this element Element idContract.rule.content[x] Short descriptionComputable Contract Rules DefinitionComputable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: Computable Policy Consent [Observation: templateId 2.16.840.1.113883.3.445.16] This template is used to represent an alternative representation of the Privacy Consent Directive (e.g.,ODRL, XrML, XACML) as a computer-readable set of rules. An implementation may use any appropriate representations of the privacy consent in addition to the "ConsentDirectiveStructuredDefinition" which uses the Clinical Template structure to express the elements of a consent directive in an interoperable way.
1. SHALL contain exactly one [1..1] templateId ( CONF-CD-16 ) such that it
a. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.445.16"
2. SHALL contain exactly one [1..1] @moodCode="DEF" (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:14912)
3. SHALL contain exactly one [1..1] code (CONF:9139)/@code="57016-8" Privacy Policy Acknowledgement Document (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:9138)
It specifies the LOINC code corresponding to "Privacy Policy Acknowledgement Document", it is fixed at this value.
4. SHOULD contain zero or more [0..*] value with @xsi:type="ANY" (CONF:9140) The value contains the computable representation of the policy. This may be a standard-based access control or attribute control based policy (See
"References"). Computable Policy Consent example
<!-- Sample computable policy language representation -->
<entryRelationship typeCode="COMP">
<templateId root="2.16.840.1.113883.3.445.16" />
<observationMedia classCode="OBS" moodCode="EVN">
<value mediaType="text/xml" representation="TXT"> ... </value>
</observationMedia>
</entryRelationship>
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contentAttachment | | | Attachment | There are no (further) constraints on this element Data typeAttachment |
contentReference | | | Reference(DocumentReference) | There are no (further) constraints on this element Data typeReference(DocumentReference) |
legallyBinding[x] | | 0..1 | | There are no (further) constraints on this element Element idContract.legallyBinding[x] Short descriptionBinding Contract DefinitionLegally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the "source of truth" and which would be the basis for legal action related to enforcement of this Contract.
Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: DocumentCompletion code system AU (authenticated) Description: A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual.
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legallyBindingAttachment | | | Attachment | There are no (further) constraints on this element Data typeAttachment |
legallyBindingReference | | | Reference(Composition | DocumentReference | QuestionnaireResponse | Contract) | There are no (further) constraints on this element Data typeReference(Composition | DocumentReference | QuestionnaireResponse | Contract) |