GP Connect - Update Record (ITK3)

Note that a cab driver no longer fits the bill. You probably would be interested in the organization rather than the individual?

• dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources
  contained.contained.empty()
• dom-1:If the resource is contained in another resource, it SHALL NOT contain any narrative
  contained.text.empty()
• dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
  contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
• dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
  contained.where(('#'+id in %resource.descendants().reference).not()).empty()

• rim:Entity. Role, or Act
• v2:PRD (as one example)
• rim:Role
• servd:Provider
• w5:administrative.individual

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• rim:N/A

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

A human language.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• rim:N/A
• rim:Act.text?

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

• rim:Entity. Role, or Act
• rim:N/A

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Often, specific identities are assigned for the agent.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim:II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd:Identifier
• v2:PRD-7 (or XCN.1)
• rim:./id
• servd:./Identifiers
• w5:id

Often, specific identities are assigned for the agent.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim:II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd:Identifier
• v2:PRD-7 (or XCN.1)
• rim:./id
• servd:./Identifiers
• w5:id

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:N/A
• rim:Role.code or implied by context

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
• v2:CX.5
• rim:Role.code or implied by context

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

see http://en.wikipedia.org/wiki/Uniform_resource_identifier

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

https://fhir.nhs.uk/Id/sds-user-id

• rim:n/a
• v2:CX.4 / EI-2-4
• rim:II.root or Role.id.root
• servd:./IdentifierType

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX.1 / EI.1
• rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
• servd:./Value

This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• per-1:If present, start SHALL have a lower value than end
  start.empty() or end.empty() or (start <= end)

• rim:n/a
• v2:DR
• rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2:CX.7 + CX.8
• rim:Role.effectiveTime or implied by context
• servd:./StartDate and ./EndDate

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• v2:CX.4 / (CX.4,CX.9,CX.10)
• rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
• servd:./IdentifierIssuingAuthority

Often, specific identities are assigned for the agent.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim:II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd:Identifier
• v2:PRD-7 (or XCN.1)
• rim:./id
• servd:./Identifiers
• w5:id

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:N/A
• rim:Role.code or implied by context

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
• v2:CX.5
• rim:Role.code or implied by context

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

see http://en.wikipedia.org/wiki/Uniform_resource_identifier

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

https://fhir.nhs.uk/Id/sds-role-profile-id

• rim:n/a
• v2:CX.4 / EI-2-4
• rim:II.root or Role.id.root
• servd:./IdentifierType

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX.1 / EI.1
• rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
• servd:./Value

This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• per-1:If present, start SHALL have a lower value than end
  start.empty() or end.empty() or (start <= end)

• rim:n/a
• v2:DR
• rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2:CX.7 + CX.8
• rim:Role.effectiveTime or implied by context
• servd:./StartDate and ./EndDate

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• v2:CX.4 / (CX.4,CX.9,CX.10)
• rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
• servd:./IdentifierIssuingAuthority

Need to be able to mark a practitioner record as not to be used because it was created in error.

Default is true.

If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• rim:./statusCode
• w5:status

The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

In general select the value to be used in the ResourceReference.display based on this:

1. There is more than 1 name
2. Use = usual
3. Period is current to the date of the usage
4. Use = official
5. Other order as decided by internal business rules.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XPN
• rim:EN (actually, PN)
• servd:ProviderName
• v2:XCN Components
• rim:./name
• servd:./PreferredName (GivenNames, FamilyName, TitleCode)

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

The use of a human name

Allows the appropriate name for a particular context of use to be selected from among a set of names.

This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XPN.7, but often indicated by which field contains the name
• rim:unique(./use)
• servd:./NamePurpose

A renderable, unencoded form.

Can provide both a text representation and structured parts.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:implied by XPN.11
• rim:./formatted

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XPN.1/FN.1
• rim:./part[partType = FAM]
• servd:./FamilyName

If only initials are recorded, they may be used in place of the full name. Not called "first name" since given names do not always come first.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XPN.2 + XPN.3
• rim:./part[partType = GIV]
• servd:./GivenNames

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XPN.5
• rim:./part[partType = PFX]
• servd:./TitleCode

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XPN/4
• rim:./part[partType = SFX]

Allows names to be placed in historical context.

This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• per-1:If present, start SHALL have a lower value than end
  start.empty() or end.empty() or (start <= end)

• rim:n/a
• v2:DR
• rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2:XPN.13 + XPN.14
• rim:./usablePeriod[type="IVL<TS>"]
• servd:./StartDate and ./EndDate

Need to know how to reach a practitioner independent to any roles the practitioner may have.

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification

These typically will have home numbers, or mobile numbers that are not role specific.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• cpt-2:A system is required if a value is provided.
  value.empty() or system.exists()

• rim:n/a
• v2:XTN
• rim:TEL
• servd:ContactPoint
• v2:PRT-15, STF-10, ROL-12
• rim:./telecom
• servd:./ContactPoints

The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD
• rim:AD
• servd:Address
• v2:ORC-24, STF-11, ROL-11, PRT-14
• rim:./addr
• servd:./Addresses

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

The use of an address

Allows an appropriate address to be chosen from a list of many.

This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.7
• rim:unique(./use)
• servd:./AddressPurpose

The type of an address (physical / postal)

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.18
• rim:unique(./use)
• vcard:address type parameter

A renderable, unencoded form.

Can provide both a text representation and parts.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
• rim:./formatted
• vcard:address label parameter

home | work | temp | old - purpose of this address.

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
• rim:AD.part[parttype = AL]
• vcard:street
• servd:./StreetAddress (newline delimitted)

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.3
• rim:AD.part[parttype = CTY]
• vcard:locality
• servd:./Jurisdiction

District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.9
• rim:AD.part[parttype = CNT | CPA]

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.4
• rim:AD.part[parttype = STA]
• vcard:region
• servd:./Region

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.5
• rim:AD.part[parttype = ZIP]
• vcard:code
• servd:./PostalIdentificationCode

ISO 3166 3 letter codes can be used in place of a full country name.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:XAD.6
• rim:AD.part[parttype = CNT]
• vcard:country
• servd:./Country

Allows addresses to be placed in historical context.

This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• per-1:If present, start SHALL have a lower value than end
  start.empty() or end.empty() or (start <= end)

• rim:n/a
• v2:DR
• rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2:XAD.12 / XAD.13 + XAD.14
• rim:./usablePeriod[type="IVL<TS>"]
• servd:./StartDate and ./EndDate

The gender of a person used for administrative purposes.

Needed to address the person correctly.

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:STF-5
• rim:./administrativeGender
• servd:./GenderCode

Needed for identification.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:STF-6
• rim:./birthTime
• servd:(not represented in ServD)

Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Attachment".

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• att-1:It the Attachment has data, it SHALL have a contentType
  data.empty() or contentType.exists()

• rim:n/a
• v2:ED/RP
• rim:ED
• rim:./subjectOf/ObservationEvent[code="photo"]/value
• servd:./ImageURI (only supports the URI reference)

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CER?
• rim:.playingEntity.playingRole[classCode=QUAL].code
• servd:./Qualifications

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Often, specific identities are assigned for the qualification.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX / EI (occasionally, more often EI maps to a resource id or a URL)
• rim:II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
• servd:Identifier
• rim:.playingEntity.playingRole[classCode=QUAL].id

Note that FHIR strings may not exceed 1MB in size

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ext-1:Must have either extensions or value[x], not both
  extension.exists() != value.exists()

• rim:n/a
• rim:N/A

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:N/A
• rim:Role.code or implied by context

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Allows users to make use of identifiers when the identifier system is not known.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
• v2:CX.5
• rim:Role.code or implied by context

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

see http://en.wikipedia.org/wiki/Uniform_resource_identifier

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX.4 / EI-2-4
• rim:II.root or Role.id.root
• servd:./IdentifierType

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CX.1 / EI.1
• rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
• servd:./Value

This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• per-1:If present, start SHALL have a lower value than end
  start.empty() or end.empty() or (start <= end)

• rim:n/a
• v2:DR
• rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• v2:CX.7 + CX.8
• rim:Role.effectiveTime or implied by context
• servd:./StartDate and ./EndDate

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• v2:CX.4 / (CX.4,CX.9,CX.10)
• rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
• servd:./IdentifierIssuingAuthority

Specific qualification the practitioner has to provide a service

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
• rim:.playingEntity.playingRole[classCode=QUAL].code
• servd:./Qualifications.Value

Qualifications are often for a limited period of time, and can be revoked.

This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• per-1:If present, start SHALL have a lower value than end
  start.empty() or end.empty() or (start <= end)

• rim:n/a
• v2:DR
• rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
• rim:.playingEntity.playingRole[classCode=QUAL].effectiveTime
• servd:./Qualifications.StartDate and ./Qualifications.EndDate

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())
• ref-1:SHALL have a contained resource if a local reference is provided
  reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))

• rim:n/a
• rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
• rim:.playingEntity.playingRole[classCode=QUAL].scoper

A human language.

Knowing which language a practitioner speaks can help in facilitating communication with patients.

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

• ele-1:All FHIR elements must have a @value or children
  hasValue() | (children().count() > id.count())

• rim:n/a
• v2:CE/CNE/CWE
• rim:CD
• orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
• v2:PID-15, NK1-20, LAN-2
• rim:./languageCommunication
• servd:./Languages.LanguageSpokenCode