Profil: Fehler (OperationOutcome)

Fachlicher Kontext

Im Fehlerfall wird das vorliegende Operation Outcome mit Details zum aufgetretenen Fehler zurückgegeben.

Sollte es systemseitig eine Fehlermeldung geben, die noch nicht in der FHIR-Spezifikation veröffentlicht (also dem entsprechenden CodeSystem hinzugefügt) wurde, so werden folgende Daten zurückgegeben:

`OperationOutcome.issue.details.coding.code`	`VCA000`
`OperationOutcome.issue.details.coding.display`	Sonstiger Fehler. Unter `diagnostics` finden Sie nähere Informationen zum Fehler.
`OperationOutcome.issue.diagnostics`	[Hier steht die eigentliche (noch nicht in FHIR veröffentlichte) Fehlermeldung mit Fehlerdetails.]

FHIR-Profil

Name	KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error
Type	OperationOutcome
Base Definition	`http://hl7.org/fhir/StructureDefinition/OperationOutcome` (Version: R4)
Canonical URL	`https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error`

KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error (OperationOutcome)	I		OperationOutcome	Element id OperationOutcome Short description Details zum aufgetretenen Fehler Definition OperationOutcome, welches im Fehlerfall zurückgegeben wird und Details zum aufgetretenen Fehler enthält. Comments Can result from the failure of a REST call or be part of the response message returned from a request message. Data type OperationOutcome 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 rim: Grouping is handled through multiple repetitions from whatever context references the outcomes (no specific grouper required)
id	Σ	0..1	string	There are no (further) constraints on this element Element id OperationOutcome.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	1..1	Meta	There are no (further) constraints on this element Element id OperationOutcome.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id OperationOutcome.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
versionId	Σ	0..0	id	There are no (further) constraints on this element Element id OperationOutcome.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastUpdated	Σ	0..0	instant	There are no (further) constraints on this element Element id OperationOutcome.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source	Σ	0..0	uri	There are no (further) constraints on this element Element id OperationOutcome.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile	Σ	1..*	canonical(StructureDefinition)	Element id OperationOutcome.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Sliced: Unordered, Open, by $this(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
kvdigitalProfil	Σ	1..1	canonical(StructureDefinition)Pattern	Element id OperationOutcome.meta.profile:kvdigitalProfil Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error\|1.0.0
security	Σ	0..0	CodingBinding	There are no (further) constraints on this element Element id OperationOutcome.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
tag	Σ	0..0	Coding	There are no (further) constraints on this element Element id OperationOutcome.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..0	uri	There are no (further) constraints on this element Element id OperationOutcome.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..0	codeBinding	There are no (further) constraints on this element Element id OperationOutcome.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text	S	0..1	Narrative	Element id OperationOutcome.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
id		0..1	string	There are no (further) constraints on this element Element id OperationOutcome.text.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.text.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
status	S	1..1	codeBindingFixed Value	Element id OperationOutcome.text.status Short description generated \| extensions \| additional \| empty Definition The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data. Data type code Binding The status of a resource narrative. NarrativeStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value extensions Mappings rim: N/A
div	S I	1..1	xhtml	There are no (further) constraints on this element Element id OperationOutcome.text.div Short description Limited xhtml content Definition The actual narrative content, a stripped down version of XHTML. Comments The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects. Data type xhtml Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes `htmlChecks()` txt-2: The narrative SHALL have some non-whitespace content `htmlChecks()` Mappings rim: N/A
contained		0..0	Resource	There are no (further) constraints on this element Element id OperationOutcome.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
issue	S Σ	1..1	BackboneElement	Element id OperationOutcome.issue Short description Fehlerinformationen Definition Details zum aufgetretenen Fehler Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: ERR rim: AcknowledgementDetail or Observation[classCode="ALRT" and moodCode="EVN"]
id		0..1	string	There are no (further) constraints on this element Element id OperationOutcome.issue.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.issue.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.issue.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May 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). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
severity	S Σ	1..1	codeBindingFixed Value	Element id OperationOutcome.issue.severity Short description fatal \| error \| warning \| information Definition Indicates whether the issue indicates a variation from successful processing. Requirements Indicates how relevant the issue is to the overall success of the action. Comments This is labeled as "Is Modifier" because applications should not confuse hints and warnings with errors. Data type code Binding How the issue affects the success of the action. IssueSeverity (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value fatal Mappings v2: ERR-4 rim: ./typeCode[parent::AcknowledgmentDetail] or unique(./inboundRelationship[parent::Observation and typeCode='SUBJ' and isNormalActRelationship()]/source[classCode="OBS" and moodCode="EVN" and implies(code, ActCode#SEV and isNormalAct())/value[xsi:type="CD"]
code	S Σ	1..1	codeBinding	There are no (further) constraints on this element Element id OperationOutcome.issue.code Short description Error or warning code Definition Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element. Requirements Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue. The required element provides a base level of computable interoperability across all systems for processing an outcome, allowing systems to respond appropriately regardless of the internal system error codes returned. Data type code Binding A code that describes the type of issue. IssueType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: ERR-3 rim: ./code
details	S Σ	1..1	CodeableConceptBinding	Element id OperationOutcome.issue.details Short description Informationen zum Fehler Definition Additional details about the error. This may be a text description of the error or a system code that identifies the error. Comments A human readable description of the error issue SHOULD be placed in details.text. Data type CodeableConcept Binding A code that provides details as the exact issue. KBV_VS_116117_TERMINSERVICE_VCA_Errors (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: ERR-5 rim: ./code
id		0..1	string	There are no (further) constraints on this element Element id OperationOutcome.issue.details.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.issue.details.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..1	Coding	Element id OperationOutcome.issue.details.coding Short description Coding zum Fehler Definition Coding mit Informationen zum aufgetretenen Fehler Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Hinweis: Es gibt kein festes CodeSystem oder ValueSet für die Fehlercodes, da dieses aufgrund relativ häufiger Änderungen an den Codes (v.a. das Aktualisierung der Beschreibung und das Hinzufügen neuer Codes) entsprechend oft aktualisiert werden müsste. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id	S	0..1	string	There are no (further) constraints on this element Element id OperationOutcome.issue.details.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id OperationOutcome.issue.details.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	1..1	uriFixed Value	Element id OperationOutcome.issue.details.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value https://fhir.kbv.de/CodeSystem/KBV_CS_116117_TERMINSERVICE_VCA_Errors Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id OperationOutcome.issue.details.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id OperationOutcome.issue.details.coding.code Short description Fehlercode Definition Eindeutiger Fehlercode zum aufgetrenen Fehler (bspw. "VCA001") Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	S Σ	1..1	string	Element id OperationOutcome.issue.details.coding.display Short description Fehlerinformationen Definition Informationen zum aufgetrenen Fehler in menschenlesbarer Form (bspw. "Ungültiger Input-Parameter") Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..0	boolean	There are no (further) constraints on this element Element id OperationOutcome.issue.details.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..0	string	There are no (further) constraints on this element Element id OperationOutcome.issue.details.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
diagnostics	S Σ	0..1	string	Element id OperationOutcome.issue.diagnostics Short description Weitere Details zum Fehler Definition Hier werden ggf. weitere Details zum aufgetretenen Fehler angegeben. Comments This may be a description of how a value is erroneous, a stack dump to help trace the issue or other troubleshooting information. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: ERR-8 rim: ./text[parent::AcknowledgmentDetail]
location	Σ	0..0	string	There are no (further) constraints on this element Element id OperationOutcome.issue.location Short description Deprecated: Path of element(s) related to issue Definition This element is deprecated because it is XML specific. It is replaced by issue.expression, which is format independent, and simpler to parse. For resource issues, this will be a simple XPath limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised. For HTTP errors, will be "http." + the parameter name. Requirements Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily. Comments The root of the XPath is the resource or bundle that generated OperationOutcome. Each XPath SHALL resolve to a single node. This element is deprecated, and is being replaced by expression. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: ERR-2 rim: ./location[parent::AcknowledgmentDetail]
expression	Σ	0..0	string	There are no (further) constraints on this element Element id OperationOutcome.issue.expression Short description FHIRPath of element(s) related to issue Definition A simple subset of FHIRPath limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised. Requirements Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily. Comments The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: ERR-2 rim: ./location[parent::AcknowledgmentDetail]

OperationOutcome
Definition	OperationOutcome, welches im Fehlerfall zurückgegeben wird und Details zum aufgetretenen Fehler enthält.
Cardinality	0...*
Comments	Can result from the failure of a REST call or be part of the response message returned from a request message.
Invariants	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 rim: Grouping is handled through multiple repetitions from whatever context references the outcomes (no specific grouper required)
OperationOutcome.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality	0...1
Type	string
Summary	True
Comments	The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
OperationOutcome.meta
Definition	The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality	1...1
Type	Meta
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.meta.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
OperationOutcome.meta.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
OperationOutcome.meta.versionId
Definition	The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality	0...0
Type	id
Summary	True
Comments	The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.meta.lastUpdated
Definition	When the resource last changed - e.g. when the version changed.
Cardinality	0...0
Type	instant
Summary	True
Comments	This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.meta.source
Definition	A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality	0...0
Type	uri
Summary	True
Comments	In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.meta.profile
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	1...*
Type	canonical(StructureDefinition)
Summary	True
Comments	It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Slicing	Unordered, Open, by $this(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.meta.profile:kvdigitalProfil
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	1...1
Type	canonical(StructureDefinition)
Summary	True
Comments	It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Pattern	https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error\|1.0.0
OperationOutcome.meta.security
Definition	Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality	0...0
Type	Coding
Binding	Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)
Summary	True
Comments	The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.meta.tag
Definition	Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality	0...0
Type	Coding
Binding	Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)
Summary	True
Comments	The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality	0...0
Type	uri
Modifier	True
Summary	True
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.language
Definition	The base language in which the resource is written.
Cardinality	0...0
Type	code
Binding	A human language. CommonLanguages (preferred)
Comments	Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
OperationOutcome.text
Definition	In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind.
Cardinality	0...1
Type	Narrative
Must Support	True
Alias	narrative, html, xhtml, display
Comments	Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.text?
OperationOutcome.text.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
OperationOutcome.text.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
OperationOutcome.text.status
Definition	The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.
Cardinality	1...1
Type	code
Binding	The status of a resource narrative. NarrativeStatus (required)
Must Support	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	extensions
Mappings	rim: N/A
OperationOutcome.text.div
Definition	The actual narrative content, a stripped down version of XHTML.
Cardinality	1...1
Type	xhtml
Must Support	True
Comments	The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes `htmlChecks()` txt-2: The narrative SHALL have some non-whitespace content `htmlChecks()`
Mappings	rim: N/A
OperationOutcome.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality	0...0
Type	Resource
Alias	inline resources, anonymous resources, contained resources
Comments	This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Mappings	rim: N/A
OperationOutcome.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
OperationOutcome.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
OperationOutcome.issue
Definition	Details zum aufgetretenen Fehler
Cardinality	1...1
Type	BackboneElement
Must Support	True
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: ERR rim: AcknowledgementDetail or Observation[classCode="ALRT" and moodCode="EVN"]
OperationOutcome.issue.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
OperationOutcome.issue.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
OperationOutcome.issue.modifierExtension
Definition	May 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).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
OperationOutcome.issue.severity
Definition	Indicates whether the issue indicates a variation from successful processing.
Cardinality	1...1
Type	code
Binding	How the issue affects the success of the action. IssueSeverity (required)
Must Support	True
Summary	True
Requirements	Indicates how relevant the issue is to the overall success of the action.
Comments	This is labeled as "Is Modifier" because applications should not confuse hints and warnings with errors.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	fatal
Mappings	v2: ERR-4 rim: ./typeCode[parent::AcknowledgmentDetail] or unique(./inboundRelationship[parent::Observation and typeCode='SUBJ' and isNormalActRelationship()]/source[classCode="OBS" and moodCode="EVN" and implies(code, ActCode#SEV and isNormalAct())/value[xsi:type="CD"]
OperationOutcome.issue.code
Definition	Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element.
Cardinality	1...1
Type	code
Binding	A code that describes the type of issue. IssueType (required)
Must Support	True
Summary	True
Requirements	Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue. The required element provides a base level of computable interoperability across all systems for processing an outcome, allowing systems to respond appropriately regardless of the internal system error codes returned.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: ERR-3 rim: ./code
OperationOutcome.issue.details
Definition	Additional details about the error. This may be a text description of the error or a system code that identifies the error.
Cardinality	1...1
Type	CodeableConcept
Binding	A code that provides details as the exact issue. KBV_VS_116117_TERMINSERVICE_VCA_Errors (required)
Must Support	True
Summary	True
Comments	A human readable description of the error issue SHOULD be placed in details.text.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: ERR-5 rim: ./code
OperationOutcome.issue.details.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
OperationOutcome.issue.details.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
OperationOutcome.issue.details.coding
Definition	Coding mit Informationen zum aufgetretenen Fehler
Cardinality	1...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Hinweis: Es gibt kein festes CodeSystem oder ValueSet für die Fehlercodes, da dieses aufgrund relativ häufiger Änderungen an den Codes (v.a. das Aktualisierung der Beschreibung und das Hinzufügen neuer Codes) entsprechend oft aktualisiert werden müsste.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
OperationOutcome.issue.details.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Must Support	True
Mappings	rim: n/a
OperationOutcome.issue.details.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
OperationOutcome.issue.details.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Fixed Value	https://fhir.kbv.de/CodeSystem/KBV_CS_116117_TERMINSERVICE_VCA_Errors
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
OperationOutcome.issue.details.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
OperationOutcome.issue.details.coding.code
Definition	Eindeutiger Fehlercode zum aufgetrenen Fehler (bspw. "VCA001")
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
OperationOutcome.issue.details.coding.display
Definition	Informationen zum aufgetrenen Fehler in menschenlesbarer Form (bspw. "Ungültiger Input-Parameter")
Cardinality	1...1
Type	string
Must Support	True
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
OperationOutcome.issue.details.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...0
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
OperationOutcome.issue.details.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...0
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
OperationOutcome.issue.diagnostics
Definition	Hier werden ggf. weitere Details zum aufgetretenen Fehler angegeben.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	This may be a description of how a value is erroneous, a stack dump to help trace the issue or other troubleshooting information.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: ERR-8 rim: ./text[parent::AcknowledgmentDetail]
OperationOutcome.issue.location
Definition	This element is deprecated because it is XML specific. It is replaced by issue.expression, which is format independent, and simpler to parse. For resource issues, this will be a simple XPath limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised. For HTTP errors, will be "http." + the parameter name.
Cardinality	0...0
Type	string
Summary	True
Requirements	Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.
Comments	The root of the XPath is the resource or bundle that generated OperationOutcome. Each XPath SHALL resolve to a single node. This element is deprecated, and is being replaced by expression.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: ERR-2 rim: ./location[parent::AcknowledgmentDetail]
OperationOutcome.issue.expression
Definition	A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised.
Cardinality	0...0
Type	string
Summary	True
Requirements	Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.
Comments	The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: ERR-2 rim: ./location[parent::AcknowledgmentDetail]

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="KBV-PR-116117-TERMINSERVICE-VCA-OperationOutcome-Error" />
    <text>
        <status value="generated" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <url value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error" />
    <version value="1.0.0" />
    <name value="KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error" />
    <title value="KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error" />
    <status value="active" />
    <publisher value="kv.digital GmbH" />
    <contact>
        <name value="kv.digital GmbH" />
        <telecom>
            <system value="url" />
            <value value="https://www.kv.digital" />
        </telecom>
    </contact>
    <description value="Dieses Operation Outcome enth&#228;lt genauere Details zum aufgetretenen Fehler." />
    <copyright value="Im folgenden Profil k&#246;nnen Codes aus den Code-Systemen SNOMED CT&#174;, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT&#174; Clinical Terms&#174; (SNOMED CT&#174; CT&#174;) which is used by permission of SNOMED CT&#174; International. All rights reserved. SNOMED CT&#174; CT&#174;, was originally created by The College of American Pathologists. SNOMED CT&#174; and SNOMED CT&#174; CT are registered trademarks of SNOMED CT&#174; International. Implementers of these artefacts must have the appropriate SNOMED CT&#174; CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright &#169; 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC&#174; is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright &#169; 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED &#39;AS IS.&#39; ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enth&#228;lt Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datentr&#228;ger der amtlichen Fassung der ATCKlassifikation mit DDD des Bundesinstituts f&#252;r Arzneimittel und Medizinprodukte (BfArM). Dieses Material enth&#228;lt Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts f&#252;r Arzneimittel und Medizinprodukte (BfArM). Dieses Material enth&#228;lt Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts f&#252;r Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte &#169; Weltgesundheitsorganisation, &#252;bersetzt und herausgegeben durch das Deutsche Institut f&#252;r Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="OperationOutcome" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/OperationOutcome" />
    <derivation value="constraint" />
    <differential>
        <element id="OperationOutcome">
            <path value="OperationOutcome" />
            <short value="Details zum aufgetretenen Fehler" />
            <definition value="OperationOutcome, welches im Fehlerfall zur&#252;ckgegeben wird und Details zum aufgetretenen Fehler enth&#228;lt." />
        </element>
        <element id="OperationOutcome.meta">
            <path value="OperationOutcome.meta" />
            <min value="1" />
        </element>
        <element id="OperationOutcome.meta.versionId">
            <path value="OperationOutcome.meta.versionId" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.meta.lastUpdated">
            <path value="OperationOutcome.meta.lastUpdated" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.meta.source">
            <path value="OperationOutcome.meta.source" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.meta.profile">
            <path value="OperationOutcome.meta.profile" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="OperationOutcome.meta.profile:kvdigitalProfil">
            <path value="OperationOutcome.meta.profile" />
            <sliceName value="kvdigitalProfil" />
            <min value="1" />
            <max value="1" />
            <patternCanonical value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error|1.0.0" />
        </element>
        <element id="OperationOutcome.meta.security">
            <path value="OperationOutcome.meta.security" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.meta.tag">
            <path value="OperationOutcome.meta.tag" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.implicitRules">
            <path value="OperationOutcome.implicitRules" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.language">
            <path value="OperationOutcome.language" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.text">
            <path value="OperationOutcome.text" />
            <definition value="In diesem Element k&#246;nnen die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden d&#252;rfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind." />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.text.status">
            <path value="OperationOutcome.text.status" />
            <fixedCode value="extensions" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.text.div">
            <path value="OperationOutcome.text.div" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.contained">
            <path value="OperationOutcome.contained" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.issue">
            <path value="OperationOutcome.issue" />
            <short value="Fehlerinformationen" />
            <definition value="Details zum aufgetretenen Fehler" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.severity">
            <path value="OperationOutcome.issue.severity" />
            <fixedCode value="fatal" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.code">
            <path value="OperationOutcome.issue.code" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.details">
            <path value="OperationOutcome.issue.details" />
            <short value="Informationen zum Fehler" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.kbv.de/ValueSet/KBV_VS_116117_TERMINSERVICE_VCA_Errors" />
            </binding>
        </element>
        <element id="OperationOutcome.issue.details.coding">
            <path value="OperationOutcome.issue.details.coding" />
            <short value="Coding zum Fehler" />
            <definition value="Coding mit Informationen zum aufgetretenen Fehler" />
            <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.\n\nHinweis: Es gibt kein festes CodeSystem oder ValueSet f&#252;r die Fehlercodes, da dieses aufgrund relativ h&#228;ufiger &#196;nderungen an den Codes (v.a. das Aktualisierung der Beschreibung und das Hinzuf&#252;gen neuer Codes) entsprechend oft aktualisiert werden m&#252;sste." />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.details.coding.id">
            <path value="OperationOutcome.issue.details.coding.id" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.details.coding.system">
            <path value="OperationOutcome.issue.details.coding.system" />
            <min value="1" />
            <fixedUri value="https://fhir.kbv.de/CodeSystem/KBV_CS_116117_TERMINSERVICE_VCA_Errors" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.details.coding.version">
            <path value="OperationOutcome.issue.details.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.details.coding.code">
            <path value="OperationOutcome.issue.details.coding.code" />
            <short value="Fehlercode" />
            <definition value="Eindeutiger Fehlercode zum aufgetrenen Fehler (bspw. &quot;VCA001&quot;)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.details.coding.display">
            <path value="OperationOutcome.issue.details.coding.display" />
            <short value="Fehlerinformationen" />
            <definition value="Informationen zum aufgetrenen Fehler in menschenlesbarer Form (bspw. &quot;Ung&#252;ltiger Input-Parameter&quot;)" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.details.coding.userSelected">
            <path value="OperationOutcome.issue.details.coding.userSelected" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.issue.details.text">
            <path value="OperationOutcome.issue.details.text" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.issue.diagnostics">
            <path value="OperationOutcome.issue.diagnostics" />
            <short value="Weitere Details zum Fehler" />
            <definition value="Hier werden ggf. weitere Details zum aufgetretenen Fehler angegeben." />
            <mustSupport value="true" />
        </element>
        <element id="OperationOutcome.issue.location">
            <path value="OperationOutcome.issue.location" />
            <max value="0" />
        </element>
        <element id="OperationOutcome.issue.expression">
            <path value="OperationOutcome.issue.expression" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "KBV-PR-116117-TERMINSERVICE-VCA-OperationOutcome-Error",
    "text": {
        "status": "generated",
        --- We have skipped the narrative for better readability of the resource ---
    },
    "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error",
    "version": "1.0.0",
    "name": "KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error",
    "title": "KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error",
    "status": "active",
    "publisher": "kv.digital GmbH",
    "contact":  [
        {
            "name": "kv.digital GmbH",
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.kv.digital"
                }
            ]
        }
    ],
    "description": "Dieses Operation Outcome enthält genauere Details zum aufgetretenen Fehler.",
    "copyright": "Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATCKlassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "OperationOutcome",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/OperationOutcome",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "OperationOutcome",
                "path": "OperationOutcome",
                "short": "Details zum aufgetretenen Fehler",
                "definition": "OperationOutcome, welches im Fehlerfall zurückgegeben wird und Details zum aufgetretenen Fehler enthält."
            },
            {
                "id": "OperationOutcome.meta",
                "path": "OperationOutcome.meta",
                "min": 1
            },
            {
                "id": "OperationOutcome.meta.versionId",
                "path": "OperationOutcome.meta.versionId",
                "max": "0"
            },
            {
                "id": "OperationOutcome.meta.lastUpdated",
                "path": "OperationOutcome.meta.lastUpdated",
                "max": "0"
            },
            {
                "id": "OperationOutcome.meta.source",
                "path": "OperationOutcome.meta.source",
                "max": "0"
            },
            {
                "id": "OperationOutcome.meta.profile",
                "path": "OperationOutcome.meta.profile",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "OperationOutcome.meta.profile:kvdigitalProfil",
                "path": "OperationOutcome.meta.profile",
                "sliceName": "kvdigitalProfil",
                "min": 1,
                "max": "1",
                "patternCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error|1.0.0"
            },
            {
                "id": "OperationOutcome.meta.security",
                "path": "OperationOutcome.meta.security",
                "max": "0"
            },
            {
                "id": "OperationOutcome.meta.tag",
                "path": "OperationOutcome.meta.tag",
                "max": "0"
            },
            {
                "id": "OperationOutcome.implicitRules",
                "path": "OperationOutcome.implicitRules",
                "max": "0"
            },
            {
                "id": "OperationOutcome.language",
                "path": "OperationOutcome.language",
                "max": "0"
            },
            {
                "id": "OperationOutcome.text",
                "path": "OperationOutcome.text",
                "definition": "In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind.",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.text.status",
                "path": "OperationOutcome.text.status",
                "fixedCode": "extensions",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.text.div",
                "path": "OperationOutcome.text.div",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.contained",
                "path": "OperationOutcome.contained",
                "max": "0"
            },
            {
                "id": "OperationOutcome.issue",
                "path": "OperationOutcome.issue",
                "short": "Fehlerinformationen",
                "definition": "Details zum aufgetretenen Fehler",
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.severity",
                "path": "OperationOutcome.issue.severity",
                "fixedCode": "fatal",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.code",
                "path": "OperationOutcome.issue.code",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.details",
                "path": "OperationOutcome.issue.details",
                "short": "Informationen zum Fehler",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_116117_TERMINSERVICE_VCA_Errors"
                }
            },
            {
                "id": "OperationOutcome.issue.details.coding",
                "path": "OperationOutcome.issue.details.coding",
                "short": "Coding zum Fehler",
                "definition": "Coding mit Informationen zum aufgetretenen Fehler",
                "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.\n\nHinweis: Es gibt kein festes CodeSystem oder ValueSet für die Fehlercodes, da dieses aufgrund relativ häufiger Änderungen an den Codes (v.a. das Aktualisierung der Beschreibung und das Hinzufügen neuer Codes) entsprechend oft aktualisiert werden müsste.",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.details.coding.id",
                "path": "OperationOutcome.issue.details.coding.id",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.details.coding.system",
                "path": "OperationOutcome.issue.details.coding.system",
                "min": 1,
                "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_116117_TERMINSERVICE_VCA_Errors",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.details.coding.version",
                "path": "OperationOutcome.issue.details.coding.version",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.details.coding.code",
                "path": "OperationOutcome.issue.details.coding.code",
                "short": "Fehlercode",
                "definition": "Eindeutiger Fehlercode zum aufgetrenen Fehler (bspw. \"VCA001\")",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.details.coding.display",
                "path": "OperationOutcome.issue.details.coding.display",
                "short": "Fehlerinformationen",
                "definition": "Informationen zum aufgetrenen Fehler in menschenlesbarer Form (bspw. \"Ungültiger Input-Parameter\")",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.details.coding.userSelected",
                "path": "OperationOutcome.issue.details.coding.userSelected",
                "max": "0"
            },
            {
                "id": "OperationOutcome.issue.details.text",
                "path": "OperationOutcome.issue.details.text",
                "max": "0"
            },
            {
                "id": "OperationOutcome.issue.diagnostics",
                "path": "OperationOutcome.issue.diagnostics",
                "short": "Weitere Details zum Fehler",
                "definition": "Hier werden ggf. weitere Details zum aufgetretenen Fehler angegeben.",
                "mustSupport": true
            },
            {
                "id": "OperationOutcome.issue.location",
                "path": "OperationOutcome.issue.location",
                "max": "0"
            },
            {
                "id": "OperationOutcome.issue.expression",
                "path": "OperationOutcome.issue.expression",
                "max": "0"
            }
        ]
    }
}

KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error

Beispiele

Alle Beispiele sind hier im vorliegenden Projekt zu finden.

Maximalbeispiel
Minimalbeispiel

<OperationOutcome xmlns="http://hl7.org/fhir">
    <id value="aae373f1-7bfb-4fb4-92ce-8e5322f4d65z" />
    <meta>
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error|1.0.0" />
    </meta>
    <text>
        <status value="extensions" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <issue>
        <severity value="fatal" />
        <code value="value" />
        <details>
            <coding>
                <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_116117_TERMINSERVICE_VCA_Errors" />
                <code value="VCA000" />
                <display value="Sonstiger Fehler. Unter diagnostics finden Sie n&#228;here Informationen zum Fehler." />
            </coding>
        </details>
        <diagnostics value="Ung&#252;ltiger Input-Parameter" />
    </issue>
</OperationOutcome>

<OperationOutcome xmlns="http://hl7.org/fhir">
    <id value="aae373f1-5bfb-4fb5-92ce-8e5322f4d63x" />
    <meta>
        <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_116117_TERMINSERVICE_VCA_OperationOutcome_Error|1.0.0" />
    </meta>
    <text>
        <status value="extensions" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <issue>
        <severity value="fatal" />
        <code value="value" />
        <details>
            <coding>
                <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_116117_TERMINSERVICE_VCA_Errors" />
                <code value="VCA002" />
                <display value="Dringlichkeit passt nicht f&#252;r mitgegebene Leistungsmerkmale" />
            </coding>
        </details>
    </issue>
</OperationOutcome>