Visit the HL7 website
Visit the FHIR website

Primary Care

0.1.0-dft-preBallot   Canada flag
  • Index
  • Home
  • Business Context
    • Architectural Considerations
    • Use Cases
    • Future Enhancements
    • Consolidation Methodology
  • Technical Context
    • Conformance Guidance
    • Mappings
  • FHIR Artifacts
    • FHIR Artifacts
    • Actors
    • Profiles
    • Extensions
    • Search
    • Data Types
    • Capability Statement
    • Terminology
    • Examples
    • Packages
  • Change Log
    1. Index
    2. FHIR Artifacts
    3. Profiles
    4. Binary

dft-preBallot - This is the first draft of the P-Care IG. For a full list of available versions, see the Directory of published versions

Binary

Links

Profile

binary

Derived from

http://hl7.org/fhir/StructureDefinition/Binary

Examples

Binary Example 1, Binary Example 2

Description

A resource that represents the data of a single raw artifact as digital content accessible in its native format.

References to this resource

Resource Content

  • Tree view
  • Overview
  • XML
  • JSON
PCareBinary (Binary)Binary
There are no (further) constraints on this element
Element id
Binary
Short description

Pure binary content defined by a format other than FHIR

Definition

A resource that represents the data of a single raw artifact as digital content accessible in its native format. A Binary resource can contain any content, whether text, image, pdf, zip archive, etc.

Comments

Typically, Binary resources are used for handling content such as:

  • CDA Documents (i.e. with XDS)
  • PDF Documents
  • Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS).
Data type

Binary

Mappings
  • rim: Entity. Role, or Act
  • rim: ED
idΣ0..1id
There are no (further) constraints on this element
Element id
Binary.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

id

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
metaΣ0..1Meta
There are no (further) constraints on this element
Element id
Binary.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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
implicitRulesΣ ?!0..1uri
There are no (further) constraints on this element
Element id
Binary.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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
languageO0..1codeBindingElement id
Binary.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)

Binding extensions
MaxValueSetAllLanguages
Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
contentTypeO Σ1..1codeBindingElement id
Binary.contentType
Short description

MimeType of the binary content

Definition

MimeType of the binary content represented as a standard MimeType (BCP 13).

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Binding

The mime type of an attachment. Any valid mime type is allowed.

PCareBinaryMimeTypeValueSet (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: ED.mediaType
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
securityContextΣ C0..1Reference(Resource)
There are no (further) constraints on this element
Element id
Binary.securityContext
Short description

Identifies another resource to use as proxy when enforcing access control

Definition

This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. Media, DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient.

Comments

Very often, a server will also know of a resource that references the binary, and can automatically apply the appropriate access rules based on that reference. However, there are some circumstances where this is not appropriate, e.g. the binary is uploaded directly to the server without any linking resource, the binary is referred to from multiple different resources, and/or the binary is content such as an application logo that has less protection than any of the resources that reference it.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
dataO1..1base64BinaryElement id
Binary.data
Short description

The actual content

Definition

The actual content, base64 encoded.

Comments

If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type.

Data type

base64Binary

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: ED.data
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Binary.data.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
extensionC0..*ExtensionElement id
Binary.data.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

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
ext-attachment-metadataO C0..1Extension(Complex)Element id
Binary.data.extension:ext-attachment-metadata
Short description

P-Care Attachment Metadata

Alternate names

extensions, user content

Definition

An attachment's file identifier, download URL, and optional JWT token.

Comments

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

Data type

Extension(Complex)

Extension URL

PCareAttachmentMetadata

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
value0..1System.String
There are no (further) constraints on this element
Element id
Binary.data.value
Short description

Primitive value for base64Binary

Definition

Primitive value for base64Binary

Data type

System.String

PCareBinary (Binary)Binary
There are no (further) constraints on this element
Element id
Binary
Short description

Pure binary content defined by a format other than FHIR

Definition

A resource that represents the data of a single raw artifact as digital content accessible in its native format. A Binary resource can contain any content, whether text, image, pdf, zip archive, etc.

Comments

Typically, Binary resources are used for handling content such as:

  • CDA Documents (i.e. with XDS)
  • PDF Documents
  • Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS).
Data type

Binary

Mappings
  • rim: Entity. Role, or Act
  • rim: ED
idΣ0..1id
There are no (further) constraints on this element
Element id
Binary.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

id

metaΣ0..1Meta
There are no (further) constraints on this element
Element id
Binary.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())
implicitRulesΣ ?!0..1uri
There are no (further) constraints on this element
Element id
Binary.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())
languageO0..1codeBinding
There are no (further) constraints on this element
Element id
Binary.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)

Binding extensions
MaxValueSetAllLanguages
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0
contentTypeO Σ1..1codeBinding
There are no (further) constraints on this element
Element id
Binary.contentType
Short description

MimeType of the binary content

Definition

MimeType of the binary content represented as a standard MimeType (BCP 13).

Data type

code

Binding

PCareBinaryMimeTypeValueSet (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ED.mediaType
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0
securityContextΣ0..1Reference(Resource)
There are no (further) constraints on this element
Element id
Binary.securityContext
Short description

Identifies another resource to use as proxy when enforcing access control

Definition

This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. Media, DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient.

Comments

Very often, a server will also know of a resource that references the binary, and can automatically apply the appropriate access rules based on that reference. However, there are some circumstances where this is not appropriate, e.g. the binary is uploaded directly to the server without any linking resource, the binary is referred to from multiple different resources, and/or the binary is content such as an application logo that has less protection than any of the resources that reference it.

Data type

Reference(Resource)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
dataO1..1base64Binary
There are no (further) constraints on this element
Element id
Binary.data
Short description

The actual content

Definition

The actual content, base64 encoded.

Comments

If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type.

Data type

base64Binary

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: ED.data
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Binary.data.id
Short description

xml:id (or equivalent in JSON)

Definition

unique id for the element within a resource (for internal references)

Data type

string

extensionC0..*Extension
There are no (further) constraints on this element
Element id
Binary.data.extension
Short description

Extension

Definition

An Extension

Data type

Extension

Slicing

Unordered, Open, by url(Value)

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()
ext-attachment-metadataO C0..1Extension(Complex)
There are no (further) constraints on this element
Element id
Binary.data.extension:ext-attachment-metadata
Short description

P-Care Attachment Metadata

Definition

An attachment's file identifier, download URL, and optional JWT token.

Data type

Extension(Complex)

Extension URL

PCareAttachmentMetadata

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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()
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0
value0..1System.String
There are no (further) constraints on this element
Element id
Binary.data.value
Short description

Primitive value for base64Binary

Definition

The actual value

Data type

System.String

<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="binary" />
<text>
<status value="extensions" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<url value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary" />
<version value="0.1.0" />
<name value="PCareBinary" />
<title value="P-Care Binary" />
<status value="draft" />
<date value="2026-10-19T22:14:59+00:00" />
<publisher value="Infoway" />
<description value="A resource that represents the data of a single raw artifact as digital content accessible in its native format." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="rim" />
<uri value="http://hl7.org/v3" />
<name value="RIM Mapping" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Binary" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Binary" />
<derivation value="constraint" />
<snapshot>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1" />
</extension>
<element id="Binary">
<path value="Binary" />
<short value="Pure binary content defined by a format other than FHIR" />
<definition value="A resource that represents the data of a single raw artifact as digital content accessible in its native format. A Binary resource can contain any content, whether text, image, pdf, zip archive, etc." />
<comment value="Typically, Binary resources are used for handling content such as: \n\n* CDA Documents (i.e. with XDS) \n* PDF Documents \n* Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS)." />
<min value="0" />
<max value="*" />
<base>
<path value="Binary" />
<min value="0" />
<max value="*" />
</base>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<mapping>
<identity value="rim" />
<map value="ED" />
</mapping>
</element>
<element id="Binary.id">
<path value="Binary.id" />
<short value="Logical id of this artifact" />
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Binary.meta">
<path value="Binary.meta" />
<short value="Metadata about the resource" />
<definition value="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." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.meta" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Meta" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Binary.implicitRules">
<path value="Binary.implicitRules" />
<short value="A set of rules under which this content was created" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.implicitRules" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
<isSummary value="true" />
</element>
<element id="Binary.language">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0" />
</extension>
</extension>
<path value="Binary.language" />
<short value="Language of the resource content" />
<definition value="The base language in which the resource is written." />
<comment value="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)." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.language" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language" />
</extension>
<strength value="preferred" />
<description value="A human language." />
<valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1" />
</binding>
</element>
<element id="Binary.contentType">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0" />
</extension>
</extension>
<path value="Binary.contentType" />
<short value="MimeType of the binary content" />
<definition value="MimeType of the binary content represented as a standard MimeType (BCP 13)." />
<min value="1" />
<max value="1" />
<base>
<path value="Binary.contentType" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<strength value="required" />
<valueSet value="http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-binary-mime-type" />
</binding>
<mapping>
<identity value="rim" />
<map value="ED.mediaType" />
</mapping>
</element>
<element id="Binary.securityContext">
<path value="Binary.securityContext" />
<short value="Identifies another resource to use as proxy when enforcing access control" />
<definition value="This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. Media, DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient." />
<comment value="Very often, a server will also know of a resource that references the binary, and can automatically apply the appropriate access rules based on that reference. However, there are some circumstances where this is not appropriate, e.g. the binary is uploaded directly to the server without any linking resource, the binary is referred to from multiple different resources, and/or the binary is content such as an application logo that has less protection than any of the resources that reference it." />
<min value="0" />
<max value="1" />
<base>
<path value="Binary.securityContext" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Binary.data">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0" />
</extension>
</extension>
<path value="Binary.data" />
<short value="The actual content" />
<definition value="The actual content, base64 encoded." />
<comment value="If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type." />
<min value="1" />
<max value="1" />
<base>
<path value="Binary.data" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="base64Binary" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="ED.data" />
</mapping>
</element>
<element id="Binary.data.id">
<path value="Binary.data.id" />
<representation value="xmlAttr" />
<short value="xml:id (or equivalent in JSON)" />
<definition value="unique id for the element within a resource (for internal references)" />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Binary.data.extension">
<path value="Binary.data.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Extension" />
<definition value="An Extension" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Binary.data.extension:ext-attachment-metadata">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0" />
</extension>
</extension>
<path value="Binary.data.extension" />
<sliceName value="ext-attachment-metadata" />
<short value="P-Care Attachment Metadata" />
<definition value="An attachment's file identifier, download URL, and optional JWT token." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
<profile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-attachment-metadata" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
</element>
<element id="Binary.data.value">
<path value="Binary.data.value" />
<representation value="xmlAttr" />
<short value="Primitive value for base64Binary" />
<definition value="The actual value" />
<min value="0" />
<max value="1" />
<base>
<path value="base64Binary.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="base64Binary" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
<valueString value="(\s*([0-9a-zA-Z\+/=]){4}\s*)+" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
</element>
</snapshot>
<differential>
<element id="Binary">
<path value="Binary" />
</element>
<element id="Binary.language">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Binary.language" />
</element>
<element id="Binary.contentType">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Binary.contentType" />
<binding>
<strength value="required" />
<valueSet value="http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-binary-mime-type" />
</binding>
</element>
<element id="Binary.data">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Binary.data" />
<min value="1" />
</element>
<element id="Binary.data.extension">
<path value="Binary.data.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
</element>
<element id="Binary.data.extension:ext-attachment-metadata">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Binary.data.extension" />
<sliceName value="ext-attachment-metadata" />
<min value="0" />
<max value="1" />
<type>
<code value="Extension" />
<profile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-attachment-metadata" />
</type>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "binary",
"text": {
"status": "extensions",
--- We have skipped the narrative for better readability of the resource ---
},
"url": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary",
"version": "0.1.0",
"name": "PCareBinary",
"title": "P-Care Binary",
"status": "draft",
"date": "2026-10-19T22:14:59+00:00",
"publisher": "Infoway",
"description": "A resource that represents the data of a single raw artifact as digital content accessible in its native format.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "resource",
"abstract": false,
"type": "Binary",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Binary",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "Binary",
"path": "Binary",
"short": "Pure binary content defined by a format other than FHIR",
"definition": "A resource that represents the data of a single raw artifact as digital content accessible in its native format. A Binary resource can contain any content, whether text, image, pdf, zip archive, etc.",
"comment": "Typically, Binary resources are used for handling content such as: \n\n* CDA Documents (i.e. with XDS) \n* PDF Documents \n* Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS).",
"min": 0,
"max": "*",
"base": {
"path": "Binary",
"min": 0,
"max": "*"
},
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "rim",
"map": "ED"
}
]
},
{
"id": "Binary.id",
"path": "Binary.id",
"short": "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.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Binary.meta",
"path": "Binary.meta",
"short": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Binary.implicitRules",
"path": "Binary.implicitRules",
"short": "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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
},
{
"id": "Binary.language",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "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).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}
],
"strength": "preferred",
"description": "A human language.",
"valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1"
}
},
{
"id": "Binary.contentType",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.contentType",
"short": "MimeType of the binary content",
"definition": "MimeType of the binary content represented as a standard MimeType (BCP 13).",
"min": 1,
"max": "1",
"base": {
"path": "Binary.contentType",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "required",
"valueSet": "http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-binary-mime-type"
},
"mapping": [
{
"identity": "rim",
"map": "ED.mediaType"
}
]
},
{
"id": "Binary.securityContext",
"path": "Binary.securityContext",
"short": "Identifies another resource to use as proxy when enforcing access control",
"definition": "This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. Media, DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient.",
"comment": "Very often, a server will also know of a resource that references the binary, and can automatically apply the appropriate access rules based on that reference. However, there are some circumstances where this is not appropriate, e.g. the binary is uploaded directly to the server without any linking resource, the binary is referred to from multiple different resources, and/or the binary is content such as an application logo that has less protection than any of the resources that reference it.",
"min": 0,
"max": "1",
"base": {
"path": "Binary.securityContext",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Binary.data",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.data",
"short": "The actual content",
"definition": "The actual content, base64 encoded.",
"comment": "If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type.",
"min": 1,
"max": "1",
"base": {
"path": "Binary.data",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "ED.data"
}
]
},
{
"id": "Binary.data.id",
"path": "Binary.data.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references)",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Binary.data.extension",
"path": "Binary.data.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Binary.data.extension:ext-attachment-metadata",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/binary|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.data.extension",
"sliceName": "ext-attachment-metadata",
"short": "P-Care Attachment Metadata",
"definition": "An attachment's file identifier, download URL, and optional JWT token.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-attachment-metadata"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Binary.data.value",
"path": "Binary.data.value",
"representation": [
"xmlAttr"
],
"short": "Primitive value for base64Binary",
"definition": "The actual value",
"min": 0,
"max": "1",
"base": {
"path": "base64Binary.value",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "base64Binary"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "(\\s*([0-9a-zA-Z\\+/=]){4}\\s*)+"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false
}
]
},
"differential": {
"element": [
{
"id": "Binary",
"path": "Binary"
},
{
"id": "Binary.language",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.language"
},
{
"id": "Binary.contentType",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.contentType",
"binding": {
"strength": "required",
"valueSet": "http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-binary-mime-type"
}
},
{
"id": "Binary.data",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.data",
"min": 1
},
{
"id": "Binary.data.extension",
"path": "Binary.data.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "Binary.data.extension:ext-attachment-metadata",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Binary.data.extension",
"sliceName": "ext-attachment-metadata",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/pcare-attachment-metadata"
]
}
]
}
]
}
}

Constraints

Obligations

ElementActorCode
contentTypehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
datahttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
data.extension:ext-attachment-metadatahttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
languagehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error

Terminology bindings (Differential)

PathConformanceValueSet
Binary.contentTyperequiredhttp://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-binary-mime-type

Terminology bindings (Snapshot)

PathConformanceValueSet
Binary.languagepreferredhttp://hl7.org/fhir/ValueSet/languages|4.0.1
Binary.contentTyperequiredhttp://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-binary-mime-type

Additional Terminology Bindings Only

IG © based on FHIR R4 | template version 2.5.1 | Package package:ca.infoway.io.pcare@0.1.0-dft-preballot
Copyright © 2026 Canada Health Infoway. All rights reserved. Terms of Use & License Agreements. Privacy Policy.
HL7® and FHIR® are the registered trademarks of Health Level Seven International