Poruka zahtjeva za kreiranje ponovljenog slučaja

Specifikacija poruke zahtjeva za kreiranje ponovljenog zdravstvenog slučaja.

Za kreiranje podataka o ponovljenom sučaju korisnik šalje ovu poruku i popunjava minimalni set podataka definiran u ovom profilu (obavezni podatci i podatci definirani kao “must support”). Ukoliko korisnik pošalje i neke druge podatke o slučaju (Condition FHIR resurs) sukladno ovom profilu odnosno baznom FHIR standardu podatci će biti spremjeni u repozitorij.

Specifikacija profila

idΣ1..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..0codeBinding
identifierΣ0..0Identifier
typeΣ1..1codeBindingFixed Value
timestampΣ1..1instant
totalΣ I0..0unsignedInt
id0..0string
extensionI0..0Extension
modifierExtensionΣ ?! I0..*Extension
fullUrlΣ1..1uri
resourceΣ1..1Resource
id0..0string
extensionI0..0Extension
modifierExtensionΣ ?! I0..*Extension
fullUrlΣ1..1uri
idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..0Resource
extensionI0..0Extension
modifierExtension?! I0..*Extension
eventCodingCoding
senderS Σ I0..1Reference(HROrganizacija)
entererΣ I0..0Reference(Practitioner | PractitionerRole)
authorS Σ I0..1Reference(HRPractitioner)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
nameΣ0..1string
softwareΣ0..1string
versionΣ0..1string
contactΣ I0..1ContactPoint
endpointΣ1..1url
responsibleΣ I0..0Reference(Practitioner | PractitionerRole | Organization)
reasonΣ0..0CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
identifierΣ1..1id
codeΣ1..1codeBinding
detailsΣ I0..1Reference(OperationOutcome)
focusS Σ I0..1Reference(Resource)
definitionΣ0..1canonical(MessageDefinition)
id0..0string
extensionI0..0Extension
modifierExtensionΣ ?! I0..*Extension
fullUrlΣ1..1uri
idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
id0..1string
id0..1string
extensionI0..*Extension
url1..1uriFixed Value
valueReferenceReference(HRCondition)
id0..1string
extensionI0..*Extension
url1..1uriFixed Value
valueCodeableConceptCodeableConcept
url1..1uriFixed Value
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
clinicalStatusS Σ ?! I0..0CodeableConceptBinding
verificationStatusS Σ ?! I1..1CodeableConceptBinding
categoryS0..*CodeableConceptBinding
severityS0..1CodeableConceptBinding
codeS Σ1..1CodeableConceptBinding
bodySiteS Σ0..*CodeableConcept
subjectS Σ I1..1Reference(HRPatient)
encounterS Σ I0..1Reference(HREncounter)
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
recordedDateS Σ0..0dateTime
recorderS Σ I0..0Reference(HRPractitioner)
asserterS Σ I0..1Reference(HRPractitioner)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
summaryI0..1CodeableConcept
assessmentI0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ I0..*CodeableConcept
detailΣ I0..*Reference(Resource)
id0..1string
id0..1string
extensionI0..0Extension
url1..1uriFixed Value
valueCodingCoding
authorStringstring
authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
timeΣ0..1dateTime
textΣ1..1markdown
id0..1string
extensionI0..*Extension
typeΣ1..1CodingBindingFixed Value
whenΣ1..1instant
whoΣ I1..1Reference(HRPractitioner)
onBehalfOfΣ I0..0Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)
targetFormat0..0codeBinding
sigFormat0..0codeBinding
data1..1base64Binary
Bundle
DefinitionA container for a collection of resources.
Cardinality0...*
Invariants
  • bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
    (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
  • bdl-9: A document must have an identifier with a system and a value
    type = 'document' implies (identifier.system.exists() and identifier.value.exists())
  • bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
    entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
  • bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
    entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
  • bdl-12: A message must have a MessageHeader as the first resource
    type = 'message' implies entry.first().resource.is(MessageHeader)
  • bdl-1: total only when a search or history
    total.empty() or (type = 'searchset') or (type = 'history')
  • bdl-2: entry.search only when a search
    entry.search.empty() or (type = 'searchset')
  • bdl-11: A document must have a Composition as the first resource
    type = 'document' implies entry.first().resource.is(Composition)
  • bdl-10: A document must have a date
    type = 'document' implies (timestamp.hasValue())
  • DIGSIG-1: Message must be signed by author
    Bundle.entry.resource.ofType(MessageHeader).author = Bundle.signature.who
Mappings
  • rim: Entity. Role, or Act
  • v2: N/A
  • rim: N/A
  • cda: ClinicalDocument, if bundle.type = document
Bundle.id
DefinitionJedinstveni identifikator poruke kreira pošiljatelj u obliku UUID-a
Cardinality1...1
Typestring
SummaryTrue
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.

Bundle.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality0...1
TypeMeta
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
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())
Mappings
  • rim: n/a
Bundle.language
DefinitionThe base language in which the resource is written.
Cardinality0...0
Typecode
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())
Mappings
  • rim: n/a
Bundle.identifier
DefinitionA persistent identifier for the bundle that won't change as a bundle is copied from server to server.
Cardinality0...0
TypeIdentifier
SummaryTrue
Comments

Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • w5: FiveWs.identifier
  • cda: ClinicalDocument.id
Bundle.type
DefinitionIndicates the purpose of this bundle - how it is intended to be used.
Cardinality1...1
Typecode
Binding

Indicates the purpose of a bundle - how it is intended to be used.

BundleType (required)
SummaryTrue
Comments

It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.

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

message

Mappings
  • rim: n/a
  • w5: FiveWs.class
Bundle.timestamp
DefinitionThe date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.
Cardinality1...1
Typeinstant
SummaryTrue
Comments

For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.

Usage:

  • document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time
  • message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message
  • history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates
  • searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query
  • transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning

The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.init
  • cda: ClinicalDocument.effectiveTime
Bundle.total
DefinitionIf a set of search matches, this is the total number of entries of type 'match' across all pages in the search. It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle.
Cardinality0...0
TypeunsignedInt
SummaryTrue
Comments

Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.link
DefinitionA series of links that provide context to this bundle.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Comments

Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS).

Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly.

This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.link.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.link.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.link.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.link.relation
DefinitionA name which details the functional use for this link - see [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1).
Cardinality1...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.link.url
DefinitionThe reference details for the link.
Cardinality1...1
Typeuri
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry
DefinitionElementi od kojih se sastoji FHIR poruka. Prvi element je uvijek MessageHeader koji predstvalja zaglavlje poruke.
Cardinality2...2
TypeBackboneElement
SummaryTrue
SlicingUnordered, Closed, by resource(Type)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • bdl-8: fullUrl cannot be a version specific reference
    fullUrl.contains('/_history/').not()
  • bdl-5: must be a resource unless there's a request or response
    resource.exists() or request.exists() or response.exists()
Mappings
  • rim: n/a
Bundle.entry.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...0
Typestring
Mappings
  • rim: n/a
Bundle.entry.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...0
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry.link
DefinitionA series of links that provide context to this entry.
Cardinality0...0
Typesee (link)
SummaryTrue
Bundle.entry.fullUrl
DefinitionIdentifikator definira pošiljatelj poruke u UUID formatu. Ovaj identifikator mora biti jednak identifikatoru resursa (atribut id) koji se nalazi u zapisu (entry)
Cardinality1...1
Typeuri
SummaryTrue
Comments

fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.resource
DefinitionThe Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Cardinality1...1
TypeResource
SummaryTrue
Mappings
  • rim: Entity. Role, or Act
Bundle.entry.search
DefinitionInformation about the search process that lead to the creation of this entry.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.search.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry.search.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry.search.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry.search.mode
DefinitionWhy this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
Cardinality0...1
Typecode
Binding

Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

SearchEntryMode (required)
SummaryTrue
Comments

There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.search.score
DefinitionWhen searching, the server's search ranking score for the entry.
Cardinality0...1
Typedecimal
SummaryTrue
Comments

Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.

See Patient Match for the EMPI search which relates to this element.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.request
DefinitionAdditional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.request.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry.request.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry.request.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry.request.method
DefinitionIn a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.
Cardinality1...1
Typecode
Binding

HTTP verbs (in the HTTP command line). See HTTP rfc for details.

HTTPVerb (required)
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.request.url
DefinitionThe URL for this entry, relative to the root (the address to which the request is posted).
Cardinality1...1
Typeuri
SummaryTrue
Comments

E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.request.ifNoneMatch
DefinitionIf the ETag values match, return a 304 Not Modified status. See the API documentation for ["Conditional Read"](http.html#cread).
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.request.ifModifiedSince
DefinitionOnly perform the operation if the last updated date matches. See the API documentation for ["Conditional Read"](http.html#cread).
Cardinality0...1
Typeinstant
SummaryTrue
Comments

Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. Time zone is always required

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.request.ifMatch
DefinitionOnly perform the operation if the Etag value matches. For more information, see the API section ["Managing Resource Contention"](http.html#concurrency).
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.request.ifNoneExist
DefinitionInstruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for ["Conditional Create"](http.html#ccreate). This is just the query portion of the URL - what follows the "?" (not including the "?").
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.response
DefinitionIndicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.response.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry.response.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry.response.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry.response.status
DefinitionThe status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.
Cardinality1...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.response.location
DefinitionThe location header created by processing this operation, populated if the operation returns a location.
Cardinality0...1
Typeuri
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.response.etag
DefinitionThe Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http.html#versioning) and [Managing Resource Contention](http.html#concurrency)).
Cardinality0...1
Typestring
SummaryTrue
Comments

Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.response.lastModified
DefinitionThe date/time that the resource was modified on the server.
Cardinality0...1
Typeinstant
SummaryTrue
Comments

This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry.response.outcome
DefinitionAn OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.
Cardinality0...1
TypeResource
SummaryTrue
Comments

For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.

This outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.

Mappings
  • rim: Entity. Role, or Act
Bundle.entry:MessageHeader
DefinitionElementi od kojih se sastoji FHIR poruka. Prvi element je uvijek MessageHeader koji predstvalja zaglavlje poruke.
Cardinality1...1
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • bdl-8: fullUrl cannot be a version specific reference
    fullUrl.contains('/_history/').not()
  • bdl-5: must be a resource unless there's a request or response
    resource.exists() or request.exists() or response.exists()
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...0
Typestring
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...0
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:MessageHeader.link
DefinitionA series of links that provide context to this entry.
Cardinality0...0
Typesee (link)
SummaryTrue
Bundle.entry:MessageHeader.fullUrl
DefinitionIdentifikator definira pošiljatelj poruke u UUID formatu. Ovaj identifikator mora biti jednak identifikatoru resursa (atribut id) koji se nalazi u zapisu (entry)
Cardinality1...1
Typeuri
SummaryTrue
Comments

fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.resource
DefinitionThe header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle.
Cardinality1...1
TypeHRHealthIssueManagementMessageHeader
SummaryTrue
Invariants
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
Mappings
  • rim: Entity. Role, or Act
  • v2: MSH / MSA / ERR
  • rim: Message
Bundle.entry:MessageHeader.resource.id
DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality0...1
Typestring
SummaryTrue
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.

Bundle.entry:MessageHeader.resource.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality0...1
TypeMeta
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.entry:MessageHeader.resource.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
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())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.resource.language
DefinitionThe base language in which the resource is written.
Cardinality0...1
Typecode
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())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.resource.text
DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality0...1
TypeNarrative
Aliasnarrative, 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: n/a
  • rim: N/A
  • rim: Act.text?
Bundle.entry:MessageHeader.resource.contained
DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality0...0
TypeResource
Aliasinline 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: Entity. Role, or Act
  • rim: N/A
Bundle.entry:MessageHeader.resource.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...0
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.event[x]
DefinitionCode that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value "http://terminology.hl7.org/CodeSystem/message-events". Alternatively uri to the EventDefinition.
Cardinality1...1
TypeCoding
Binding

One of the message events defined as part of this version of FHIR.

http://ent.hr/fhir/ValueSet/health-issue-management-message-types (required)
Must SupportTrue
SummaryTrue
Requirements

Drives the behavior associated with this message.

Comments

The time of the event will be found in the focus resource. The time of the message will be found in Bundle.timestamp.

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

{
  "system": "http://ent.hr/fhir/CodeSystem/ehe-message-types",
  "code": "2.2"
}

Mappings
  • rim: n/a
  • w5: FiveWs.what[x]
  • v2: MSH-9.2
  • rim: ./payload[classCode="CACT" and moodCode="EVN" and isNormalAct()]/code[isNormalDatatype()]/code
Bundle.entry:MessageHeader.resource.destination
DefinitionThe destination application which the message is intended for.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Requirements

Indicates where message is to be sent for routing purposes. Allows verification of "am I the intended recipient".

Comments

There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.subject[x]
  • rim: ./communicationFunction[typeCode="RCV"]
  • w5: FiveWs.subject
Bundle.entry:MessageHeader.resource.destination.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.resource.destination.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.destination.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.destination.name
DefinitionHuman-readable name for the target system.
Cardinality0...1
Typestring
SummaryTrue
Requirements

May be used for routing of response and/or to support audit.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-5
  • rim: unique(./entity[determinerCode="INST" and (classCode=("DEV", "PSN", "ORG"]/name[type='ST' and isNormalDatatype()])
Bundle.entry:MessageHeader.resource.destination.target
DefinitionIdentifies the target end system in situations where the initial message transmission is to an intermediary system.
Cardinality0...1
TypeReference(Device)
SummaryTrue
Requirements

Supports multi-hop routing.

Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: unique(./entity[determinerCode="INST" and (classCode=("DEV", "PSN", "ORG"]
Bundle.entry:MessageHeader.resource.destination.endpoint
DefinitionIndicates where the message should be routed to.
Cardinality1...1
Typeurl
SummaryTrue
Requirements

Identifies where to route the message.

Comments

The id may be a non-resolvable URI for systems that do not use standard network-based addresses.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-25 (or MSH-6)
  • rim: ./telecom
Bundle.entry:MessageHeader.resource.destination.receiver
DefinitionAllows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient.
Cardinality0...1
TypeReference(Practitioner | PractitionerRole | Organization)
SummaryTrue
Requirements

Allows routing beyond just the application level.

Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.subject[x]
  • v2: PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'
  • rim: Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText
  • w5: FiveWs.subject
Bundle.entry:MessageHeader.resource.sender
DefinitionReferenca na organizaciju koja je pošiljatelj poruke. Za referenciranje organizacije koristi se logička referenca (identifikator - HZZO šifra zdravstvene ustanove).
Cardinality0...1
TypeReference(HROrganizacija)
Must SupportTrue
SummaryTrue
Requirements

Allows routing beyond just the application level.

Comments

Use case is for where a (trusted) sending system is responsible for multiple organizations, and therefore cannot differentiate based on source endpoint / authentication alone.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.subject[x]
  • v2: PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'
  • rim: Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText
  • w5: FiveWs.subject
Bundle.entry:MessageHeader.resource.enterer
DefinitionThe person or device that performed the data entry leading to this message. When there is more than one candidate, pick the most proximal to the message. Can provide other enterers in extensions.
Cardinality0...0
TypeReference(Practitioner | PractitionerRole)
SummaryTrue
Requirements

Need to know for audit/traceback requirements and possibly for authorization.

Comments

Usually only for the request but can be used in a response.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.author
  • v2: EVN-5 / ORC-10 / PRT-5:PRT-4='EP' / ROL where ROL.3 is EP or ORC.10
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[typeCode="ENT" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode=("DEV", "PSN") and determinerCode="INST"])
Bundle.entry:MessageHeader.resource.author
DefinitionReferenca na zdravstvenog djelatnika koji je autor poruke. Za referenciranje zdravstvenog djelatnika koristi se logička referenca (identifikator - HZJZ šifra zdravstvenog djelatnika ili MBO)
Cardinality0...1
TypeReference(HRPractitioner)
Must SupportTrue
SummaryTrue
Requirements

Need to know for audit/traceback requirements and possibly for authorization.

Comments

Usually only for the request but can be used in a response.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.author
  • v2: ORC-19 / PRT-5:PRT-4='AUT' / ROL where ROL.3 is IP or ORC.12
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="AUT" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode=("DEV", "PSN") and determinerCode="INST"])
Bundle.entry:MessageHeader.resource.source
DefinitionIdentifikator sustava kako ga je definirala External Systems management aplikacija CEZIH-a.
Cardinality1...1
TypeBackboneElement
SummaryTrue
Requirements

Allows replies, supports audit.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.actor
  • rim: unique(./communicationFunction[typeCode="SND"])
Bundle.entry:MessageHeader.resource.source.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.resource.source.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.source.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.source.name
DefinitionHuman-readable name for the source system.
Cardinality0...1
Typestring
SummaryTrue
Requirements

May be used to support audit.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-3
  • rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/name[type='ST' and isNormalDatatype()])
Bundle.entry:MessageHeader.resource.source.software
DefinitionMay include configuration or other information useful in debugging.
Cardinality0...1
Typestring
SummaryTrue
Requirements

Supports audit and possibly interface engine behavior.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: SFT-3 ( +SFT-1)
  • rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/softwareName[isNormalDatatype()])
Bundle.entry:MessageHeader.resource.source.version
DefinitionCan convey versions of multiple systems in situations where a message passes through multiple hands.
Cardinality0...1
Typestring
SummaryTrue
Requirements

Supports audit and possibly interface engine behavior.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: SFT-2
  • rim: (Not supported)
Bundle.entry:MessageHeader.resource.source.contact
DefinitionAn e-mail, phone, website or other contact point to use to resolve issues with message communications.
Cardinality0...1
TypeContactPoint
SummaryTrue
Requirements

Allows escalation of technical issues.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • cpt-2: A system is required if a value is provided.
    value.empty() or system.exists()
Mappings
  • rim: n/a
  • v2: XTN
  • rim: TEL
  • servd: ContactPoint
  • v2: (MSH-22?)
  • rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/scopesRole[normalRole() and classCode="CON" and layer[classCode="PSN"]/telecom[isNormalDatatype()])
Bundle.entry:MessageHeader.resource.source.endpoint
DefinitionOvaj identifikator se dodjeljuje svakom vanjskom sustavu prilikom registracije u aplikaciji za Upralvjanje vanjskim sustavima
Cardinality1...1
Typeurl
SummaryTrue
Requirements

Identifies where to send responses, may influence security permissions.

Comments

The id may be a non-resolvable URI for systems that do not use standard network-based addresses.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSH-24
  • rim: ./telecom[isNormalDatatype()]
Bundle.entry:MessageHeader.resource.responsible
DefinitionThe person or organization that accepts overall responsibility for the contents of the message. The implication is that the message event happened under the policies of the responsible party.
Cardinality0...0
TypeReference(Practitioner | PractitionerRole | Organization)
SummaryTrue
Requirements

Need to know for audit/traceback requirements and possibly for authorization.

Comments

Usually only for the request but can be used in a response.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.witness
  • v2: ORC-12 / PRT-5:PRT-4='OP' / PRT-8:PRT-4='OP' / ROL where ROL.3 is RO or ORC.11
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="RESP" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode="PSN" and determinerCode="INST"] or ./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="RESP" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/scoper[isNormalEntity() and classCode="ORG" and determinerCode="INST"])
Bundle.entry:MessageHeader.resource.reason
DefinitionCoded indication of the cause for the event - indicates a reason for the occurrence of the event that is a focus of this message.
Cardinality0...0
TypeCodeableConcept
Binding

Reason for event occurrence.

ExampleMessageReasonCodes (example)
SummaryTrue
Requirements

Need to be able to track why resources are being changed and report in the audit log/history of the resource. May affect authorization.

Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.why[x]
  • v2: EVN.4 / ORC.16 / OBR-31-reason for study / BPO-13-BP indication for use / RXO-20-indication / RXE-27-give indication / RXD-21-indication / RXG-22-indication / RXA-19-indication
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/reasonCode[isNormalDatatype()])
Bundle.entry:MessageHeader.resource.response
DefinitionInformation about the message that this message is a response to. Only present if this message is a response.
Cardinality0...1
TypeBackboneElement
Must SupportTrue
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSA
  • rim: ./conveyedAcknowledgement
Bundle.entry:MessageHeader.resource.response.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.resource.response.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.response.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:MessageHeader.resource.response.identifier
DefinitionIdentifikator (Bundle.id) iz poruke zahtjeva.
Cardinality1...1
Typeid
SummaryTrue
Requirements

Allows receiver to know what message is being responded to.

Comments

RFC 4122

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSA-2
  • rim: ./acknowledges.id[isNormalDatatype()]
Bundle.entry:MessageHeader.resource.response.code
DefinitionCode that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not.
Cardinality1...1
Typecode
Binding

The kind of response to a message.

ResponseType (required)
SummaryTrue
Requirements

Allows the sender of the acknowledge message to know if the request was successful or if action is needed.

Comments

This is a generic response to the request message. Specific data for the response will be found in MessageHeader.focus.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: MSA-1
  • rim: ./typeCode[isNormalDatatype()]
Bundle.entry:MessageHeader.resource.response.details
DefinitionFull details of any issues found in the message.
Cardinality0...1
TypeReference(OperationOutcome)
SummaryTrue
Requirements

Allows the sender of the message to determine what the specific issues are.

Comments

This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: ERR
  • rim: AcknowledgementDetail or Observation[classCode="ALRT" and moodCode="EVN"]
Bundle.entry:MessageHeader.resource.focus
DefinitionReferenca na Slučaj (FHIR resurs [Condition](StructureDefinition-hr-condition.html)) koji je sadržaj svih poruka zahtjeva te poruke odgovora na zahtjev u slučaju ospješnog izvršavanja zahtjeva ili Ishod (FHIR resurs [OperationOutcome](StructureDefinition-ishod.html)) u poruci odgovora na zahtjev u slučaju greške.
Cardinality0...1
TypeReference(Resource)
Must SupportTrue
SummaryTrue
Requirements

Every message event is about actual data, a single resource, that is identified in the definition of the event, and perhaps some or all linked resources.

Comments

The data is defined where the transaction type is defined. The transaction data is always included in the bundle that is the full message. Only the root resource is specified. The resources it references should be contained in the bundle but are not also listed here. Multiple repetitions are allowed to cater for merges and other situations with multiple focal targets.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[typeCode="SUBJ" and isNormalParticipation]/role or ./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/outboundRelationship[typeCode="SBJ" and isNormalActRelatoinship]/target)
Bundle.entry:MessageHeader.resource.definition
DefinitionPermanent link to the MessageDefinition for this message.
Cardinality0...1
Typecanonical(MessageDefinition)
SummaryTrue
Requirements

Allows sender to define the expected contents of the message.

Comments

see Canonical References

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: Not directly supported.
Bundle.entry:MessageHeader.search
DefinitionInformation about the search process that lead to the creation of this entry.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.search.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.search.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.search.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:MessageHeader.search.mode
DefinitionWhy this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
Cardinality0...1
Typecode
Binding

Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

SearchEntryMode (required)
SummaryTrue
Comments

There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.search.score
DefinitionWhen searching, the server's search ranking score for the entry.
Cardinality0...1
Typedecimal
SummaryTrue
Comments

Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.

See Patient Match for the EMPI search which relates to this element.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request
DefinitionAdditional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.request.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:MessageHeader.request.method
DefinitionIn a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.
Cardinality1...1
Typecode
Binding

HTTP verbs (in the HTTP command line). See HTTP rfc for details.

HTTPVerb (required)
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request.url
DefinitionThe URL for this entry, relative to the root (the address to which the request is posted).
Cardinality1...1
Typeuri
SummaryTrue
Comments

E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request.ifNoneMatch
DefinitionIf the ETag values match, return a 304 Not Modified status. See the API documentation for ["Conditional Read"](http.html#cread).
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request.ifModifiedSince
DefinitionOnly perform the operation if the last updated date matches. See the API documentation for ["Conditional Read"](http.html#cread).
Cardinality0...1
Typeinstant
SummaryTrue
Comments

Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. Time zone is always required

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request.ifMatch
DefinitionOnly perform the operation if the Etag value matches. For more information, see the API section ["Managing Resource Contention"](http.html#concurrency).
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.request.ifNoneExist
DefinitionInstruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for ["Conditional Create"](http.html#ccreate). This is just the query portion of the URL - what follows the "?" (not including the "?").
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.response
DefinitionIndicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.response.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.response.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:MessageHeader.response.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:MessageHeader.response.status
DefinitionThe status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.
Cardinality1...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.response.location
DefinitionThe location header created by processing this operation, populated if the operation returns a location.
Cardinality0...1
Typeuri
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.response.etag
DefinitionThe Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http.html#versioning) and [Managing Resource Contention](http.html#concurrency)).
Cardinality0...1
Typestring
SummaryTrue
Comments

Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.response.lastModified
DefinitionThe date/time that the resource was modified on the server.
Cardinality0...1
Typeinstant
SummaryTrue
Comments

This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:MessageHeader.response.outcome
DefinitionAn OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.
Cardinality0...1
TypeResource
SummaryTrue
Comments

For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.

This outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.

Mappings
  • rim: Entity. Role, or Act
Bundle.entry:HealthIssue
DefinitionElementi od kojih se sastoji FHIR poruka. Prvi element je uvijek MessageHeader koji predstvalja zaglavlje poruke.
Cardinality1...1
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • bdl-8: fullUrl cannot be a version specific reference
    fullUrl.contains('/_history/').not()
  • bdl-5: must be a resource unless there's a request or response
    resource.exists() or request.exists() or response.exists()
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...0
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...0
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.link
DefinitionA series of links that provide context to this entry.
Cardinality0...0
Typesee (link)
SummaryTrue
Bundle.entry:HealthIssue.fullUrl
DefinitionIdentifikator definira pošiljatelj poruke u UUID formatu. Ovaj identifikator mora biti jednak identifikatoru resursa (atribut id) koji se nalazi u zapisu (entry)
Cardinality1...1
Typeuri
SummaryTrue
Comments

fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource
DefinitionA clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Cardinality1...1
TypeHRCondition
SummaryTrue
Invariants
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
  • con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
    verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
  • con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
  • con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
    clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
Mappings
  • rim: Entity. Role, or Act
  • workflow: Event
  • sct-concept: < 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
  • v2: PPR message
  • rim: Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
Bundle.entry:HealthIssue.resource.id
DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality0...1
Typestring
SummaryTrue
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.

Bundle.entry:HealthIssue.resource.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality0...1
TypeMeta
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.entry:HealthIssue.resource.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
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())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.language
DefinitionThe base language in which the resource is written.
Cardinality0...1
Typecode
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())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.text
DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality0...1
TypeNarrative
Aliasnarrative, 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: n/a
  • rim: N/A
  • rim: Act.text?
Bundle.entry:HealthIssue.resource.contained
DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality0...*
TypeResource
Aliasinline 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: Entity. Role, or Act
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj
DefinitionEkstenzija definira vezu i tip veze prema drugom slučaju zdravlja (Health Issue). Predmetni slučaj može biti komplikacija, komorbiditet, zamjena itd. slučaja prema kojem ima vezu (referencu).
Cardinality0...1
TypeExtension(Complex)
Must SupportTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality2...2
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:Veza
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality1...1
TypeExtension
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:Veza.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:Veza.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:Veza.url
DefinitionSource of the definition for the extension code - a logical name or a URL.
Cardinality1...1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value

reference

Mappings
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:Veza.value[x]
DefinitionValue of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality1...1
TypeReference(HRCondition)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:TipVeze
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality1...1
TypeExtension
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:TipVeze.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:TipVeze.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:TipVeze.url
DefinitionSource of the definition for the extension code - a logical name or a URL.
Cardinality1...1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value

code

Mappings
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.extension:TipVeze.value[x]
DefinitionValue of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality1...1
TypeCodeableConcept
Bindinghttp://fhir.cezih.hr/specifikacije/ValueSet/relationship-type (required)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.url
DefinitionSource of the definition for the extension code - a logical name or a URL.
Cardinality1...1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value

http://fhir.cezih.hr/specifikacije/StructureDefinition/vezani-slucaj

Mappings
  • rim: N/A
Bundle.entry:HealthIssue.resource.extension:VezaniSlucaj.value[x]
DefinitionValue of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality0...0
Typebase64Binary
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.entry:HealthIssue.resource.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.identifier
DefinitionBusiness identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Cardinality0...*
TypeIdentifier
SummaryTrue
Requirements

Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

SlicingUnordered, Closed, by system(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • workflow: Event.identifier
  • w5: FiveWs.identifier
  • rim: .id
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator
DefinitionOvaj identifikator dodjeljuje usluga "Upravljanje slučajevima" prilikom kreiranja novog slučaja ili kreiranja ponovljenog slučaja. Ovaj identifikator se smatra globalno jedinstven i nemogu postojati dva slučaja sa istim identifikatorom ovog tipa.
Cardinality0...0
TypeIdentifier
Must SupportTrue
SummaryTrue
Requirements

Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • workflow: Event.identifier
  • w5: FiveWs.identifier
  • rim: .id
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.use
DefinitionThe purpose of this identifier.
Cardinality0...1
Typecode
Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)
ModifierTrue
SummaryTrue
Requirements

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

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.type
DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality0...1
TypeCodeableConcept
Binding

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

Identifier Type Codes (extensible)
SummaryTrue
Requirements

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

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.system
DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique.
Cardinality1...1
Typeuri
SummaryTrue
Requirements

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

Comments

Identifier.system is always case sensitive.

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

http://fhir.cezih.hr/specifikacije/identifikatori/identifikator-slucaja

Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.value
DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system.
Cardinality0...1
Typestring
SummaryTrue
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

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

123456


Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.period
DefinitionTime period during which identifier is/was valid for use.
Cardinality0...1
TypePeriod
SummaryTrue
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator.assigner
DefinitionOrganization that issued/manages the identifier.
Cardinality0...1
TypeReference(Organization)
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator
DefinitionOvo je identifikator slučaja koji je dodjeljen slučaju u vanjskom informacijskom sustavu (sustavu koji koristi usluge komponente za Upravljanje slučajevima). Vanjski sustav može dodjeliti i više ovakvih identifikatora no budući da se ovaj identifikator ne može smatrati globalno jedinstven prilikom [kreiranja novog slučaja](kreiraj_novi_slucaj.html) ili prilikom [kreiranja ponovljenog slučaja](kreiraj_ponovljeni_slucaj.html), slučaju se također dodjeljuje globalni identifikator. Ovaj tip identifikatora se može dodati, izmjeniti i obrisati iz podataka o slučaju i kroz [zahtjev za izmjenom podataka slučaja](izmjeni_podatke_slucaja.html).
Cardinality0...*
TypeIdentifier
Must SupportTrue
SummaryTrue
Requirements

Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.

Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • workflow: Event.identifier
  • w5: FiveWs.identifier
  • rim: .id
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.use
DefinitionThe purpose of this identifier.
Cardinality0...1
Typecode
Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)
ModifierTrue
SummaryTrue
Requirements

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

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.type
DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality0...1
TypeCodeableConcept
Binding

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

Identifier Type Codes (extensible)
SummaryTrue
Requirements

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

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.system
DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique.
Cardinality1...1
Typeuri
SummaryTrue
Requirements

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

Comments

Identifier.system is always case sensitive.

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

http://fhir.cezih.hr/specifikacije/identifikatori/lokalni-identifikator-slucaja

Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.value
DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system.
Cardinality0...1
Typestring
SummaryTrue
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

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

123456


Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.period
DefinitionTime period during which identifier is/was valid for use.
Cardinality0...1
TypePeriod
SummaryTrue
Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
Bundle.entry:HealthIssue.resource.identifier:lokalni-identifikator.assigner
DefinitionOrganization that issued/manages the identifier.
Cardinality0...1
TypeReference(Organization)
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
Bundle.entry:HealthIssue.resource.clinicalStatus
DefinitionKlinički status slučaja se mijenja kroz poruke zahtjeva za upavljanje slučajevima kako je to opisano u [Slučajevima uporabe usluge za upravljanje slučajevima](slucajevi_uporabe.html). Status ne postavlja korisnik usluge već se on postavlja od strane same usluge za upravljanje slučajevima. Ukoliko korisnik pošalje neku vrijednost ona će biti zanemarena te će vrijednost ovog atributa biti postavljena na slijedeći način. [Prilikom kreiranja novog slučaja](kreiraj_novi_slucaj.html) dodljejuje se klinički startus "active". [Prilikom kreiranja ponovljenog slučaja](kreiraj_ponovljeni_slucaj.html) dodjeljuje se klinički status "recurrence" [Prilikom promjene statusa slučaja u remisija](promjeni_status_slucaja_u_remisija.html) dodjeljuje se klinički status "remission" [Prilikom promjene statusa slučaja u recidiv](promjeni_status_slucaja_u_recidiv.html) dodjeljuje se klinički status "relapse" [Prilikom zatvaranja slučaja](zatvori_slucaj.html) dodjeljuje se klinički status "resolved" [Prilikom brisanja slučaja](obrisi_slucaj.html) dodjeljuje se klinički status "inactive" s time da se vrijednost atributa "verificationStatus" postavlja u "entered-in-error"
Cardinality0...0
TypeCodeableConcept
Binding

The clinical status of the condition or diagnosis.

ConditionClinicalStatusCodes (required)
Must SupportTrue
ModifierTrue
SummaryTrue
Comments

The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.status
  • w5: FiveWs.status
  • sct-concept: < 303105007 |Disease phases|
  • v2: PRB-14
  • rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
Bundle.entry:HealthIssue.resource.verificationStatus
DefinitionVrijednost potvrde slučaja se postavlja ovisno o poruci tj statusu zdravstvenog slučaja pacijenta. Vrijednost postavlja korisnik usluge a moguće vrijednosti su ovisno o poruci. [Prilikom kreiranja novog slučaja](kreiraj_novi_slucaj.html), [kreiranja ponovljenog slučaja](kreiraj_ponovljeni_slucaj.html) i [prilikom promjene podataka o slučaju](izmjeni_podatke_slucaja.html) moguće su vrijednosti "unconfirmed", "provisional", "differential", "confirmed". [Prilikom zatvaranja slučaja](zatvori_slucaj.html) moguće su vrijednosti "confirmed", "refuted". [Prilikom brisanja slučaja](obrisi_slucaj.html) usluga automatski postavlja vrijednost ovog atributa u "entered-in-error" i zanemaruje vrijednost ovog atributa poslanog u poruci.
Cardinality1...1
TypeCodeableConcept
Binding

The verification status to support or decline the clinical status of the condition or diagnosis.

HIVerificationStatusCreateCodes (required)
Must SupportTrue
ModifierTrue
SummaryTrue
Comments

verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.status
  • w5: FiveWs.status
  • sct-concept: < 410514004 |Finding context value|
  • v2: PRB-13
  • rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
  • sct-attr: 408729009
Bundle.entry:HealthIssue.resource.category
DefinitionA category assigned to the condition.
Cardinality0...*
TypeCodeableConcept
Binding

A category assigned to the condition.

ConditionCategoryCodes (extensible)
Must SupportTrue
Comments

The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.class
  • sct-concept: < 404684003 |Clinical finding|
  • v2: 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
  • rim: .code
Bundle.entry:HealthIssue.resource.severity
DefinitionA subjective assessment of the severity of the condition as evaluated by the clinician.
Cardinality0...1
TypeCodeableConcept
Binding

A subjective assessment of the severity of the condition as evaluated by the clinician.

Condition/DiagnosisSeverity (preferred)
Must SupportTrue
Comments

Coding of the severity with a terminology is preferred, where possible.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.grade
  • sct-concept: < 272141005 |Severities|
  • v2: PRB-26 / ABS-3
  • rim: Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
  • sct-attr: 246112005
Bundle.entry:HealthIssue.resource.code
DefinitionIdentification of the condition, problem or diagnosis.
Cardinality1...1
TypeCodeableConcept
Binding

Identification of the condition or diagnosis.

HRMKB10 (required)
Must SupportTrue
SummaryTrue
Aliastype
Requirements

0..1 to account for primarily narrative only resources.

Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.code
  • w5: FiveWs.what[x]
  • sct-concept: code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|
  • v2: PRB-3
  • rim: .value
  • sct-attr: 246090004
Bundle.entry:HealthIssue.resource.bodySite
DefinitionThe anatomical location where this condition manifests itself.
Cardinality0...*
TypeCodeableConcept
Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (example)
Must SupportTrue
SummaryTrue
Comments

Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • sct-concept: < 442083009 |Anatomical or acquired body structure|
  • rim: .targetBodySiteCode
  • sct-attr: 363698007
Bundle.entry:HealthIssue.resource.subject
DefinitionKoristi se logička referenca (identifikator - MBO)
Cardinality1...1
TypeReference(HRPatient)
Must SupportTrue
SummaryTrue
Aliaspatient
Requirements

Group is typically used for veterinary or public health use cases.

Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  • K2IbmQnn: Ako se pacijent referencira sa identifikatorom potrebno je specificirati i tip resursa "Patient"
    iif($this.identifier.exists(), $this.type = 'Patient', true)
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.subject
  • w5: FiveWs.subject[x]
  • v2: PID-3
  • rim: .participation[typeCode=SBJ].role[classCode=PAT]
  • w5: FiveWs.subject
Bundle.entry:HealthIssue.resource.encounter
DefinitionKoristi se logička referenca (identifikator posjete koji je usluga Upravljanje posjetama dodjelila slučaju prilikom kreiiranja nove posjete).
Cardinality0...1
TypeReference(HREncounter)
Must SupportTrue
SummaryTrue
Comments

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  • MDkCazcq: Ako se posjeta u kojoj je kreiran slučaj referencira sa identifikatorom potrebno je specificirati i tip resursa "Encounter"
    iif($this.identifier.exists(), $this.type = 'Encounter', true)
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.context
  • w5: FiveWs.context
  • v2: PV1-19 (+PV1-54)
  • rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
Bundle.entry:HealthIssue.resource.onset[x]
DefinitionOvo vrijeme ne mora biti jednako vremenu kada su informacije o slučaju zabilježene. Moguće je kreirati podatke o slučaju za slučajeve koji su se pojavili u prošlosti. Može se koristiti datum (puni ili samo godina) ili starost pacijenta (npr u dobi od 40 godina). Ovaj podatak se može specificirati i mijenjati samo kroz slijedeće poruke. [Kreiranje novog slučaja](kreiraj_novi_slucaj.html), [Kreiranje ponovljenog slučaja](kreiraj_ponovljeni_slucaj.html) i [Promjena podataka o slučaju](izmjeni_podatke_slucaja.html). Ukoliko se pošalje u bilo kojoj drugoj poruci biti će zanemaren.
Cardinality1...1
TypedateTime
Must SupportTrue
SummaryTrue
Comments

Age is generally used when the patient reports an age at which the Condition began to occur.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.occurrence[x]
  • w5: FiveWs.init
  • v2: PRB-16
  • rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
Bundle.entry:HealthIssue.resource.abatement[x]
DefinitionMoguće je kreirati podatke o slučaju za slučajeve koji su se pojavili u prošlosti i koji su zatvoreni u prošlosti. Može se koristiti datum (puni ili samo godina) ili starost pacijenta (npr u dobi od 40 godina). Ovaj podatak se može specificirati i mijenjati samo kroz slijedeće poruke. [Kreiranje novog slučaja](kreiraj_novi_slucaj.html), [Kreiranje ponovljenog slučaja](kreiraj_ponovljeni_slucaj.html) i [Promjena podataka o slučaju](izmjeni_podatke_slucaja.html). Ukoliko se pošalje u bilo kojoj drugoj poruci biti će zanemaren.
Cardinality0...0
TypedateTime
Must SupportTrue
Comments

There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.done[x]
  • rim: .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
Bundle.entry:HealthIssue.resource.recordedDate
DefinitionOvo vrijeme dodjeljuje sustav. Ukoliko korisnik pošalje ovaj podatak u bio kojoj poruci biti će zanemaren i koristit će se vrijeme kada je [novi](kreiraj_novi_slucaj.html) ili [ponovljeni slučaj](kreiraj_ponovljeni_slucaj.html) kreiran.
Cardinality0...0
TypedateTime
Must SupportTrue
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.recorded
  • v2: REL-11
  • rim: .participation[typeCode=AUT].time
Bundle.entry:HealthIssue.resource.recorder
DefinitionOvaj podatak se može specificirati samo u porukama [Kreiranje novog slučaja](kreiraj_novi_slucaj.html), [Kreiranje ponovljenog slučaja](kreiraj_ponovljeni_slucaj.html) i jednak je autoru poruke. U svim ostalim porukama podatak će se zanemariti.
Cardinality0...0
TypeReference(HRPractitioner)
Must SupportTrue
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  • eSZDi9YH: Ako se zdravstveni djelatnik referencira sa identifikatorom potrebno je specificirati tip resursa "Practitioner"
    iif($this.identifier.exists(), $this.type = 'Practitioner', true)
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.author
  • rim: .participation[typeCode=AUT].role
Bundle.entry:HealthIssue.resource.asserter
DefinitionOvaj podatak se može specificirati samo u porukama [Kreiranje novog slučaja](kreiraj_novi_slucaj.html), [Kreiranje ponovljenog slučaja](kreiraj_ponovljeni_slucaj.html), [Promjena podataka o slučaju](izmjeni_podatke_slucaja.html) . U svim ostalim porukama podatak će se zanemariti.
Cardinality0...1
TypeReference(HRPractitioner)
Must SupportTrue
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
  • khaAlq0Y: Ako se zdravstveni djelatnik referencira sa identifikatorom potrebno je specificirati tip resursa "Practitioner"
    iif($this.identifier.exists(), $this.type = 'Practitioner', true)
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.source
  • v2: REL-7.1 identifier + REL-7.12 type code
  • rim: .participation[typeCode=INF].role
Bundle.entry:HealthIssue.resource.stage
DefinitionClinical stage or grade of a condition. May include formal severity assessments.
Cardinality0...*
TypeBackboneElement
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • con-1: Stage SHALL have summary or assessment
    summary.exists() or assessment.exists()
Mappings
  • rim: n/a
  • rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
Bundle.entry:HealthIssue.resource.stage.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.stage.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.stage.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.stage.summary
DefinitionA simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.
Cardinality0...1
TypeCodeableConcept
Binding

Codes describing condition stages (e.g. Cancer stages).

ConditionStage (example)
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • sct-concept: < 254291000 |Staging and scales|
  • v2: PRB-14
  • rim: .value
Bundle.entry:HealthIssue.resource.stage.assessment
DefinitionReference to a formal record of the evidence on which the staging assessment is based.
Cardinality0...*
TypeReference(ClinicalImpression | DiagnosticReport | Observation)
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim: .self
Bundle.entry:HealthIssue.resource.stage.type
DefinitionThe kind of staging, such as pathological or clinical staging.
Cardinality0...1
TypeCodeableConcept
Binding

Codes describing the kind of condition staging (e.g. clinical or pathological).

ConditionStageType (example)
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
Bundle.entry:HealthIssue.resource.evidence
DefinitionSupporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.
Cardinality0...*
TypeBackboneElement
Comments

The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • con-2: evidence SHALL have code or details
    code.exists() or detail.exists()
Mappings
  • rim: n/a
  • rim: .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
Bundle.entry:HealthIssue.resource.evidence.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.evidence.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.evidence.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.evidence.code
DefinitionA manifestation or symptom that led to the recording of this condition.
Cardinality0...*
TypeCodeableConcept
Binding

Codes that describe the manifestation or symptoms of a condition.

ManifestationAndSymptomCodes (example)
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.reasonCode
  • w5: FiveWs.why[x]
  • sct-concept: < 404684003 |Clinical finding|
  • rim: [code="diagnosis"].value
Bundle.entry:HealthIssue.resource.evidence.detail
DefinitionLinks to other relevant information, including pathology reports.
Cardinality0...*
TypeReference(Resource)
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.why[x]
  • rim: .self
Bundle.entry:HealthIssue.resource.note
DefinitionAdditional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.
Cardinality0...*
TypeAnnotation
Must SupportTrue
Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Act
  • workflow: Event.note
  • v2: NTE child of PRB
  • rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
Bundle.entry:HealthIssue.resource.note.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.note.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.note.extension:myExtension
DefinitionOptional Extension Element - found in all resources.
Cardinality1...1
TypeExtension(Coding)
Must SupportTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.note.extension:myExtension.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.resource.note.extension:myExtension.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...0
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.resource.note.extension:myExtension.url
DefinitionSource of the definition for the extension code - a logical name or a URL.
Cardinality1...1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value

http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-annotation-type

Mappings
  • rim: N/A
Bundle.entry:HealthIssue.resource.note.extension:myExtension.value[x]
DefinitionValue of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality1...1
TypeCoding
BindingHRConditionAnnotationType (required)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.entry:HealthIssue.resource.note.author[x]
DefinitionThe individual responsible for making the annotation.
Cardinality0...1
TypeReference(Practitioner | Patient | RelatedPerson | Organization)
SummaryTrue
Comments

Organization is used when there's no need for specific attribution as to who made the comment.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Act.participant[typeCode=AUT].role
Bundle.entry:HealthIssue.resource.note.time
DefinitionIndicates when this particular annotation was made.
Cardinality0...1
TypedateTime
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Act.effectiveTime
Bundle.entry:HealthIssue.resource.note.text
DefinitionThe text of the annotation in markdown format.
Cardinality1...1
Typemarkdown
SummaryTrue
Comments

Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Act.text
Bundle.entry:HealthIssue.search
DefinitionInformation about the search process that lead to the creation of this entry.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.search.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.search.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.search.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.search.mode
DefinitionWhy this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
Cardinality0...1
Typecode
Binding

Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

SearchEntryMode (required)
SummaryTrue
Comments

There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.search.score
DefinitionWhen searching, the server's search ranking score for the entry.
Cardinality0...1
Typedecimal
SummaryTrue
Comments

Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.

See Patient Match for the EMPI search which relates to this element.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request
DefinitionAdditional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.request.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.request.method
DefinitionIn a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.
Cardinality1...1
Typecode
Binding

HTTP verbs (in the HTTP command line). See HTTP rfc for details.

HTTPVerb (required)
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request.url
DefinitionThe URL for this entry, relative to the root (the address to which the request is posted).
Cardinality1...1
Typeuri
SummaryTrue
Comments

E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request.ifNoneMatch
DefinitionIf the ETag values match, return a 304 Not Modified status. See the API documentation for ["Conditional Read"](http.html#cread).
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request.ifModifiedSince
DefinitionOnly perform the operation if the last updated date matches. See the API documentation for ["Conditional Read"](http.html#cread).
Cardinality0...1
Typeinstant
SummaryTrue
Comments

Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. Time zone is always required

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request.ifMatch
DefinitionOnly perform the operation if the Etag value matches. For more information, see the API section ["Managing Resource Contention"](http.html#concurrency).
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.request.ifNoneExist
DefinitionInstruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for ["Conditional Create"](http.html#ccreate). This is just the query portion of the URL - what follows the "?" (not including the "?").
Cardinality0...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.response
DefinitionIndicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Cardinality0...0
TypeBackboneElement
SummaryTrue
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.response.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.response.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.entry:HealthIssue.response.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • rim: N/A
Bundle.entry:HealthIssue.response.status
DefinitionThe status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.
Cardinality1...1
Typestring
SummaryTrue
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.response.location
DefinitionThe location header created by processing this operation, populated if the operation returns a location.
Cardinality0...1
Typeuri
SummaryTrue
Comments

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

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.response.etag
DefinitionThe Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http.html#versioning) and [Managing Resource Contention](http.html#concurrency)).
Cardinality0...1
Typestring
SummaryTrue
Comments

Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.response.lastModified
DefinitionThe date/time that the resource was modified on the server.
Cardinality0...1
Typeinstant
SummaryTrue
Comments

This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.entry:HealthIssue.response.outcome
DefinitionAn OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.
Cardinality0...1
TypeResource
SummaryTrue
Comments

For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.

This outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.

Mappings
  • rim: Entity. Role, or Act
Bundle.signature
DefinitionDigital Signature - base64 encoded. XML-DSig or a JWT.
Cardinality1...1
TypeSignature
SummaryTrue
Requirements

A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.

Comments

The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Bundle.signature.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Bundle.signature.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, 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
  • rim: N/A
Bundle.signature.type
DefinitionDefinira da je potpisnik poruke autor
Cardinality1...1
TypeCoding
Binding

An indication of the reason that an entity signed the object.

SignatureTypeCodes (preferred)
SummaryTrue
Comments

Examples include attesting to: authorship, correct transcription, and witness of specific event. Also known as a "Commitment Type Indication".

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

{
  "system": "urn:iso-astm:E1762-95:2013",
  "code": "1.2.840.10065.1.12.1.1"
}

Mappings
  • rim: n/a
  • v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim: CV
  • orim: fhir:Coding rdfs:subClassOf dt:CDCoding
Bundle.signature.when
DefinitionWhen the digital signature was signed.
Cardinality1...1
Typeinstant
SummaryTrue
Comments

This should agree with the information in the signature.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.signature.who
DefinitionPotpisnik poruke je jednak autoru poruke navedenom u MessageHeader.author atributu. Koristi se logička referenca (identifikator-MBO)
Cardinality1...1
TypeReference(HRPractitioner)
SummaryTrue
Comments

This should agree with the information in the signature.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Bundle.signature.onBehalfOf
DefinitionA reference to an application-usable description of the identity that is represented by the signature.
Cardinality0...0
TypeReference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)
SummaryTrue
Requirements

used when the signature is on behalf of a non-signer.

Comments

The party that can't sign. For example a child.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Bundle.signature.targetFormat
DefinitionA mime type that indicates the technical format of the target resources signed by the signature.
Cardinality0...0
Typecode
Binding

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

Mime Types (required)
Comments

"xml", "json" and "ttl" are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.signature.sigFormat
DefinitionA mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jose for JWS, and image/* for a graphical image of a signature, etc.
Cardinality0...0
Typecode
Binding

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

Mime Types (required)
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Bundle.signature.data
DefinitionThe base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty.
Cardinality1...1
Typebase64Binary
Comments

Where the signature type is an XML DigSig, the signed content is a FHIR Resource(s), the signature is of the XML form of the Resource(s) using XML-Signature (XMLDIG) "Detached Signature" form.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="hr-create-health-issue-recurrence-message" />
    <url value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-create-health-issue-recurrence-message" />
    <version value="0.1" />
    <name value="CreateHealthIssueRecurrenceMessage" />
    <title value="Poruka zahtjeva za kreiranje ponovljenog slučaja" />
    <status value="active" />
    <experimental value="false" />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Bundle" />
    <baseDefinition value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-health-issue-request-message" />
    <derivation value="constraint" />
    <differential>
        <element id="Bundle">
            <path value="Bundle" />
        </element>
        <element id="Bundle.entry">
            <path value="Bundle.entry" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="resource" />
                </discriminator>
                <rules value="closed" />
            </slicing>
            <min value="2" />
            <max value="2" />
        </element>
        <element id="Bundle.entry:MessageHeader">
            <path value="Bundle.entry" />
            <sliceName value="MessageHeader" />
            <short value="Zaglavlje poruke" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Bundle.entry:MessageHeader.resource">
            <path value="Bundle.entry.resource" />
            <type>
                <code value="MessageHeader" />
                <profile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-hi-management-message-header" />
            </type>
        </element>
        <element id="Bundle.entry:MessageHeader.resource.event[x]">
            <path value="Bundle.entry.resource.event[x]" />
            <fixedCoding>
                <system value="http://ent.hr/fhir/CodeSystem/ehe-message-types" />
                <code value="2.2" />
            </fixedCoding>
        </element>
        <element id="Bundle.entry:HealthIssue">
            <path value="Bundle.entry" />
            <sliceName value="HealthIssue" />
            <short value="Slučaj" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource">
            <path value="Bundle.entry.resource" />
            <short value="Slučaj" />
            <type>
                <code value="Condition" />
                <profile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-condition" />
            </type>
        </element>
        <element id="Bundle.entry:HealthIssue.resource.identifier">
            <path value="Bundle.entry.resource.identifier" />
            <slicing>
                <description value="Definicija je definirana u baznom profilu HRCondition" />
                <rules value="closed" />
            </slicing>
        </element>
        <element id="Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator">
            <path value="Bundle.entry.resource.identifier" />
            <sliceName value="globalni-identifikator" />
            <max value="0" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.clinicalStatus">
            <path value="Bundle.entry.resource.clinicalStatus" />
            <max value="0" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.verificationStatus">
            <path value="Bundle.entry.resource.verificationStatus" />
            <min value="1" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.cezih.hr/specifikacije/ValueSet/health-issue-management-verification-status-create" />
            </binding>
        </element>
        <element id="Bundle.entry:HealthIssue.resource.code">
            <path value="Bundle.entry.resource.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.encounter">
            <path value="Bundle.entry.resource.encounter" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.onset[x]">
            <path value="Bundle.entry.resource.onset[x]" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.abatement[x]">
            <path value="Bundle.entry.resource.abatement[x]" />
            <max value="0" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.recordedDate">
            <path value="Bundle.entry.resource.recordedDate" />
            <max value="0" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.recorder">
            <path value="Bundle.entry.resource.recorder" />
            <max value="0" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.asserter">
            <path value="Bundle.entry.resource.asserter" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:HealthIssue.resource.note">
            <path value="Bundle.entry.resource.note" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>
{
    "resourceType": "StructureDefinition",
    "id": "hr-create-health-issue-recurrence-message",
    "url": "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-create-health-issue-recurrence-message",
    "version": "0.1",
    "name": "CreateHealthIssueRecurrenceMessage",
    "title": "Poruka zahtjeva za kreiranje ponovljenog slučaja",
    "status": "active",
    "experimental": false,
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Bundle",
    "baseDefinition": "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-health-issue-request-message",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Bundle",
                "path": "Bundle"
            },
            {
                "id": "Bundle.entry",
                "path": "Bundle.entry",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "resource"
                        }
                    ],
                    "rules": "closed"
                },
                "min": 2,
                "max": "2"
            },
            {
                "id": "Bundle.entry:MessageHeader",
                "path": "Bundle.entry",
                "sliceName": "MessageHeader",
                "short": "Zaglavlje poruke",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Bundle.entry:MessageHeader.resource",
                "path": "Bundle.entry.resource",
                "type":  [
                    {
                        "code": "MessageHeader",
                        "profile":  [
                            "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-hi-management-message-header"
                        ]
                    }
                ]
            },
            {
                "id": "Bundle.entry:MessageHeader.resource.event[x]",
                "path": "Bundle.entry.resource.event[x]",
                "fixedCoding": {
                    "system": "http://ent.hr/fhir/CodeSystem/ehe-message-types",
                    "code": "2.2"
                }
            },
            {
                "id": "Bundle.entry:HealthIssue",
                "path": "Bundle.entry",
                "sliceName": "HealthIssue",
                "short": "Slučaj",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Bundle.entry:HealthIssue.resource",
                "path": "Bundle.entry.resource",
                "short": "Slučaj",
                "type":  [
                    {
                        "code": "Condition",
                        "profile":  [
                            "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-condition"
                        ]
                    }
                ]
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.identifier",
                "path": "Bundle.entry.resource.identifier",
                "slicing": {
                    "description": "Definicija je definirana u baznom profilu HRCondition",
                    "rules": "closed"
                }
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.identifier:globalni-identifikator",
                "path": "Bundle.entry.resource.identifier",
                "sliceName": "globalni-identifikator",
                "max": "0"
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.clinicalStatus",
                "path": "Bundle.entry.resource.clinicalStatus",
                "max": "0",
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.verificationStatus",
                "path": "Bundle.entry.resource.verificationStatus",
                "min": 1,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.cezih.hr/specifikacije/ValueSet/health-issue-management-verification-status-create"
                }
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.code",
                "path": "Bundle.entry.resource.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.encounter",
                "path": "Bundle.entry.resource.encounter",
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.onset[x]",
                "path": "Bundle.entry.resource.onset[x]",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.abatement[x]",
                "path": "Bundle.entry.resource.abatement[x]",
                "max": "0"
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.recordedDate",
                "path": "Bundle.entry.resource.recordedDate",
                "max": "0",
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.recorder",
                "path": "Bundle.entry.resource.recorder",
                "max": "0",
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.asserter",
                "path": "Bundle.entry.resource.asserter",
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:HealthIssue.resource.note",
                "path": "Bundle.entry.resource.note",
                "mustSupport": true
            }
        ]
    }
}
{
    "resourceType": "Bundle",
    "id": "b0b1284e-c923-44bc-9978-d057b58f6709",
    "meta": {
        "versionId": "2",
        "lastUpdated": "2022-08-18T18:04:18.192+00:00",
        "source": "#feadaf57c825ca96"
    },
    "type": "message",
    "timestamp": "2022-07-14T11:15:33+02:00",
    "entry":  [
        {
            "fullUrl": "urn:uuid:e36ddc6d-b7fb-4f1a-bf1c-f2458e5c1eba",
            "resource": {
                "resourceType": "MessageHeader",
                "eventCoding": {
                    "system": "http://ent.hr/fhir/CodeSystem/ehe-message-types",
                    "code": "2.2"
                },
                "sender": {
                    "type": "Organization",
                    "identifier": {
                        "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZZO-sifra-zdravstvene-organizacije",
                        "value": "1234567"
                    }
                },
                "author": {
                    "type": "Practitioner",
                    "identifier": {
                        "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika",
                        "value": "1234567"
                    }
                },
                "source": {
                    "endpoint": "urn:oid:1.2.3.4.5.6"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:f625d618-6b86-48f1-8fe9-0ca189898950"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:f625d618-6b86-48f1-8fe9-0ca189898950",
            "resource": {
                "resourceType": "Condition",
                "identifier":  [
                    {
                        "system": "http://fhir.cezih.hr/specifikacije/identifikatori/lokalni-identifikator-slucaja",
                        "value": "234121234"
                    }
                ],
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                            "code": "unconfirmed"
                        }
                    ]
                },
                "code": {
                    "coding":  [
                        {
                            "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/icd10-hr",
                            "code": "C00",
                            "display": "Zloćudna novotvorina usne"
                        }
                    ],
                    "text": "Neoplasma malignum labii"
                },
                "subject": {
                    "type": "Patient",
                    "identifier": {
                        "system": "http://fhir.cezih.hr/specifikacije/identifikatori/MBO",
                        "value": "18022306986"
                    }
                },
                "onsetDateTime": "2021-12-05",
                "asserter": {
                    "type": "Practitioner",
                    "identifier": {
                        "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika",
                        "value": "1234567"
                    }
                },
                "note":  [
                    {
                        "extension":  [
                            {
                                "url": "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-annotation-type",
                                "valueCoding": {
                                    "system": "http://fhir.cezih.hr/specifikacije/CodeSystem/annotation-type",
                                    "code": "4"
                                }
                            }
                        ],
                        "text": "Neka napomena o zdravstvenom slučaju pacijenta"
                    }
                ]
            }
        }
    ],
    "signature": {
        "type":  [
            {
                "system": "urn:iso-astm:E1762-95:2013",
                "code": "1.2.840.10065.1.12.1.1"
            }
        ],
        "when": "2022-07-14T11:15:34+02:00",
        "who": {
            "type": "Practitioner",
            "identifier": {
                "system": "http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika",
                "value": "1234567"
            }
        },
        "data": "UHJpbWVyIHBvdHBpc2EgemEgdmnFoWUgaW5mb3JtYWNpamEgcHJvxI1pdGFqIEZISVIgc3RhbmRhcmQgaSBJSEUgRFNH"
    }
}