FHIR IG analytics| Package | hl7.fhir.uv.xver-r4.r5 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ext-R4-Composition.confidentiality.json |
| FHIR Version | R5 |
| Source | http://hl7.org/fhir/uv/xver-r4.r5/0.1.0/StructureDefinition-ext-R4-Composition.confidentiality.html |
| URL | http://hl7.org/fhir/4.0/StructureDefinition/extension-Composition.confidentiality |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T21:02:03.8104715+00:00 |
| Name | ExtensionComposition_Confidentiality |
| Title | R4: As defined by affinity domain (new) |
| Realm | uv |
| Authority | hl7 |
| Description | R4: `Composition.confidentiality` (new:code) |
| Purpose | This extension is part of the cross-version definitions generated to enable use of the element `Composition.confidentiality` as defined in FHIR R4 in FHIR R5. The source element is defined as: `Composition.confidentiality` 0..1 `code` Across FHIR versions, the element set has been mapped as: * R4: `Composition.confidentiality` 0..1 `code` * R4B: `Composition.confidentiality` 0..1 `code` Following are the generation technical comments: Element `Composition.confidentiality` has a context of Composition based on following the parent source element upwards and mapping to `Composition`. Element `Composition.confidentiality` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). |
| Type | Extension |
| Kind | complex-type |
| ConceptMap | ||
| hl7.fhir.uv.xver-r4.r5#0.1.0 | R4-Composition-element-map-to-R5 | Cross-version mapping for FHIR R4 Composition to FHIR R5 Composition |
| ValueSet | ||
| hl7.fhir.uv.xver-r4.r5#0.1.0 | R4-v3-ConfidentialityClassification-for-R5 | Cross-version ValueSet R4.v3.ConfidentialityClassification for use in FHIR R5 |
No extension usage examples found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ext-R4-Composition.confidentiality
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension | 0..1 | Extension(5.0.0) | R4: As defined by affinity domain (new) | |
 url | 1..1 | uri | "http://hl7.org/fhir/4.0/StructureDefinition/extension-Composition.confidentiality" | |
  value[x] | 0..1 | code | As defined by affinity domain Binding: R4V3ConfidentialityClassificationForR5 (0.1.0) (required): Codes specifying the level of confidentiality of the composition. | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ext-R4-Composition.confidentiality",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4.r5"
},
{
"url": "version",
"valueString": "0.1.0"
},
{
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"extension": [
{
"url": "startFhirVersion",
"valueCode": "5.0"
},
{
"url": "endFhirVersion",
"valueCode": "5.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/version-specific-use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-bind"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
}
]
}
}
],
"url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Composition.confidentiality",
"version": "0.1.0",
"name": "ExtensionComposition_Confidentiality",
"title": "R4: As defined by affinity domain (new)",
"status": "active",
"experimental": false,
"date": "2026-03-17T21:02:03.8104715+00:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "R4: `Composition.confidentiality` (new:code)",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `Composition.confidentiality` as defined in FHIR R4\r\nin FHIR R5.\r\n\r\nThe source element is defined as:\r\n`Composition.confidentiality` 0..1 `code`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* R4: `Composition.confidentiality` 0..1 `code`\n* R4B: `Composition.confidentiality` 0..1 `code`\r\n\r\nFollowing are the generation technical comments:\r\nElement `Composition.confidentiality` has a context of Composition based on following the parent source element upwards and mapping to `Composition`.\nElement `Composition.confidentiality` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).",
"fhirVersion": "5.0.0",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "Composition"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "5.0.0"
}
],
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: As defined by affinity domain (new)",
"definition": "R4: `Composition.confidentiality` (new:code)",
"comment": "Element `Composition.confidentiality` has a context of Composition based on following the parent source element upwards and mapping to `Composition`.\nElement `Composition.confidentiality` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"min": 0,
"max": "1",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"
}
],
"isModifier": false
},
{
"id": "Extension.id",
"path": "Extension.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"condition": [
"ele-1"
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "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.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Composition.confidentiality",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "As defined by affinity domain",
"definition": "The code specifying the level of confidentiality of the Composition.",
"comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ext-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "required",
"description": "Codes specifying the level of confidentiality of the composition.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R4-v3-ConfidentialityClassification-for-R5|0.1.0"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: As defined by affinity domain (new)",
"definition": "R4: `Composition.confidentiality` (new:code)",
"comment": "Element `Composition.confidentiality` has a context of Composition based on following the parent source element upwards and mapping to `Composition`.\nElement `Composition.confidentiality` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"min": 0,
"max": "1",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Extension.url",
"path": "Extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Composition.confidentiality"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "As defined by affinity domain",
"definition": "The code specifying the level of confidentiality of the Composition.",
"comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "Codes specifying the level of confidentiality of the composition.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R4-v3-ConfidentialityClassification-for-R5|0.1.0"
}
}
]
}
}