FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ext-R5-ResearchSubject.progress.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ext-R5-ResearchSubject.progress
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension | 0..* | Extension(4.0.1) | R5: Subject status (new) | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:type | 0..1 | Extension | R5: state | milestone (new) | |
  url | 1..1 | uri | "type" | |
  value[x] | 0..1 | CodeableConcept | state | milestone Binding: R5ResearchSubjectStateTypeForR4 (0.1.0) (example): Identifies the kind of state being refered to. | |
| extension:subjectState | 0..1 | Extension | R5: candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn (new) | |
| url | 1..1 | uri | "subjectState" | |
| value[x] | 0..1 | CodeableConcept | candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn Binding: R5ResearchSubjectStateForR4 (0.1.0) (required): Indicates the progression of a study subject through a study. | |
| extension:milestone | 0..1 | Extension | R5: SignedUp | Screened | Randomized (new) | |
| url | 1..1 | uri | "milestone" | |
| value[x] | 0..1 | CodeableConcept | SignedUp | Screened | Randomized Binding: R5ResearchSubjectMilestoneForR4 (0.1.0) (example): Indicates the progression of a study subject through the study milestones. | |
| extension:reason | 0..1 | Extension | R5: State change reason (new) | |
| url | 1..1 | uri | "reason" | |
| value[x] | 0..1 | CodeableConcept | State change reason Binding: R5StateChangeReasonForR4 (0.1.0) (example): Indicates why the state of the subject changed. | |
| extension:startDate | 0..1 | Extension | R5: State change date (new) | |
| url | 1..1 | uri | "startDate" | |
 value[x] | 0..1 | dateTime | State change date | |
 extension:endDate | 0..1 | Extension | R5: State change date (new) | |
 url | 1..1 | uri | "endDate" | |
| value[x] | 0..1 | dateTime | State change date | |
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchSubject.progress" | |
 value[x] | 0..0 | Value of extension | ||
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ext-R5-ResearchSubject.progress",
"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-r5.r4"
},
{
"url": "version",
"valueString": "0.1.0"
},
{
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"extension": [
{
"url": "startFhirVersion",
"valueCode": "4.0"
},
{
"url": "endFhirVersion",
"valueCode": "4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/version-specific-use"
},
{
"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-r5.r4"
}
]
}
},
{
"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-r5.r4"
}
]
}
}
],
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchSubject.progress",
"version": "0.1.0",
"name": "ExtensionResearchSubject_Progress",
"title": "R5: Subject status (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": "R5: `ResearchSubject.progress` (new:BackboneElement)",
"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 `ResearchSubject.progress` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source element is defined as:\r\n`ResearchSubject.progress` 0..* `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* R5: `ResearchSubject.progress` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `ResearchSubject.progress` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "ResearchSubject"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R5: Subject status (new)",
"definition": "R5: `ResearchSubject.progress` (new:BackboneElement)",
"comment": "Element `ResearchSubject.progress` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis is intended to deal with the confusion routinely created by haing two conflated concepts of being in a particular state and having achieved a particular milestone. In strict terms a milestone is a point of time event that results in a change from one state to another. The state before the milestone is achieved is often given the same name as the milestone, and sometimes the state may have the same description. For instance \"Randomised\" and \"Visit 1\" may be different milestones but the state remains at \"on study\" after each of them. \n\nIt is likely that more than one \"state\" pattern will be recorded for a subject and a type has been introduced to allow this simultaneous recording.",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"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": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"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",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:type",
"path": "Extension.extension",
"sliceName": "type",
"short": "R5: state | milestone (new)",
"definition": "R5: `ResearchSubject.progress.type` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.type` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.type` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `ResearchSubject.progress.type` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.type` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:type.id",
"path": "Extension.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": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:type.extension",
"path": "Extension.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 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.",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:type.url",
"path": "Extension.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": "type",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:type.value[x]",
"path": "Extension.extension.value[x]",
"short": "state | milestone",
"definition": "Identifies the aspect of the subject's journey that the state refers to.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Identifies the kind of state being refered to.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-subject-state-type-for-R4|0.1.0"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:subjectState",
"path": "Extension.extension",
"sliceName": "subjectState",
"short": "R5: candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn (new)",
"definition": "R5: `ResearchSubject.progress.subjectState` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.subjectState` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.subjectState` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.subjectState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `ResearchSubject.progress.subjectState` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.subjectState` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.subjectState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:subjectState.id",
"path": "Extension.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": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:subjectState.extension",
"path": "Extension.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 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.",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:subjectState.url",
"path": "Extension.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": "subjectState",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:subjectState.value[x]",
"path": "Extension.extension.value[x]",
"short": "candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn",
"definition": "The current state of the subject.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "required",
"description": "Indicates the progression of a study subject through a study.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-subject-state-for-R4|0.1.0"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:milestone",
"path": "Extension.extension",
"sliceName": "milestone",
"short": "R5: SignedUp | Screened | Randomized (new)",
"definition": "R5: `ResearchSubject.progress.milestone` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.milestone` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.milestone` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.milestone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThere can be multiple entries but it is also valid to just have the most recent. This should npt be rlied upon as the full path the subject has taken.",
"requirements": "Element `ResearchSubject.progress.milestone` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.milestone` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.milestone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:milestone.id",
"path": "Extension.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": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:milestone.extension",
"path": "Extension.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 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.",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:milestone.url",
"path": "Extension.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": "milestone",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:milestone.value[x]",
"path": "Extension.extension.value[x]",
"short": "SignedUp | Screened | Randomized",
"definition": "The milestones the subject has passed through.",
"comment": "There can be multiple entries but it is also valid to just have the most recent. This should npt be rlied upon as the full path the subject has taken.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Indicates the progression of a study subject through the study milestones.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-subject-milestone-for-R4|0.1.0"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:reason",
"path": "Extension.extension",
"sliceName": "reason",
"short": "R5: State change reason (new)",
"definition": "R5: `ResearchSubject.progress.reason` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.reason` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.reason` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `ResearchSubject.progress.reason` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.reason` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:reason.id",
"path": "Extension.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": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:reason.extension",
"path": "Extension.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 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.",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:reason.url",
"path": "Extension.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": "reason",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:reason.value[x]",
"path": "Extension.extension.value[x]",
"short": "State change reason",
"definition": "The reason for the state change. If coded it should follow the formal subject state model.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Indicates why the state of the subject changed.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-state-change-reason-for-R4|0.1.0"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:startDate",
"path": "Extension.extension",
"sliceName": "startDate",
"short": "R5: State change date (new)",
"definition": "R5: `ResearchSubject.progress.startDate` (new:dateTime)",
"comment": "Element `ResearchSubject.progress.startDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.startDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.startDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis is NOT the date the change in state was recorded.",
"requirements": "This was originally defined as the date when the change in status occurred. This assumed all states were recorded which is not true. Hence the need to track the end of the state. Element `ResearchSubject.progress.startDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.startDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.startDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:startDate.id",
"path": "Extension.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": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:startDate.extension",
"path": "Extension.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 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.",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:startDate.url",
"path": "Extension.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": "startDate",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:startDate.value[x]",
"path": "Extension.extension.value[x]",
"short": "State change date",
"definition": "The date when the new status started.",
"comment": "This is NOT the date the change in state was recorded.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:endDate",
"path": "Extension.extension",
"sliceName": "endDate",
"short": "R5: State change date (new)",
"definition": "R5: `ResearchSubject.progress.endDate` (new:dateTime)",
"comment": "Element `ResearchSubject.progress.endDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.endDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.endDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "See the requirement on the start date. Element `ResearchSubject.progress.endDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.endDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.endDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:endDate.id",
"path": "Extension.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": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:endDate.extension",
"path": "Extension.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 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.",
"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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:endDate.url",
"path": "Extension.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": "endDate",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:endDate.value[x]",
"path": "Extension.extension.value[x]",
"short": "State change date",
"definition": "The date when the state ended.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
}
],
"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/5.0/StructureDefinition/extension-ResearchSubject.progress",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "canonical"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "url"
},
{
"code": "uuid"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "ContactDetail"
},
{
"code": "Contributor"
},
{
"code": "DataRequirement"
},
{
"code": "Expression"
},
{
"code": "ParameterDefinition"
},
{
"code": "RelatedArtifact"
},
{
"code": "TriggerDefinition"
},
{
"code": "UsageContext"
},
{
"code": "Dosage"
},
{
"code": "Meta"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element|4.0.1"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R5: Subject status (new)",
"definition": "R5: `ResearchSubject.progress` (new:BackboneElement)",
"comment": "Element `ResearchSubject.progress` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis is intended to deal with the confusion routinely created by haing two conflated concepts of being in a particular state and having achieved a particular milestone. In strict terms a milestone is a point of time event that results in a change from one state to another. The state before the milestone is achieved is often given the same name as the milestone, and sometimes the state may have the same description. For instance \"Randomised\" and \"Visit 1\" may be different milestones but the state remains at \"on study\" after each of them. \n\nIt is likely that more than one \"state\" pattern will be recorded for a subject and a type has been introduced to allow this simultaneous recording.",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:type",
"path": "Extension.extension",
"sliceName": "type",
"short": "R5: state | milestone (new)",
"definition": "R5: `ResearchSubject.progress.type` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.type` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.type` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `ResearchSubject.progress.type` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.type` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:type.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "type"
},
{
"id": "Extension.extension:type.value[x]",
"path": "Extension.extension.value[x]",
"short": "state | milestone",
"definition": "Identifies the aspect of the subject's journey that the state refers to.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Identifies the kind of state being refered to.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-subject-state-type-for-R4|0.1.0"
}
},
{
"id": "Extension.extension:subjectState",
"path": "Extension.extension",
"sliceName": "subjectState",
"short": "R5: candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn (new)",
"definition": "R5: `ResearchSubject.progress.subjectState` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.subjectState` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.subjectState` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.subjectState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `ResearchSubject.progress.subjectState` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.subjectState` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.subjectState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:subjectState.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "subjectState"
},
{
"id": "Extension.extension:subjectState.value[x]",
"path": "Extension.extension.value[x]",
"short": "candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn",
"definition": "The current state of the subject.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "Indicates the progression of a study subject through a study.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-subject-state-for-R4|0.1.0"
}
},
{
"id": "Extension.extension:milestone",
"path": "Extension.extension",
"sliceName": "milestone",
"short": "R5: SignedUp | Screened | Randomized (new)",
"definition": "R5: `ResearchSubject.progress.milestone` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.milestone` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.milestone` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.milestone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThere can be multiple entries but it is also valid to just have the most recent. This should npt be rlied upon as the full path the subject has taken.",
"requirements": "Element `ResearchSubject.progress.milestone` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.milestone` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.milestone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:milestone.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "milestone"
},
{
"id": "Extension.extension:milestone.value[x]",
"path": "Extension.extension.value[x]",
"short": "SignedUp | Screened | Randomized",
"definition": "The milestones the subject has passed through.",
"comment": "There can be multiple entries but it is also valid to just have the most recent. This should npt be rlied upon as the full path the subject has taken.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Indicates the progression of a study subject through the study milestones.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-subject-milestone-for-R4|0.1.0"
}
},
{
"id": "Extension.extension:reason",
"path": "Extension.extension",
"sliceName": "reason",
"short": "R5: State change reason (new)",
"definition": "R5: `ResearchSubject.progress.reason` (new:CodeableConcept)",
"comment": "Element `ResearchSubject.progress.reason` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.reason` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `ResearchSubject.progress.reason` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.reason` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:reason.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "reason"
},
{
"id": "Extension.extension:reason.value[x]",
"path": "Extension.extension.value[x]",
"short": "State change reason",
"definition": "The reason for the state change. If coded it should follow the formal subject state model.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Indicates why the state of the subject changed.",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R5-state-change-reason-for-R4|0.1.0"
}
},
{
"id": "Extension.extension:startDate",
"path": "Extension.extension",
"sliceName": "startDate",
"short": "R5: State change date (new)",
"definition": "R5: `ResearchSubject.progress.startDate` (new:dateTime)",
"comment": "Element `ResearchSubject.progress.startDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.startDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.startDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis is NOT the date the change in state was recorded.",
"requirements": "This was originally defined as the date when the change in status occurred. This assumed all states were recorded which is not true. Hence the need to track the end of the state. Element `ResearchSubject.progress.startDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.startDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.startDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:startDate.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "startDate"
},
{
"id": "Extension.extension:startDate.value[x]",
"path": "Extension.extension.value[x]",
"short": "State change date",
"definition": "The date when the new status started.",
"comment": "This is NOT the date the change in state was recorded.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Extension.extension:endDate",
"path": "Extension.extension",
"sliceName": "endDate",
"short": "R5: State change date (new)",
"definition": "R5: `ResearchSubject.progress.endDate` (new:dateTime)",
"comment": "Element `ResearchSubject.progress.endDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.endDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.endDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"requirements": "See the requirement on the start date. Element `ResearchSubject.progress.endDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension.\nElement `ResearchSubject.progress.endDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`.\nElement `ResearchSubject.progress.endDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:endDate.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "endDate"
},
{
"id": "Extension.extension:endDate.value[x]",
"path": "Extension.extension.value[x]",
"short": "State change date",
"definition": "The date when the state ended.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchSubject.progress"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
}
}
]
}
}