| Package | nhs.fhir.lv.vvis |
| Resource Type | StructureDefinition |
| Id | 1.3.6.1.4.1.38760.FHIR.3.1.2.1 |
| FHIR Version | R4B |
| Source | https://simplifier.net/resolve?scope=nhs.fhir.lv.vvis@0.1.0-test&canonical=https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1 |
| URL | https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1 |
| Version | 1 |
| Status | active |
| Name | BundleTransactionOncologyCard |
| Title | Bundle Transaction Oncology Card |
| Type | Bundle |
| Kind | resource |
No resources found
| StructureDefinition | |
| BundleTransactionOnkoBase-v1 | TransactionOnkoBase |
| OncologyBasicDataOfDisease-v1 | Oncology basic data of the disease |
| OncologyCardData-v1 | Oncology Card Data |
| Chemotherapy-v1 | Chemotherapy |
| EndocrineTherapy-v1 | Endocrine Therapy |
| Immunotherapy-v1 | Immunotherapy |
| TargetedTherapy-v1 | Targeted therapy |
| CourseOfDisease-v1 | Course of the disease |
| PalliativeCare-v1 | PalliativeCare |
| RiskFactor-v1 | Risk factor |
| TumorData-v1 | Tumor data |
| PeripheralBloodStemCellTransplantationTherapy-v1 | Peripheral Blood Stem Cell Transplantation Therapy |
| RadiationTherapy-v1 | Radiation therapy |
| Surgery-v1 | Surgery |
No narrative content found in resource
FHIR{
"resourceType": "StructureDefinition",
"id": "1.3.6.1.4.1.38760.FHIR.3.1.2.1",
"url": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1",
"version": "1",
"name": "BundleTransactionOncologyCard",
"title": "Bundle Transaction Oncology Card",
"status": "active",
"fhirVersion": "4.3.0",
"kind": "resource",
"abstract": false,
"type": "Bundle",
"baseDefinition": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOnkoBase-v1",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Bundle",
"path": "Bundle",
"short": "Contains a collection of resources",
"definition": "A container for a collection of resources.",
"comment": "Oncology Bundle",
"min": 0,
"max": "*",
"base": {
"path": "Bundle",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "bdl-7",
"severity": "error",
"human": "FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)",
"expression": "(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()",
"xpath": "(f:type/@value = 'history') or (count(for $entry in f:entry[f:resource] return $entry[count(parent::f:Bundle/f:entry[f:fullUrl/@value=$entry/f:fullUrl/@value and ((not(f:resource/*/f:meta/f:versionId/@value) and not($entry/f:resource/*/f:meta/f:versionId/@value)) or f:resource/*/f:meta/f:versionId/@value=$entry/f:resource/*/f:meta/f:versionId/@value)])!=1])=0)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-9",
"severity": "error",
"human": "A document must have an identifier with a system and a value",
"expression": "type = 'document' implies (identifier.system.exists() and identifier.value.exists())",
"xpath": "not(f:type/@value = 'document') or exists(f:identifier/f:system) or exists(f:identifier/f:value)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-3",
"severity": "error",
"human": "entry.request mandatory for batch/transaction/history, otherwise prohibited",
"expression": "entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))",
"xpath": "not(f:entry/f:request) or (f:type/@value = 'batch') or (f:type/@value = 'transaction') or (f:type/@value = 'history')",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-4",
"severity": "error",
"human": "entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited",
"expression": "entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))",
"xpath": "not(f:entry/f:response) or (f:type/@value = 'batch-response') or (f:type/@value = 'transaction-response') or (f:type/@value = 'history')",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-12",
"severity": "error",
"human": "A message must have a MessageHeader as the first resource",
"expression": "type = 'message' implies entry.first().resource.is(MessageHeader)",
"xpath": "not(f:type/@value='message') or f:entry[1]/f:resource/f:MessageHeader",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-1",
"severity": "error",
"human": "total only when a search or history",
"expression": "total.empty() or (type = 'searchset') or (type = 'history')",
"xpath": "not(f:total) or (f:type/@value = 'searchset') or (f:type/@value = 'history')",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-2",
"severity": "error",
"human": "entry.search only when a search",
"expression": "entry.search.empty() or (type = 'searchset')",
"xpath": "not(f:entry/f:search) or (f:type/@value = 'searchset')",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-11",
"severity": "error",
"human": "A document must have a Composition as the first resource",
"expression": "type = 'document' implies entry.first().resource.is(Composition)",
"xpath": "not(f:type/@value='document') or f:entry[1]/f:resource/f:Composition",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-10",
"severity": "error",
"human": "A document must have a date",
"expression": "type = 'document' implies (timestamp.hasValue())",
"xpath": "not(f:type/@value = 'document') or exists(f:timestamp/@value)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "OncologyBundle-con-1",
"severity": "warning",
"human": "Progression diagnosis date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'PROGRESSION_DIAGNOSIS_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='PROGRESSION_DIAGNOSIS_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='PROGRESSION_DIAGNOSIS_DATE').value > entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-2",
"severity": "warning",
"human": "Local recurrence diagnosis date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'LOCAL_RECURRENCE_DIAGNOSIS_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='LOCAL_RECURRENCE_DIAGNOSIS_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='LOCAL_RECURRENCE_DIAGNOSIS_DATE').value > entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-3",
"severity": "warning",
"human": "Disease remission date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISEASE_REMISSION_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='DISEASE_REMISSION_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISEASE_REMISSION_DATE').value > entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-4",
"severity": "warning",
"human": "Distant metastases diagnosis date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_DIAGNOSIS_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='DISTANT_METASTASES_DIAGNOSIS_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_DIAGNOSIS_DATE').value >= entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-5",
"severity": "error",
"human": "If the field \"Localization of distant metastases\" (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') is provided, Distant metastases date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_DIAGNOSIS_DATE') is mandatory",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_DIAGNOSIS_DATE').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-6",
"severity": "error",
"human": "If the field Distant metastases date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_DIAGNOSIS_DATE') is provided, field \"Localization of distant metastases\" (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') is mandatory",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_DIAGNOSIS_DATE').value.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-7",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is C00-C97, then the TNM stage (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_TNM') value should not be 0 [and the other values with zero]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([0-8][0-9])|([9][0-7]))') and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.622').code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.622').code.exists(matches('0$|0a$|0is[%content%]#39;)).not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-8",
"severity": "error",
"human": "If the TNM M (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') value is M0 or M0(i+), then the distant metastases localization (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') cannot be provided",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('M0')) and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('M0').not()).not(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.621').code.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-9",
"severity": "error",
"human": "If Diagnosis according to ICD-O-3.2. topography (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) is C42%, Tumor T value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') field cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([4][2]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.all(matches('TNM_T_VALUE').not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-10",
"severity": "error",
"human": "If Diagnosis according to ICD-O-3.2. topography (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) is C42%, Tumor N value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE') field cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([4][2]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.all(matches('TNM_N_VALUE').not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-11",
"severity": "error",
"human": "If Diagnosis according to ICD-O-3.2. topography (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) is C42%, Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') field cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([4][2]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.all(matches('TNM_M_VALUE').not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-12",
"severity": "error",
"human": "If the ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is D32, D33, D35%, then the TNM values (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE') cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D32|D33|D([3][5]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.matches('TNM[%content%]#39;).not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-13",
"severity": "warning",
"human": "If ICD-O-3.2. the topography diagnosis (Profile: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C61, then the tumor histological grade (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_HISTOLOGICAL_GRADE') can only be values GL1-GL9",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([6][1])') and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').value.coding.code.matches('GL[1-9]'), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-14",
"severity": "error",
"human": "If the ICD-O-3.2. topography diagnosis (Profile: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is not C61, then the tumor histological grade (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_HISTOLOGICAL_GRADE') can be all values except GL1-GL9",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([6][1])').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').value.coding.code.matches('GL[1-9]').not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-15",
"severity": "error",
"human": "FIGO stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_FIGO') can be submitted only if the ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) values are C51%-C58% or the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C51%-C58%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_FIGO').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('^C([5][1-8]).[0-9][%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C([5][1-8]).[0-9]$|^C([5][1-8])[%content%]#39;), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-16",
"severity": "error",
"human": "AnnArbor stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_ANNARBOR_LUGANO') can be submitted only if the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C81% or C85% or Tumor morphology according to ICD-O-3.2 (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology) is a code from the group of morphology codes: 959-972",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_ANNARBOR_LUGANO').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C81.[0-9]$|^C85.[0-9][%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.873').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-18",
"severity": "error",
"human": "Chronic myeloid leukemia phase value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'CHRONIC_MYELOID_LEUKEMIA_PHASE') can be submitted if the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C92.1. or the ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C42.1",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='CHRONIC_MYELOID_LEUKEMIA_PHASE').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C92.1') or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C42.1'), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-20",
"severity": "error",
"human": "Breslow method thickess value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'BRESLOW_METHOD_THICKNESS') can be submitted if the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C43% or ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C44%, C51.0, C60.9, or C63.2.",
"expression": "iif( entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='BRESLOW_METHOD_THICKNESS').value.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C43.[0-9][%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('^C44.[0-9]|C51.0|C60.9|C63.2[%content%]#39;) , true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-22",
"severity": "error",
"human": "Localization of distant metastases (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') value is mandatory if the Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') starts with M1 - M1a, M1a(0), etc.",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('M1')), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-23",
"severity": "error",
"human": "Tumor T value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') is mandatory if the field \"TNM stage\" is submitted and the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is not C77% - C79% OR C81%-C96%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C[7][7-9]').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([8][1-9])|([9][0-6]))').not()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-24",
"severity": "error",
"human": "Tumor N value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE') is mandatory if the field \"TNM stage\" is submitted and the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is not C77% - C79% OR C81%-C96%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C[7][7-9]').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([8][1-9])|([9][0-6]))').not()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-25",
"severity": "error",
"human": "Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') is mandatory if the field \"TNM stage\" is submitted and the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is not C77% - C79% OR C81%-C96%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C[7][7-9]').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([8][1-9])|([9][0-6]))').not()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-26",
"severity": "error",
"human": "Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') is mandatory if the \"Localization of distant metastases\" value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') is provided",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-27",
"severity": "error",
"human": "TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_TNM') is mandatory if TNM values are provided - Tumor T value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') and Tumor N value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE'), and Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE')",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-28",
"severity": "error",
"human": "If the TNM data of the tumor are provided (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE'), then the TNM classification type (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_CLS_TYPE') must be indicated",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists()) and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_CLS_TYPE').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-29",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM T value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') can be only Tis [including Tis(DCIS), Tis(LAMN), Tis(Paget) etc.]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.matches('Tis'), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-31",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM N value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE') can be only N0% [including N0(i+), N0(mol+)].",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.matches('N0'), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-33",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM M value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') can only be M0% [including M0(i+)]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.matches('M0'), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-35",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code, Field: Observation.code.coding.code = 'TUMOR_STAGE_TNM') can only be 0 or 0is",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.matches('^0$|^0is[%content%]#39;), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-37",
"severity": "error",
"human": "If the TNM M value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') is M1%, then the TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_TNM') can only be 4% [including 4A, 4A1, 4A2, 4B...]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('^M1')) and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(matches('^4')), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-38",
"severity": "error",
"human": "The date of surgery (Profile: Procedure/Surgery, Field: Procedure.performed[x]) should not be earlier than 30 days before the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.all($this + 30 days >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-39",
"severity": "error",
"human": "Radiotherapy start date (Profile: Procedure/RadiationTherapy, Field: Procedure.performed[x].start) is mandatory, and the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-40",
"severity": "error",
"human": "Chemotherapy start date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective[x].start) is mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-41",
"severity": "error",
"human": "EndocrineTherapy start date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective[x].start) is mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-42",
"severity": "error",
"human": "Immunotherapy start date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective[x].start) is mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-43",
"severity": "error",
"human": "TargetedTherapy start date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective[x].start) mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-44",
"severity": "error",
"human": "The date of PeripheralBloodStemCellTherapy (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.performed[x]) must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-45",
"severity": "error",
"human": "The date of PalliativeCare (Profile: Observation/PalliativeCare, Field: Observation.value[x]) should not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-46",
"severity": "error",
"human": "If diagnosis revealing type (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisRevealingType) is 5 - After death without autopsy, then it is not allowed to send in any treatment card (Profile: Surgery OR RadiationTherapy OR PeripheralBloodStemCellTransplantationTherapy OR PalliativeCare OR Chemotherapy OR EndocrineTherapy OR Immunotherapy OR TargetedTherapy) or course of the disease (Profile: Condition/CourseOfDisease)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code = '5', entry.resource.where(meta.profile.matches('^https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1[%content%]#39;)).meta.profile.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-47",
"severity": "error",
"human": "The Clark level (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'CLARK_LEVEL') can be submitted only if the diagnosis code according to ICD-10 (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code.code) is C43%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='CLARK_LEVEL').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C43.[0-9][%content%]#39;), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-48",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.870",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.870').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-49",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.416",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.416').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-50",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.650",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.650').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-51",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.649",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.649').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-52",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.225",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.225').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-53",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.204",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(resourceType='Procedure').followUp.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204').exists().not()) and (entry.resource.where(resourceType='MedicationStatement').extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204').exists().not()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-54",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in RiskFactor profile",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/RiskFactor-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-55",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in TumorData profile values that ends with '_OLD'",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.exists(code.matches('_OLD')).not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-56",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.604",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').valueDate.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').valueDate < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.604').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-57",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.640",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.640').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-58",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.606",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-59",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.629",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(resourceType='Procedure').followUp.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629').exists().not()) and (entry.resource.where(resourceType='MedicationStatement').extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629').exists().not()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629').exists().not()), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-60",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in TumorData profile values that do not end with '_OLD'",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.all(code.matches('_OLD[%content%]#39;) or code.matches('DISTANT_METASTASES_LOCALIZATION') or code.matches('TUMOR_HISTOLOGICAL_GRADE') or code.matches('TUMOR_STAGE_FIGO') or code.matches('TUMOR_STAGE_ANNARBOR_LUGANO') or code.matches('RESECTION_LINES_STATE') or code.matches('CLARK_LEVEL')), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-61",
"severity": "error",
"human": "If the ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C92.1 or the ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C42.1, then the TNM values (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE') cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C92.1[%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('^C42.1[%content%]#39;), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.exists(matches('TNM[%content%]#39;)).not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-62",
"severity": "error",
"human": "If the ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C81% or C85%, or Tumor morphology according to ICD-O-3.2 (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology) is a code from the group of morphology codes: 959-972, then the TNM values (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE') cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C81.[0-9]|C85.[0-9][%content%]#39;), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.exists(matches('TNM[%content%]#39;)).not(),true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
},
{
"key": "OncologyBundle-con-63",
"severity": "error",
"human": "If diagnosis revealing type (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisRevealingType) is 4 - Autopsy, then the TNM classification type (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_CLS_TYPE') can only be aTNM and the TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code, Field: Observation.code.coding.code = 'TUMOR_STAGE_TNM') cannot be provided",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code='4', entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_CLS_TYPE').value.coding.code.exists(matches('^aTNM[%content%]#39;)), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/BundleTransactionOncologyCard-v1"
}
],
"mustSupport": false,
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "N/A"
},
{
"identity": "cda",
"map": "ClinicalDocument, if bundle.type = document"
},
{
"identity": "w5",
"map": "infrastructure.structure"
}
]
},
{
"id": "Bundle.id",
"path": "Bundle.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.implicitRules",
"path": "Bundle.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.language",
"path": "Bundle.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.identifier",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.identifier",
"short": "Persistent identifier for the bundle",
"definition": "A persistent identifier for the bundle that won't change as a bundle is copied from server to server.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
},
{
"identity": "rim",
"map": "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]"
},
{
"identity": "servd",
"map": "Identifier"
},
{
"identity": "w5",
"map": "FiveWs.identifier"
},
{
"identity": "cda",
"map": "ClinicalDocument.id"
}
]
},
{
"id": "Bundle.type",
"path": "Bundle.type",
"short": "document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection",
"definition": "Indicates the purpose of this bundle - how it is intended to be used.",
"comment": "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.",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.type",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedCode": "transaction",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BundleType"
}
],
"strength": "required",
"description": "Indicates the purpose of a bundle - how it is intended to be used.",
"valueSet": "http://hl7.org/fhir/ValueSet/bundle-type|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "w5",
"map": "FiveWs.class"
}
]
},
{
"id": "Bundle.timestamp",
"path": "Bundle.timestamp",
"short": "When the bundle was assembled",
"definition": "The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.",
"comment": "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. \n\nUsage:\n\n* 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\n* 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\n* history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates\n* 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\n* transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning\n\nThe 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.timestamp",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "w5",
"map": "FiveWs.init"
},
{
"identity": "cda",
"map": "ClinicalDocument.effectiveTime"
}
]
},
{
"id": "Bundle.total",
"path": "Bundle.total",
"short": "If search, the total number of matches",
"definition": "If 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.",
"comment": "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.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.total",
"min": 0,
"max": "1"
},
"type": [
{
"code": "unsignedInt"
}
],
"condition": [
"ele-1",
"bdl-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.link",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.link",
"short": "Links related to this Bundle",
"definition": "A series of links that provide context to this bundle.",
"comment": "Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. [HATEOAS](http://en.wikipedia.org/wiki/HATEOAS)). \n\nBundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was [read](http.html#read) directly.\n\nThis specification defines some specific uses of Bundle.link for [searching](search.html#conformance) and [paging](http.html#paging), but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.link",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.link.id",
"path": "Bundle.link.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.link.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.link.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.link.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.link.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.link.relation",
"path": "Bundle.link.relation",
"short": "See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1",
"definition": "A 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).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.link.relation",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.link.url",
"path": "Bundle.link.url",
"short": "Reference details for the link",
"definition": "The reference details for the link.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.link.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "resource"
}
],
"rules": "closed"
},
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.resource",
"path": "Bundle.entry.resource",
"short": "A resource in the bundle",
"definition": "The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:OncologyCardData",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "OncologyCardData",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:OncologyCardData.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.resource",
"path": "Bundle.entry.resource",
"short": "Detailed information about conditions, problems or diagnoses",
"definition": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "con-5",
"severity": "error",
"human": "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
"expression": "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",
"xpath": "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))",
"source": "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key": "con-4",
"severity": "error",
"human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
"expression": "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",
"xpath": "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])",
"source": "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
}
],
"key": "con-3",
"severity": "warning",
"human": "Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-error and category is problem-list-item",
"expression": "verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.empty().not()",
"xpath": "not(exists(f:verificationStatus) and not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) and exists(f:category/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-category' and f:code/@value='problem-list-item'])) or exists(f:clinicalStatus)",
"source": "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key": "OncologyCardData-con-1",
"severity": "error",
"human": "Card status value (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus) can only be: 2 – Submitted, 3 – Revoked, 5 – Approved, 6 – Rejected",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3$|^5$|^6[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-2",
"severity": "error",
"human": "If a card status is revoked (or rejected) , (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus), then card revoke (or rejection) reason (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusReason) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3$|^6[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists() , true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-3",
"severity": "error",
"human": "If a revoke reason (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus.value[x].coding.code with code 3 - Cancelled) is provided, then revoke date (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusDate.value[x]) is mandatory (and vice versa)",
"expression": "iif(meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO[%content%]#39;) and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusDateExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-4",
"severity": "error",
"human": "If a deregistration reason (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationReason.value[x].coding.code) is provided, then deregistration date (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationDate.value[x]) is mandatory (and vice versa)",
"expression": "iif((extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').value.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationReasonExtension-v1').value.coding.code.exists()), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-5",
"severity": "error",
"human": "The card revoke date (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatusDate) must be less than or equal to sysdate",
"expression": "iif(meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO[%content%]#39;) and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusDateExtension-v1').value.toString().substring(0,10).toDate() <= today(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-6",
"severity": "error",
"human": "If a card status is 3-Revoked (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus), then card revoke coding system (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusReason.value[x].coding:cardRevokeReason) must be '1.3.6.1.4.1.38760.2.603'",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.coding.system.matches('1.3.6.1.4.1.38760.2.603'), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-7",
"severity": "error",
"human": "If a card status is 6-Rejected (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus), then card rejection coding system (Profile: Condition/OncologyCardData, Field: Condition.extension:oncologyCardStatusReason.value[x].coding:cardRejectionReason) must be '1.3.6.1.4.1.38760.2.644'",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^6[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.coding.system.exists(matches('1.3.6.1.4.1.38760.2.644')), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-8",
"severity": "error",
"human": "External systems cannot set the Oncology card number (Profile: Condition/OncologyCardData, Field: Condition.identifier.value with code 'ONCOLOGY_CARD_NUMBER')",
"expression": "iif(identifier.where(type.coding.code='ONCOLOGY_CARD_NUMBER').value.exists(), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO[%content%]#39;), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-9",
"severity": "error",
"human": "External systems cannot set the Patient tumor number (Profile: Condition/OncologyCardData, Field: Condition.identifier.value with code 'PATIENT_TUMOR_NUMBER')",
"expression": "iif(identifier.where(type.coding.code='PATIENT_TUMOR_NUMBER').value.exists(), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO[%content%]#39;), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-10",
"severity": "error",
"human": "External systems cannot set the Deregistration reason (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationReason.value[x].coding:deregistrationReason.code) or Deregistration date (Profile: Condition/OncologyCardData, Field: Condition.extension:deregistrationDate.value[x])",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationReasonExtension-v1').value.coding.code.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').value.exists(), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO[%content%]#39;), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
},
{
"key": "OncologyCardData-con-11",
"severity": "error",
"human": "External systems cannot set card statuses: 5 – Approved, 6 – Rejected (Profile: Condition/OncologyCardData, Field: Condition.extension:cardStatus.value[x].coding.code)",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^5$|^6[%content%]#39;), meta.tag.where(id='entererSystem').code.matches('^ONKO.WS$|^ONKO.PORTAL$|^ONKO[%content%]#39;), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "sct-concept",
"map": "< 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|)"
},
{
"identity": "v2",
"map": "PPR message"
},
{
"identity": "rim",
"map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
},
{
"identity": "w5",
"map": "clinical.general"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:OncologyCardData.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyCardData.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "OncologyBasicDataOfDisease",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.resource",
"path": "Bundle.entry.resource",
"short": "Detailed information about conditions, problems or diagnoses",
"definition": "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "con-5",
"severity": "error",
"human": "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
"expression": "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",
"xpath": "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))",
"source": "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key": "con-4",
"severity": "error",
"human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
"expression": "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",
"xpath": "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])",
"source": "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
}
],
"key": "con-3",
"severity": "warning",
"human": "Condition.clinicalStatus SHOULD be present if verificationStatus is not entered-in-error and category is problem-list-item",
"expression": "verificationStatus.empty().not() and verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').exists().not() and category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.empty().not()",
"xpath": "not(exists(f:verificationStatus) and not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) and exists(f:category/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-category' and f:code/@value='problem-list-item'])) or exists(f:clinicalStatus)",
"source": "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key": "OncologyBasicDataOfDisease-con-1",
"severity": "error",
"human": "Date value (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset) cannot be greater than sysdate",
"expression": "iif(onset is dateTime and onset.exists(), onset.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-2",
"severity": "error",
"human": "If the country of diagnosis is \"Latvia\" (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:countryOfDiagnosis) and diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.Condition.onset[x]) is after 01.01.2024, the topography code of the Tumor according to ICD-O-3.2. classification (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV' and onset >= '2024-01-01T00:00:00.000Z'.toDateTime(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-3",
"severity": "error",
"human": "If the country of diagnosis is \"Latvia\" (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:countryOfDiagnosis) and diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.Condition.onset[x]) is after 01.01.2024, DiagnosisRevealingType (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisRevealingType) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV' and onset >= '2024-01-01T00:00:00.000Z'.toDateTime(), evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-4",
"severity": "error",
"human": "If the country of diagnosis is \"Latvia\" (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:countryOfDiagnosis) and diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.Condition.onset[x]) is before 01.01.2024, DiagnosisRevealingType (till 2024) (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisRevealingType) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV' and onset < '2024-01-01T00:00:00.000Z'.toDateTime(), evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.650').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-5",
"severity": "warning",
"human": "If the country of diagnosis is \"Latvia\" (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:countryOfDiagnosis), the DiagnosisSubstantiationType (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisSubstantiationType) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV', evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.613').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-6",
"severity": "error",
"human": "Laterality (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:laterality) is mandatory if ICD-10-Code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is: C34%; C50%; C64%; C69; D05% or ICD-O-3.2 Topography code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.code) is: C34%; C50%; C64%; C69",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CountryOfDiagnosisExtension-v1').value.coding.code='LV' and (code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(34|50|64|69).[0-9]|D(50).[0-9]|C64') or code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C(34|50|64|69).[0-9]|C64')), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/LateralityExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.611').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-7",
"severity": "error",
"human": "ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) can be only from the following groups: C00%-C97%, D00%-D09%, D32% and D33%, D35%",
"expression": "iif(code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.exists(), code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([0-8][0-9])|([9][0-7])).[0-9]|D(([0][0-9])|32|33|35).[0-9]|C01|C07|C12|C19|C20|C23|C33|C37|C52|C55|C56|C58|C61|C64|C65|C66|C73|C80'), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-8",
"severity": "error",
"human": "If diagnosis revealing type (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisRevealingType) is 5 - After death without autopsy, then diagnosis substantiation type (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisSubstantiationType) should be a 14 - Medical certificate of the occurrence of death",
"expression": "iif(evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code = '5', evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.613').code = '14', true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-9",
"severity": "error",
"human": "OncologyBasicDataOfDisease status (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:cardStatusExtension.value[x].coding.code) must be 2 – Submitted, 3 – Revoked, 5 – Approved, 6 – Rejected",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3$|^5$|^6[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
},
{
"key": "OncologyBasicDataOfDisease-con-10",
"severity": "error",
"human": "Laterality (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:laterality) can’t be submitted for hematological tumors: if the ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C90%-96%, or ICD-O-3.2. Topography code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography.code) is 42%",
"expression": "iif(code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C42.[0-9]') or code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C[9][0-6].[0-9][%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/LateralityExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.611').code.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "sct-concept",
"map": "< 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|)"
},
{
"identity": "v2",
"map": "PPR message"
},
{
"identity": "rim",
"map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
},
{
"identity": "w5",
"map": "clinical.general"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:RiskFactor",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "RiskFactor",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:RiskFactor.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.resource",
"path": "Bundle.entry.resource",
"short": "Measurements and simple assertions",
"definition": "Measurements and simple assertions made about a patient, device or other subject.",
"comment": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.",
"alias": [
"Vital Signs",
"Measurement",
"Results",
"Tests"
],
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/RiskFactor-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "obs-7",
"severity": "error",
"human": "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
"expression": "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()",
"xpath": "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "obs-6",
"severity": "error",
"human": "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
"expression": "dataAbsentReason.empty() or value.empty()",
"xpath": "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "RiskFactor-con-1",
"severity": "error",
"human": "The value of the risk factor (Profile: Observation/RiskFactor, Field: Observation.value[x]) can only be 1 - Yes, or 0 - No",
"expression": "value = 1 or value = 0",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/RiskFactor-v1"
},
{
"key": "RiskFactor-con-2",
"severity": "error",
"human": "RiskFactor status (Profile: Observation/RiskFactor, Field: Observation.extension:cardStatusExtension.value[x].coding.code) must be 2 – Submitted, 3 – Revoked, 5 – Approved, 6 – Rejected",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3$|^5$|^6[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/RiskFactor-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "sct-concept",
"map": "< 363787002 |Observable entity|"
},
{
"identity": "v2",
"map": "OBX"
},
{
"identity": "rim",
"map": "Observation[classCode=OBS, moodCode=EVN]"
},
{
"identity": "w5",
"map": "clinical.diagnostics"
}
]
},
{
"id": "Bundle.entry:RiskFactor.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:RiskFactor.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RiskFactor.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:TumorData",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "TumorData",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:TumorData.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.resource",
"path": "Bundle.entry.resource",
"short": "Measurements and simple assertions",
"definition": "Measurements and simple assertions made about a patient, device or other subject.",
"comment": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.",
"alias": [
"Vital Signs",
"Measurement",
"Results",
"Tests"
],
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "obs-7",
"severity": "error",
"human": "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
"expression": "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()",
"xpath": "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "obs-6",
"severity": "error",
"human": "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
"expression": "dataAbsentReason.empty() or value.empty()",
"xpath": "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "TumorData-con-26",
"severity": "error",
"human": "TumorData status (Profile: Observation/TumorData, Field: Observation.extension:cardStatusExtension.value[x].coding.code) must be 2 – Submitted, 3 – Revoked, 5 – Approved, 6 – Rejected",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3$|^5$|^6[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "sct-concept",
"map": "< 363787002 |Observable entity|"
},
{
"identity": "v2",
"map": "OBX"
},
{
"identity": "rim",
"map": "Observation[classCode=OBS, moodCode=EVN]"
},
{
"identity": "w5",
"map": "clinical.diagnostics"
}
]
},
{
"id": "Bundle.entry:TumorData.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:TumorData.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TumorData.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TumorData.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "CourseOfDisease",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:CourseOfDisease.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.resource",
"path": "Bundle.entry.resource",
"short": "Measurements and simple assertions",
"definition": "Measurements and simple assertions made about a patient, device or other subject.",
"comment": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.",
"alias": [
"Vital Signs",
"Measurement",
"Results",
"Tests"
],
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "obs-7",
"severity": "error",
"human": "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
"expression": "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()",
"xpath": "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "obs-6",
"severity": "error",
"human": "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
"expression": "dataAbsentReason.empty() or value.empty()",
"xpath": "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "CourseOfDisease-con-1",
"severity": "error",
"human": "Date value (Profile: Observation/CourseOfDisease, Field: Observation.value) cannot be greater than sysdate",
"expression": "iif((value is dateTime or value is date) and value.exists(), value.toDateTime() <= now(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1"
},
{
"key": "CourseOfDisease-con-8",
"severity": "error",
"human": "CourseOfDisease status (Profile: Observation/CourseOfDisease, Field: Observation.extension:cardStatusExtension.value[x].coding.code) must be 2 – Submitted, 3 – Revoked, 5 – Approved, 6 – Rejected",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3$|^5$|^6[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "sct-concept",
"map": "< 363787002 |Observable entity|"
},
{
"identity": "v2",
"map": "OBX"
},
{
"identity": "rim",
"map": "Observation[classCode=OBS, moodCode=EVN]"
},
{
"identity": "w5",
"map": "clinical.diagnostics"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:CourseOfDisease.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:CourseOfDisease.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:Surgery",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "Surgery",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:Surgery.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.resource",
"path": "Bundle.entry.resource",
"short": "An action that is being or was performed on a patient",
"definition": "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "Surgery-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: Procedure/Surgery, Field: Procedure.performer.actor.reference) or foreign (Profile: Procedure/Surgery, Field: Procedure.performer.actor.extension:foreignMedicalInstitution)",
"expression": "performer.actor.reference.exists() or performer.actor.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1"
},
{
"key": "Surgery-con-2",
"severity": "error",
"human": "Procedure date (Profile: Procedure/Surgery, Field: Procedure.peformed) is mandatory and cannot be greater than sysdate",
"expression": "iif(performed.exists(), performed.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1"
},
{
"key": "Surgery-con-4",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: Procedure/Surgery, Field: Procedure.performer.actor.reference) or foreign in the text field (Profile: Procedure/Surgery, Field: Procedure.performer.actor.extension:foreignMedicalInstitution.value[x])",
"expression": "(performer.actor.reference.exists() implies performer.actor.extension.value.exists().not()) and (performer.actor.extension.value.exists() implies performer.actor.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1"
},
{
"key": "Surgery-con-5",
"severity": "error",
"human": "Surgery card status (Profile: Procedure/Surgery, Field: Procedure.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1"
},
{
"key": "Surgery-con-6",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: Procedure/Surgery, Field: Procedure.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: Procedure/Surgery, Field: Procedure.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "Procedure[moodCode=EVN]"
},
{
"identity": "w5",
"map": "clinical.general"
}
]
},
{
"id": "Bundle.entry:Surgery.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:Surgery.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Surgery.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Surgery.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "RadiationTherapy",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:RadiationTherapy.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.resource",
"path": "Bundle.entry.resource",
"short": "An action that is being or was performed on a patient",
"definition": "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "RadiationTherapy-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: Procedure/RadiationTherapy, Field: Procedure.performer.actor.reference) or foreign (Profile: Procedure/RadiationTherapy, Field: Procedure.performer.actor.extension:foreignMedicalInstitution)",
"expression": "performer.actor.reference.exists() or performer.actor.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-2",
"severity": "error",
"human": "Therapy start date (Profile: Procedure/RadiationTherapy, Field: Procedure.peformed.start) is mandatory and cannot be greater than sysdate",
"expression": "iif(performed.start.exists(), performed.start.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-3",
"severity": "error",
"human": "End date of therapy (Profile: Procedure/RadiationTherapy, Field: Procedure.peformed.end) must not be greater than sysdate & must not be less than the start date (Profile: Procedure/RadiationTherapy, Field: Procedure.peformed.start)",
"expression": "iif(performed.end.exists(), performed.end.toDateTime() <= now() and performed.end.toDateTime() >= performed.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-4",
"severity": "error",
"human": "If the RadiationTherapy subtype (Profile: Procedure/RadiationTherapy, Field: Procedure.code.coding:radiationTherapySubCode.code) is '3 - Nuclear Medicine', the RadiationTherapy method (Profile: Procedure/RadiationTherapy, Field: Procedure.code.coding:radiationTherapyMethod) field is not available for submission and is optional",
"expression": "iif(code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.632').code='3', code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.633').code.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-5",
"severity": "error",
"human": "If the RadiationTherapy subtype (Profile: Procedure/RadiationTherapy, Field: Procedure.code.coding:radiationTherapySubCode.code) is '3 - Nuclear Medicine', the Gray units received (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:grayUnitsReceived) field is not available for submission and is optional",
"expression": "iif(code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.632').code='3', extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/GrayUnitsReceivedExtension-v1').value.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-6",
"severity": "error",
"human": "If the RadiationTherapy subtype (Profile: Procedure/RadiationTherapy, Field: Procedure.code.coding:radiationTherapySubCode.code) is '3 - Nuclear Medicine', the Fractions received (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:fractionsReceived) field is not available for submission and is optional",
"expression": "iif(code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.632').code='3', extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FractionsReceivedExtension-v1').value.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-7",
"severity": "warning",
"human": "If the therapy start date (Profile: Procedure/RadiationTherapy, Field: Procedure.peformed.start) is after 01.01.2024 and RadiationTherapy subtype (Profile: Procedure/RadiationTherapy, Field: Procedure.code.coding:radiationTherapySubCode.code) is not '3 - Nuclear Medicine', then the Radiation therapy method (Profile: Procedure/RadiationTherapy, Field: Procedure.code.coding:radiationTherapyMethod.code), the Gray units received (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:grayUnitsReceived.value[x]) and the number of Fractions received (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:fractionsReceived.value[x]) are mandatory",
"expression": "iif(performed.start >= '2024-01-01T00:00:00.000Z'.toDateTime() and code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.632' and code='3').exists().not(), code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.633').code.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/GrayUnitsReceivedExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FractionsReceivedExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-8",
"severity": "error",
"human": "If the therapy start date (Profile: Procedure/RadiationTherapy, Field: Procedure.peformed.start) is after 01.01.2024, then the Radiation therapy subtype (Profile: Procedure/RadiationTherapy, Field: Procedure.code.coding:radiationTherapySubCode.code) is mandatory",
"expression": "iif(performed.start >= '2024-01-01T00:00:00.000Z'.toDateTime(), code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.632').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-9",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: Procedure/RadiationTherapy, Field: Procedure.performer.actor.reference) or foreign in the text field (Profile: Procedure/RadiationTherapy, Field: Procedure.performer.actor.extension:foreignMedicalInstitution.value[x])",
"expression": "(performer.actor.reference.exists() implies performer.actor.extension.value.exists().not()) and (performer.actor.extension.value.exists() implies performer.actor.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-10",
"severity": "error",
"human": "RadiationTherapy card status (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-12",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-13",
"severity": "error",
"human": "Therapy termination date (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:terminationDateExtension.value[x]) is not allowed if the therapy end date (Profile: Procedure/RadiationTherapy, Field: Procedure.performed[x].end) is submitted",
"expression": "iif(performed.end.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-14",
"severity": "error",
"human": "Therapy termination date (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:terminationDateExtension.value[x]) must be greater than or equal to the therapy start date (Profile: Procedure/RadiationTherapy, Field: Procedure.performed[x].start)",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.toDateTime() >= performed.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-15",
"severity": "error",
"human": "If the therapy termination date (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:terminationDateExtension.value[x]) is provided, then therapy termination reason (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:terminationReasonExtension.value[x].coding.code) must be provided and vice versa",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
},
{
"key": "RadiationTherapy-con-16",
"severity": "error",
"human": "If the therapy termination information (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:terminationReasonExtension.value[x].text) is provided, then the therapy termination date (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:terminationDateExtension.value[x]) and the therapy termination reason (Profile: Procedure/RadiationTherapy, Field: Procedure.extension:terminationReasonExtension.value[x].coding.code) must be provided",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.text.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "Procedure[moodCode=EVN]"
},
{
"identity": "w5",
"map": "clinical.general"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:RadiationTherapy.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:RadiationTherapy.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:Chemotherapy",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "Chemotherapy",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:Chemotherapy.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.resource",
"path": "Bundle.entry.resource",
"short": "Record of medication being taken by a patient",
"definition": "A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.",
"comment": "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "Chemotherapy-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.informationSource.reference) or foreign (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution)",
"expression": "informationSource.reference.exists() or informationSource.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-2",
"severity": "error",
"human": "Therapy start date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective.start) is mandatory and cannot be greater than sysdate",
"expression": "iif(effective.start.exists(), effective.start.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-3",
"severity": "error",
"human": "End date of therapy (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective.end) must not be greater than sysdate & must not be less than the start date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective.start)",
"expression": "iif(effective.end.exists(), effective.end.toDateTime() <= now() and effective.end.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-5",
"severity": "error",
"human": "If the TherapyLine extension (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:chemotherapyLine) is used, then its value coding system (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:chemotherapyLine.value[x].coding:chemotherapyLine.system) should match https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.635",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.635', true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-6",
"severity": "error",
"human": "Chemotherapy medicine (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.medication[x].coding.code) can only be fifth level entry (active substance level entry eg: L01AA02 chlorambucil) from the classifier",
"expression": "medicationCodeableConcept.coding.all(code.matches('^.{7}[%content%]#39;))",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-7",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.informationSource.reference) or foreign in the text field (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution.value[x])",
"expression": "(informationSource.reference.exists() implies informationSource.extension.value.exists().not()) and (informationSource.extension.value.exists() implies informationSource.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-8",
"severity": "error",
"human": "Chemotherapy card status (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-9",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-10",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is not allowed if the therapy end date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective[x].end) is submitted",
"expression": "iif(effective.end.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-11",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) must be greater than or equal to the therapy start date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective[x].start)",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-12",
"severity": "error",
"human": "If the therapy termination date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is provided, then therapy termination reason (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided and vice versa",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
},
{
"key": "Chemotherapy-con-13",
"severity": "error",
"human": "If the therapy termination information (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].text) is provided, then the therapy termination date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) and the therapy termination reason (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.text.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "SubstanceAdministration"
},
{
"identity": "w5",
"map": "clinical.medication"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:Chemotherapy.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Chemotherapy.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "EndocrineTherapy",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:EndocrineTherapy.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.resource",
"path": "Bundle.entry.resource",
"short": "Record of medication being taken by a patient",
"definition": "A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.",
"comment": "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "EndocrineTherapy-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.informationSource.reference) or foreign (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution)",
"expression": "informationSource.reference.exists() or informationSource.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-2",
"severity": "error",
"human": "Therapy start date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.effective.start) is mandatory and cannot be greater than sysdate",
"expression": "iif(effective.start.exists(), effective.start.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-3",
"severity": "error",
"human": "End date of therapy (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.effective.end, optional) must not be greater than sysdate & must not be less than the start date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.effective.start)",
"expression": "iif(effective.end.exists(), effective.end.toDateTime() <= now() and effective.end.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-4",
"severity": "error",
"human": "EndocrineTherapy medicine (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.medication[x].coding.code) can only be fifth level entry (active substance level entry eg: L02AA03 ethinylestradiol) from the classifier",
"expression": "medicationCodeableConcept.coding.all(code.matches('^.{7}[%content%]#39;))",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-5",
"severity": "error",
"human": "If the TherapyLine extension (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:endocrineTherapyLine.value[x].coding:endocrineTherapyLine) is used, then its value coding system (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:endocrineTherapyLine.value[x].coding:endocrineTherapyLine.system) should match https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.641",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.641', true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-6",
"severity": "error",
"human": "If the therapy start date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.effective.start) is after 01.01.2024, then the Endocrine therapy type (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.category.coding:endocrineTherapyType.code) is mandatory",
"expression": "iif(effective.start >= '2024-01-01T00:00:00.000Z'.toDateTime(), category.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.875').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-7",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.informationSource.reference) or foreign in the text field (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution.value[x])",
"expression": "(informationSource.reference.exists() implies informationSource.extension.value.exists().not()) and (informationSource.extension.value.exists() implies informationSource.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-8",
"severity": "error",
"human": "EndocrineTherapy card status (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-9",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-10",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is not allowed if the therapy end date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.effective[x].end) is submitted",
"expression": "iif(effective.end.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-11",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) must be greater than or equal to the therapy start date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.effective[x].start)",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-12",
"severity": "error",
"human": "If the therapy termination date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is provided, then therapy termination reason (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided and vice versa",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
},
{
"key": "EndocrineTherapy-con-13",
"severity": "error",
"human": "If the therapy termination information (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].text) is provided, then the therapy termination date (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) and the therapy termination reason (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.text.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "SubstanceAdministration"
},
{
"identity": "w5",
"map": "clinical.medication"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:EndocrineTherapy.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:Immunotherapy",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "Immunotherapy",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:Immunotherapy.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.resource",
"path": "Bundle.entry.resource",
"short": "Record of medication being taken by a patient",
"definition": "A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.",
"comment": "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "Immunotherapy-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.informationSource.reference) or foreign (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution)",
"expression": "informationSource.reference.exists() or informationSource.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-2",
"severity": "error",
"human": "Therapy start date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective.start) is mandatory and cannot be greater than sysdate",
"expression": "iif(effective.start.exists(), effective.start.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-3",
"severity": "error",
"human": "End date of therapy (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective.end, optional) must not be greater than sysdate & must not be less than the start date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective.start)",
"expression": "iif(effective.end.exists(), effective.end.toDateTime() <= now() and effective.end.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-5",
"severity": "error",
"human": "If the TherapyLine extension (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:immunotherapyLine) is used, then its value coding system (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:immunotherapyLine.value[x].coding:immunotherapyLine.system) should match https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.643",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.643', true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-6",
"severity": "error",
"human": "Immunotherapy medicine (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.medication[x].coding.code) can only be fifth level entry (active substance level entry eg: L01FF02 pembrolizumab) from the classifier",
"expression": "medicationCodeableConcept.coding.all(code.matches('^.{7}[%content%]#39;))",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-7",
"severity": "error",
"human": "If the therapy start date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective.start) is after 01.01.2024, then the Immunotherapy type (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.category.coding:immunotherapyType.code) is mandatory",
"expression": "iif(effective.start >= '2024-01-01T00:00:00.000Z'.toDateTime(), category.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.642').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-8",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.informationSource.reference) or foreign in the text field (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution.value[x])",
"expression": "(informationSource.reference.exists() implies informationSource.extension.value.exists().not()) and (informationSource.extension.value.exists() implies informationSource.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-9",
"severity": "error",
"human": "Immunotherapy card status (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-10",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-11",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is not allowed if the therapy end date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective[x].end) is submitted",
"expression": "iif(effective.end.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-12",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) must be greater than or equal to the therapy start date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective[x].start)",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-13",
"severity": "error",
"human": "If the therapy termination date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is provided, then therapy termination reason (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided and vice versa",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
},
{
"key": "Immunotherapy-con-14",
"severity": "error",
"human": "If the therapy termination information (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].text) is provided, then the therapy termination date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) and the therapy termination reason (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.text.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "SubstanceAdministration"
},
{
"identity": "w5",
"map": "clinical.medication"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:Immunotherapy.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:Immunotherapy.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "TargetedTherapy",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:TargetedTherapy.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.resource",
"path": "Bundle.entry.resource",
"short": "Record of medication being taken by a patient",
"definition": "A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.",
"comment": "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "TargetedTherapy-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.informationSource.reference) or foreign (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution)",
"expression": "informationSource.reference.exists() or informationSource.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-2",
"severity": "error",
"human": "Therapy start date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective.start) is mandatory and cannot be greater than sysdate",
"expression": "iif(effective.start.exists(), effective.start.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-3",
"severity": "error",
"human": "End date of therapy (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective.end) must not be greater than sysdate & must not be less than the start date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective.start)",
"expression": "iif(effective.end.exists(), effective.end.toDateTime() <= now() and effective.end.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-5",
"severity": "error",
"human": "If the TherapyLine extension (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:targetedTherapyLine) is used, then its value coding system (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:targetedTherapyLine.value[x].coding:targetedTherapyLine.system) should match https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.637",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TherapyLineExtension-v1').value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.637', true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-6",
"severity": "error",
"human": "If the therapy start date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective.start) is after 01.01.2024, then the Targeted therapy type (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.category.coding:targetedTherapyType.code) is mandatory",
"expression": "iif(effective.start >= '2024-01-01T00:00:00.000Z'.toDateTime(), category.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.638').code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-7",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.informationSource.reference) or foreign in the text field (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.informationSource.extension:foreignMedicalInstitution.value[x])",
"expression": "(informationSource.reference.exists() implies informationSource.extension.value.exists().not()) and (informationSource.extension.value.exists() implies informationSource.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-8",
"severity": "error",
"human": "TargetedTherapy card status (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-9",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-10",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is not allowed if the therapy end date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective[x].end) is submitted",
"expression": "iif(effective.end.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-11",
"severity": "error",
"human": "Therapy termination date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) must be greater than or equal to the therapy start date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective[x].start)",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.toDateTime() >= effective.start.toDateTime(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-12",
"severity": "error",
"human": "If the therapy termination date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) is provided, then therapy termination reason (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided and vice versa",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() or extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
},
{
"key": "TargetedTherapy-con-13",
"severity": "error",
"human": "If the therapy termination information (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].text) is provided, then the therapy termination date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.extension:terminationDateExtension.value[x]) and the therapy termination reason (Profile: MedicationStatement/EndocrineTherapy, Field: MedicationStatement.extension:terminationReasonExtension.value[x].coding.code) must be provided",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.text.exists(), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationDateExtension-v1').value.exists() and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TerminationReasonExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "SubstanceAdministration"
},
{
"identity": "w5",
"map": "clinical.medication"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:TargetedTherapy.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:TargetedTherapy.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "PeripheralBloodStemCellTherapy",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.resource",
"path": "Bundle.entry.resource",
"short": "An action that is being or was performed on a patient",
"definition": "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "PeripheralBloodStemCellTransplantationTherapy-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.performer.actor.reference) or foreign (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.performer.actor.extension:foreignMedicalInstitution)",
"expression": "performer.actor.reference.exists() or performer.actor.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
},
{
"key": "PeripheralBloodStemCellTransplantationTherapy-con-2",
"severity": "error",
"human": "The transplant date (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.performed) is mandatory and cannot be greater than sysdate",
"expression": "iif(performed.exists(), performed.toDateTime() <= now(), false)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
},
{
"key": "PeripheralBloodStemCellTransplantationTherapy-con-3",
"severity": "error",
"human": "Type of donor (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.extension.typeOfDonor) is mandatory if type of transplant (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.code) is “Allogeneic transplant”",
"expression": "iif(code.coding.code='2', extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TypeOfDonorExtension-v1').value.coding.code.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
},
{
"key": "PeripheralBloodStemCellTransplantationTherapy-con-5",
"severity": "error",
"human": "If the type of transplantation (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.code.coding.code) is '1 - Autologous transplantation', then the field 'Type of donor' (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.extension:typeOfDonor) cannot be submitted",
"expression": "iif(code.coding.code='1', extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TypeOfDonorExtension-v1').value.coding.code.exists().not(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
},
{
"key": "PeripheralBloodStemCellTransplantationTherapy-con-6",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.performer.actor.reference) or foreign in the text field (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.performer.actor.extension:foreignMedicalInstitution.value[x])",
"expression": "(performer.actor.reference.exists() implies performer.actor.extension.value.exists().not()) and (performer.actor.extension.value.exists() implies performer.actor.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
},
{
"key": "PeripheralBloodStemCellTransplantationTherapy-con-7",
"severity": "error",
"human": "PeripheralBloodStemCellTransplantationTherapy card status (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
},
{
"key": "PeripheralBloodStemCellTransplantationTherapy-con-8",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "Procedure[moodCode=EVN]"
},
{
"identity": "w5",
"map": "clinical.general"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.entry:PalliativeCare",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry",
"sliceName": "PalliativeCare",
"short": "Entry in the bundle - will have a resource or information",
"definition": "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
"min": 0,
"max": "*",
"base": {
"path": "Bundle.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"orderMeaning": "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "bdl-8",
"severity": "error",
"human": "fullUrl cannot be a version specific reference",
"expression": "fullUrl.exists() implies fullUrl.contains('/_history/').not()",
"xpath": "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
},
{
"key": "bdl-5",
"severity": "error",
"human": "must be a resource unless there's a request or response",
"expression": "resource.exists() or request.exists() or response.exists()",
"xpath": "exists(f:resource) or exists(f:request) or exists(f:response)",
"source": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.id",
"path": "Bundle.entry.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.link",
"path": "Bundle.entry.link",
"short": "Links related to this entry",
"definition": "A series of links that provide context to this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.link",
"min": 0,
"max": "*"
},
"contentReference": "http://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link",
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:PalliativeCare.fullUrl",
"path": "Bundle.entry.fullUrl",
"short": "URI for resource (Absolute URL server address or URI for UUID/OID)",
"definition": "The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
"comment": "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), 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](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote 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).",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.fullUrl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.resource",
"path": "Bundle.entry.resource",
"short": "Measurements and simple assertions",
"definition": "Measurements and simple assertions made about a patient, device or other subject.",
"comment": "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.",
"alias": [
"Vital Signs",
"Measurement",
"Results",
"Tests"
],
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.resource",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1"
]
}
],
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.where(((id.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath": "not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "obs-7",
"severity": "error",
"human": "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
"expression": "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()",
"xpath": "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "obs-6",
"severity": "error",
"human": "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
"expression": "dataAbsentReason.empty() or value.empty()",
"xpath": "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
"source": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key": "PalliativeCare-con-1",
"severity": "error",
"human": "At least one institution is mandatory - either Latvian (Profile: Observation/PalliativeCare, Field: Observation.performer.reference) or foreign (Profile: Observation/PalliativeCare, Field: Observation.performer.extension:foreignMedicalInstitution)",
"expression": "performer.reference.exists() or performer.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1"
},
{
"key": "PalliativeCare-con-3",
"severity": "error",
"human": "Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: Profile: Observation/PalliativeCare, Field: Observation.performer.reference) or foreign in the text field (Profile: Observation/PalliativeCare, Field: Observation.performer.extension:foreignMedicalInstitution.value[x])",
"expression": "(performer.reference.exists() implies performer.extension.value.exists().not()) and (performer.extension.value.exists() implies performer.reference.exists().not())",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1"
},
{
"key": "PalliativeCare-con-4",
"severity": "error",
"human": "PalliativeCare card status (Profile: Observation/PalliativeCare, Field: Observation.extension:cardStatusExtension.value[x].coding.code) must be 2-Submitted or 3-Revoked",
"expression": "extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^2$|^3[%content%]#39;)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1"
},
{
"key": "PalliativeCare-con-5",
"severity": "error",
"human": "If treatment card status is 3-Revoked, (Profile: Observation/PalliativeCare, Field: Observation.extension:cardStatusExtension.value[x].coding.code), then card revoke reason (Profile: Observation/PalliativeCare, Field: Observation.extension:cardStatusReasonExtension.value[x].coding:cardRevokeReason.code) is mandatory",
"expression": "iif(extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;), extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusReasonExtension-v1').value.exists(), true)",
"source": "https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "sct-concept",
"map": "< 363787002 |Observable entity|"
},
{
"identity": "v2",
"map": "OBX"
},
{
"identity": "rim",
"map": "Observation[classCode=OBS, moodCode=EVN]"
},
{
"identity": "w5",
"map": "clinical.diagnostics"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.resource.id",
"path": "Bundle.entry.resource.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true
},
{
"id": "Bundle.entry:PalliativeCare.resource.meta",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.resource.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.resource.implicitRules",
"path": "Bundle.entry.resource.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.resource.language",
"path": "Bundle.entry.resource.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "IETF language tag",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.search",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search",
"short": "Search related information",
"definition": "Information about the search process that lead to the creation of this entry.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.entry.search",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-2"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.search.id",
"path": "Bundle.entry.search.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.search.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.search.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.search.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.search.mode",
"path": "Bundle.entry.search.mode",
"short": "match | include | outcome - why this is in the result set",
"definition": "Why 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.",
"comment": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SearchEntryMode"
}
],
"strength": "required",
"description": "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.",
"valueSet": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.search.score",
"path": "Bundle.entry.search.score",
"short": "Search ranking (between 0 and 1)",
"definition": "When searching, the server's search ranking score for the entry.",
"comment": "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.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.search.score",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request",
"short": "Additional execution information (transaction/batch/history)",
"definition": "Additional 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-3"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.id",
"path": "Bundle.entry.request.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.request.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.method",
"path": "Bundle.entry.request.method",
"short": "GET | HEAD | POST | PUT | DELETE | PATCH",
"definition": "In 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.method",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "HTTPVerb"
}
],
"strength": "required",
"description": "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
"valueSet": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.url",
"path": "Bundle.entry.request.url",
"short": "URL for HTTP equivalent of this entry",
"definition": "The URL for this entry, relative to the root (the address to which the request is posted).",
"comment": "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]\".",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.request.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.ifNoneMatch",
"path": "Bundle.entry.request.ifNoneMatch",
"short": "For managing cache currency",
"definition": "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.ifModifiedSince",
"path": "Bundle.entry.request.ifModifiedSince",
"short": "For managing cache currency",
"definition": "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
"comment": "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",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifModifiedSince",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.ifMatch",
"path": "Bundle.entry.request.ifMatch",
"short": "For managing update contention",
"definition": "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifMatch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.request.ifNoneExist",
"path": "Bundle.entry.request.ifNoneExist",
"short": "For conditional creates",
"definition": "Instruct 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 \"?\").",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.request.ifNoneExist",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response",
"short": "Results of execution (transaction/batch/history)",
"definition": "Indicates 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1",
"bdl-4"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.id",
"path": "Bundle.entry.response.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"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.extension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.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"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.modifierExtension",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.entry.response.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.status",
"path": "Bundle.entry.response.status",
"short": "Status response code (text optional)",
"definition": "The 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.",
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min": 1,
"max": "1",
"base": {
"path": "Bundle.entry.response.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.location",
"path": "Bundle.entry.response.location",
"short": "The location (if the operation returns a location)",
"definition": "The location header created by processing this operation, populated if the operation returns a location.",
"comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.etag",
"path": "Bundle.entry.response.etag",
"short": "The Etag for the resource (if relevant)",
"definition": "The 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)).",
"comment": "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.etag",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.lastModified",
"path": "Bundle.entry.response.lastModified",
"short": "Server's date time modified",
"definition": "The date/time that the resource was modified on the server.",
"comment": "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.lastModified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Bundle.entry:PalliativeCare.response.outcome",
"path": "Bundle.entry.response.outcome",
"short": "OperationOutcome with hints and warnings (for batch/transaction)",
"definition": "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
"comment": "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.\n\nThis 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.",
"min": 0,
"max": "1",
"base": {
"path": "Bundle.entry.response.outcome",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Resource"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
}
]
},
{
"id": "Bundle.signature",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Bundle.signature",
"short": "Digital Signature",
"definition": "Digital Signature - base64 encoded. XML-DSig or a JWT.",
"comment": "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.",
"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.",
"min": 0,
"max": "0",
"base": {
"path": "Bundle.signature",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Signature"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": false,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Bundle",
"path": "Bundle",
"comment": "Oncology Bundle",
"constraint": [
{
"key": "OncologyBundle-con-1",
"severity": "warning",
"human": "Progression diagnosis date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'PROGRESSION_DIAGNOSIS_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='PROGRESSION_DIAGNOSIS_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='PROGRESSION_DIAGNOSIS_DATE').value > entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)"
},
{
"key": "OncologyBundle-con-2",
"severity": "warning",
"human": "Local recurrence diagnosis date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'LOCAL_RECURRENCE_DIAGNOSIS_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='LOCAL_RECURRENCE_DIAGNOSIS_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='LOCAL_RECURRENCE_DIAGNOSIS_DATE').value > entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)"
},
{
"key": "OncologyBundle-con-3",
"severity": "warning",
"human": "Disease remission date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISEASE_REMISSION_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='DISEASE_REMISSION_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISEASE_REMISSION_DATE').value > entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)"
},
{
"key": "OncologyBundle-con-4",
"severity": "warning",
"human": "Distant metastases diagnosis date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_DIAGNOSIS_DATE') must be greater than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(code='DISTANT_METASTASES_DIAGNOSIS_DATE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_DIAGNOSIS_DATE').value >= entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset, true)"
},
{
"key": "OncologyBundle-con-5",
"severity": "error",
"human": "If the field \"Localization of distant metastases\" (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') is provided, Distant metastases date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_DIAGNOSIS_DATE') is mandatory",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_DIAGNOSIS_DATE').value.exists(), true)"
},
{
"key": "OncologyBundle-con-6",
"severity": "error",
"human": "If the field Distant metastases date (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_DIAGNOSIS_DATE') is provided, field \"Localization of distant metastases\" (Profile: Observation/CourseOfDisease, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') is mandatory",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_DIAGNOSIS_DATE').value.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-7",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is C00-C97, then the TNM stage (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_TNM') value should not be 0 [and the other values with zero]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([0-8][0-9])|([9][0-7]))') and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.622').code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.622').code.exists(matches('0$|0a$|0is[%content%]#39;)).not(), true)"
},
{
"key": "OncologyBundle-con-8",
"severity": "error",
"human": "If the TNM M (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') value is M0 or M0(i+), then the distant metastases localization (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') cannot be provided",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('M0')) and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('M0').not()).not(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.621').code.exists().not(), true)"
},
{
"key": "OncologyBundle-con-9",
"severity": "error",
"human": "If Diagnosis according to ICD-O-3.2. topography (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) is C42%, Tumor T value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') field cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([4][2]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.all(matches('TNM_T_VALUE').not()), true)"
},
{
"key": "OncologyBundle-con-10",
"severity": "error",
"human": "If Diagnosis according to ICD-O-3.2. topography (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) is C42%, Tumor N value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE') field cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([4][2]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.all(matches('TNM_N_VALUE').not()), true)"
},
{
"key": "OncologyBundle-con-11",
"severity": "error",
"human": "If Diagnosis according to ICD-O-3.2. topography (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) is C42%, Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') field cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([4][2]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.all(matches('TNM_M_VALUE').not()), true)"
},
{
"key": "OncologyBundle-con-12",
"severity": "error",
"human": "If the ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is D32, D33, D35%, then the TNM values (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE') cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D32|D33|D([3][5]).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.matches('TNM[%content%]#39;).not(), true)"
},
{
"key": "OncologyBundle-con-13",
"severity": "warning",
"human": "If ICD-O-3.2. the topography diagnosis (Profile: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C61, then the tumor histological grade (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_HISTOLOGICAL_GRADE') can only be values GL1-GL9",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([6][1])') and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').value.coding.code.matches('GL[1-9]'), true)"
},
{
"key": "OncologyBundle-con-14",
"severity": "error",
"human": "If the ICD-O-3.2. topography diagnosis (Profile: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is not C61, then the tumor histological grade (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_HISTOLOGICAL_GRADE') can be all values except GL1-GL9",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C([6][1])').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_HISTOLOGICAL_GRADE').value.coding.code.matches('GL[1-9]').not(), true)"
},
{
"key": "OncologyBundle-con-15",
"severity": "error",
"human": "FIGO stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_FIGO') can be submitted only if the ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) values are C51%-C58% or the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C51%-C58%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_FIGO').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('^C([5][1-8]).[0-9][%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C([5][1-8]).[0-9]$|^C([5][1-8])[%content%]#39;), true)"
},
{
"key": "OncologyBundle-con-16",
"severity": "error",
"human": "AnnArbor stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_ANNARBOR_LUGANO') can be submitted only if the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C81% or C85% or Tumor morphology according to ICD-O-3.2 (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology) is a code from the group of morphology codes: 959-972",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_ANNARBOR_LUGANO').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C81.[0-9]$|^C85.[0-9][%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.873').code.exists(), true)"
},
{
"key": "OncologyBundle-con-18",
"severity": "error",
"human": "Chronic myeloid leukemia phase value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'CHRONIC_MYELOID_LEUKEMIA_PHASE') can be submitted if the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C92.1. or the ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C42.1",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='CHRONIC_MYELOID_LEUKEMIA_PHASE').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C92.1') or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('C42.1'), true)"
},
{
"key": "OncologyBundle-con-20",
"severity": "error",
"human": "Breslow method thickess value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'BRESLOW_METHOD_THICKNESS') can be submitted if the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C43% or ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C44%, C51.0, C60.9, or C63.2.",
"expression": "iif( entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='BRESLOW_METHOD_THICKNESS').value.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C43.[0-9][%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('^C44.[0-9]|C51.0|C60.9|C63.2[%content%]#39;) , true)"
},
{
"key": "OncologyBundle-con-22",
"severity": "error",
"human": "Localization of distant metastases (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') value is mandatory if the Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') starts with M1 - M1a, M1a(0), etc.",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('M1')), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-23",
"severity": "error",
"human": "Tumor T value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') is mandatory if the field \"TNM stage\" is submitted and the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is not C77% - C79% OR C81%-C96%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C[7][7-9]').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([8][1-9])|([9][0-6]))').not()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-24",
"severity": "error",
"human": "Tumor N value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE') is mandatory if the field \"TNM stage\" is submitted and the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is not C77% - C79% OR C81%-C96%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C[7][7-9]').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([8][1-9])|([9][0-6]))').not()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-25",
"severity": "error",
"human": "Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') is mandatory if the field \"TNM stage\" is submitted and the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is not C77% - C79% OR C81%-C96%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C[7][7-9]').not() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('C(([8][1-9])|([9][0-6]))').not()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-26",
"severity": "error",
"human": "Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') is mandatory if the \"Localization of distant metastases\" value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'DISTANT_METASTASES_LOCALIZATION') is provided",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='DISTANT_METASTASES_LOCALIZATION').value.coding.code.exists()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-27",
"severity": "error",
"human": "TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_TNM') is mandatory if TNM values are provided - Tumor T value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') and Tumor N value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE'), and Tumor M value TNM8 (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE')",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-28",
"severity": "error",
"human": "If the TNM data of the tumor are provided (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE'), then the TNM classification type (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_CLS_TYPE') must be indicated",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists()) and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_CLS_TYPE').value.coding.code.exists(), true)"
},
{
"key": "OncologyBundle-con-29",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM T value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_T_VALUE') can be only Tis [including Tis(DCIS), Tis(LAMN), Tis(Paget) etc.]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_T_VALUE').value.coding.code.matches('Tis'), true)"
},
{
"key": "OncologyBundle-con-31",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM N value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_N_VALUE') can be only N0% [including N0(i+), N0(mol+)].",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_N_VALUE').value.coding.code.matches('N0'), true)"
},
{
"key": "OncologyBundle-con-33",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: OncologyBasicDataOfDisease.resource.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM M value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') can only be M0% [including M0(i+)]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.matches('M0'), true)"
},
{
"key": "OncologyBundle-con-35",
"severity": "error",
"human": "If the ICD-10 diagnosis code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is from D00% - D09%, then the TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code, Field: Observation.code.coding.code = 'TUMOR_STAGE_TNM') can only be 0 or 0is",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('D(([0][0-9])).[0-9]'), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.matches('^0$|^0is[%content%]#39;), true)"
},
{
"key": "OncologyBundle-con-37",
"severity": "error",
"human": "If the TNM M value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_M_VALUE') is M1%, then the TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TUMOR_STAGE_TNM') can only be 4% [including 4A, 4A1, 4A2, 4B...]",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_M_VALUE').value.coding.code.exists(matches('^M1')) and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TUMOR_STAGE_TNM').value.coding.code.exists(matches('^4')), true)"
},
{
"key": "OncologyBundle-con-38",
"severity": "error",
"human": "The date of surgery (Profile: Procedure/Surgery, Field: Procedure.performed[x]) should not be earlier than 30 days before the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.all($this + 30 days >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-39",
"severity": "error",
"human": "Radiotherapy start date (Profile: Procedure/RadiationTherapy, Field: Procedure.performed[x].start) is mandatory, and the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-40",
"severity": "error",
"human": "Chemotherapy start date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective[x].start) is mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-41",
"severity": "error",
"human": "EndocrineTherapy start date (Profile: MedicationStatement/Chemotherapy, Field: MedicationStatement.effective[x].start) is mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-42",
"severity": "error",
"human": "Immunotherapy start date (Profile: MedicationStatement/Immunotherapy, Field: MedicationStatement.effective[x].start) is mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-43",
"severity": "error",
"human": "TargetedTherapy start date (Profile: MedicationStatement/TargetedTherapy, Field: MedicationStatement.effective[x].start) mandatory, the date must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).period.start.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-44",
"severity": "error",
"human": "The date of PeripheralBloodStemCellTherapy (Profile: Procedure/PeripheralBloodStemCellTransplantationTherapy, Field: Procedure.performed[x]) must not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).performed.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-45",
"severity": "error",
"human": "The date of PalliativeCare (Profile: Observation/PalliativeCare, Field: Observation.value[x]) should not be earlier than the date of diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.exists() and entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).value.all($this >= %context.entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset), true)"
},
{
"key": "OncologyBundle-con-46",
"severity": "error",
"human": "If diagnosis revealing type (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisRevealingType) is 5 - After death without autopsy, then it is not allowed to send in any treatment card (Profile: Surgery OR RadiationTherapy OR PeripheralBloodStemCellTransplantationTherapy OR PalliativeCare OR Chemotherapy OR EndocrineTherapy OR Immunotherapy OR TargetedTherapy) or course of the disease (Profile: Condition/CourseOfDisease)",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code = '5', entry.resource.where(meta.profile.matches('^https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1$|^https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1[%content%]#39;)).meta.profile.exists().not(), true)"
},
{
"key": "OncologyBundle-con-47",
"severity": "error",
"human": "The Clark level (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'CLARK_LEVEL') can be submitted only if the diagnosis code according to ICD-10 (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code.code) is C43%",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='CLARK_LEVEL').value.coding.code.exists(), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C43.[0-9][%content%]#39;), true)"
},
{
"key": "OncologyBundle-con-48",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.870",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.870').exists().not()), true)"
},
{
"key": "OncologyBundle-con-49",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.416",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.416').exists().not()), true)"
},
{
"key": "OncologyBundle-con-50",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.650",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.650').exists().not()), true)"
},
{
"key": "OncologyBundle-con-51",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.649",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.649').exists().not()), true)"
},
{
"key": "OncologyBundle-con-52",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.225",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.225').exists().not()), true)"
},
{
"key": "OncologyBundle-con-53",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in historical classifier 1.3.6.1.4.1.38760.2.204",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(resourceType='Procedure').followUp.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204').exists().not()) and (entry.resource.where(resourceType='MedicationStatement').extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204').exists().not()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204').exists().not()), true)"
},
{
"key": "OncologyBundle-con-54",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in RiskFactor profile",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/RiskFactor-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists().not()), true)"
},
{
"key": "OncologyBundle-con-55",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is equal or after 01.01.2024, it is not possible to send in TumorData profile values that ends with '_OLD'",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset >= '2024-01-01T00:00:00.000Z'.toDateTime()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.exists(code.matches('_OLD')).not()), true)"
},
{
"key": "OncologyBundle-con-56",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.604",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').valueDate.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/DeregistrationDateExtension-v1').valueDate < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(value.coding.system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.604').exists().not()), true)"
},
{
"key": "OncologyBundle-con-57",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.640",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.640').exists().not()), true)"
},
{
"key": "OncologyBundle-con-58",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.606",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').exists().not()), true)"
},
{
"key": "OncologyBundle-con-59",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in new classifier 1.3.6.1.4.1.38760.2.629",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()), (entry.resource.where(resourceType='Procedure').followUp.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629').exists().not()) and (entry.resource.where(resourceType='MedicationStatement').extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629').exists().not()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/FollowUpExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629').exists().not()), true)"
},
{
"key": "OncologyBundle-con-60",
"severity": "error",
"human": "If Oncology card diagnosis date (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.onset[x]) is before 01.01.2024, it is not possible to send in TumorData profile values that do not end with '_OLD'",
"expression": "iif((entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset.exists()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).onset < '2024-01-01T00:00:00.000Z'.toDateTime()) and (entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).exists()), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.all(code.matches('_OLD[%content%]#39;) or code.matches('DISTANT_METASTASES_LOCALIZATION') or code.matches('TUMOR_HISTOLOGICAL_GRADE') or code.matches('TUMOR_STAGE_FIGO') or code.matches('TUMOR_STAGE_ANNARBOR_LUGANO') or code.matches('RESECTION_LINES_STATE') or code.matches('CLARK_LEVEL')), true)"
},
{
"key": "OncologyBundle-con-61",
"severity": "error",
"human": "If the ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C92.1 or the ICD-O-3.2. topography diagnosis (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Topography) value is C42.1, then the TNM values (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE') cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C92.1[%content%]#39;) or entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/TopographyMorphologyExtension-v1').value.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.608').code.matches('^C42.1[%content%]#39;), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.exists(matches('TNM[%content%]#39;)).not(), true)"
},
{
"key": "OncologyBundle-con-62",
"severity": "error",
"human": "If the ICD-10 code (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.code.coding:ICD-10-Code) is C81% or C85%, or Tumor morphology according to ICD-O-3.2 (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.extension:topographyMorphology.value[x].coding:ICD-O-3-2-Morphology) is a code from the group of morphology codes: 959-972, then the TNM values (Profile: Observation/TumorData with codes = 'TUMOR_STAGE_TNM', 'TNM_T_VALUE', 'TNM_N_VALUE', 'TNM_M_VALUE') cannot be submitted",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.159').code.matches('^C81.[0-9]|C85.[0-9][%content%]#39;), entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.647').code.exists(matches('TNM[%content%]#39;)).not(),true)"
},
{
"key": "OncologyBundle-con-63",
"severity": "error",
"human": "If diagnosis revealing type (Profile: Condition/OncologyBasicDataOfDisease, Field: Condition.evidence.code.coding:diagnosisRevealingType) is 4 - Autopsy, then the TNM classification type (Profile: Observation/TumorData, Field: Observation.code.coding.code with code = 'TNM_CLS_TYPE') can only be aTNM and the TNM stage value (Profile: Observation/TumorData, Field: Observation.code.coding.code with code, Field: Observation.code.coding.code = 'TUMOR_STAGE_TNM') cannot be provided",
"expression": "iif(entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).evidence.code.coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.606').code='4', entry.resource.where(meta.profile='https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1' and extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/CardStatusExtension-v1').value.coding.code.matches('^3[%content%]#39;).not()).where(code.coding.code='TNM_CLS_TYPE').value.coding.code.exists(matches('^aTNM[%content%]#39;)), true)"
}
]
},
{
"id": "Bundle.entry",
"path": "Bundle.entry",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "resource"
}
],
"rules": "closed"
}
},
{
"id": "Bundle.entry:OncologyCardData",
"path": "Bundle.entry",
"sliceName": "OncologyCardData"
},
{
"id": "Bundle.entry:OncologyCardData.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyCardData-v1"
]
}
]
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease",
"path": "Bundle.entry",
"sliceName": "OncologyBasicDataOfDisease"
},
{
"id": "Bundle.entry:OncologyBasicDataOfDisease.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1"
]
}
]
},
{
"id": "Bundle.entry:RiskFactor",
"path": "Bundle.entry",
"sliceName": "RiskFactor"
},
{
"id": "Bundle.entry:RiskFactor.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/RiskFactor-v1"
]
}
]
},
{
"id": "Bundle.entry:TumorData",
"path": "Bundle.entry",
"sliceName": "TumorData"
},
{
"id": "Bundle.entry:TumorData.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/TumorData-v1"
]
}
]
},
{
"id": "Bundle.entry:CourseOfDisease",
"path": "Bundle.entry",
"sliceName": "CourseOfDisease"
},
{
"id": "Bundle.entry:CourseOfDisease.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/CourseOfDisease-v1"
]
}
]
},
{
"id": "Bundle.entry:Surgery",
"path": "Bundle.entry",
"sliceName": "Surgery"
},
{
"id": "Bundle.entry:Surgery.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1"
]
}
]
},
{
"id": "Bundle.entry:RadiationTherapy",
"path": "Bundle.entry",
"sliceName": "RadiationTherapy"
},
{
"id": "Bundle.entry:RadiationTherapy.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/RadiationTherapy-v1"
]
}
]
},
{
"id": "Bundle.entry:Chemotherapy",
"path": "Bundle.entry",
"sliceName": "Chemotherapy"
},
{
"id": "Bundle.entry:Chemotherapy.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Chemotherapy-v1"
]
}
]
},
{
"id": "Bundle.entry:EndocrineTherapy",
"path": "Bundle.entry",
"sliceName": "EndocrineTherapy"
},
{
"id": "Bundle.entry:EndocrineTherapy.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/EndocrineTherapy-v1"
]
}
]
},
{
"id": "Bundle.entry:Immunotherapy",
"path": "Bundle.entry",
"sliceName": "Immunotherapy"
},
{
"id": "Bundle.entry:Immunotherapy.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/Immunotherapy-v1"
]
}
]
},
{
"id": "Bundle.entry:TargetedTherapy",
"path": "Bundle.entry",
"sliceName": "TargetedTherapy"
},
{
"id": "Bundle.entry:TargetedTherapy.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/MedicationStatement/TargetedTherapy-v1"
]
}
]
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy",
"path": "Bundle.entry",
"sliceName": "PeripheralBloodStemCellTherapy"
},
{
"id": "Bundle.entry:PeripheralBloodStemCellTherapy.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/PeripheralBloodStemCellTransplantationTherapy-v1"
]
}
]
},
{
"id": "Bundle.entry:PalliativeCare",
"path": "Bundle.entry",
"sliceName": "PalliativeCare"
},
{
"id": "Bundle.entry:PalliativeCare.resource",
"path": "Bundle.entry.resource",
"type": [
{
"code": "Resource",
"profile": [
"https://onko.vvis.gov.lv/fhir/StructureDefinition/Observation/PalliativeCare-v1"
]
}
]
}
]
}
}