UKCoreList (List) | C | | List | There are no (further) constraints on this element Element idList Short descriptionA list is a curated collection of resources Alternate namesCollection, WorkingList, Organizer DefinitionA list is a curated collection of resources.
Data typeList Constraints- dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty() - dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() - dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() - dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty() - dom-6: A resource should have narrative for robust management
text.`div`.exists() - lst-1: A list can only have an emptyReason if it is empty
emptyReason.empty() or entry.empty() - lst-2: The deleted flag can only be used if the mode of the list is "changes"
mode = 'changes' or entry.deleted.empty() - lst-3: An entry date can only be used if the mode of the list is "working"
mode = 'working' or entry.date.empty() Mappings- rim: Entity. Role, or Act
- rim: Act[classCode<ORG,moodCode=EVN]
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idList.id Short descriptionLogical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
CommentsThe only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Data typestring |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idList.meta Short descriptionMetadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Data typeMeta Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idList.implicitRules Short descriptionA set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
CommentsAsserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Data typeuri Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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language | | 0..1 | codeBinding | There are no (further) constraints on this element Element idList.language Short descriptionLanguage of the resource content DefinitionThe base language in which the resource is written.
CommentsLanguage is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Data typecode BindingCommonLanguages (preferred) Binding extensionsConstraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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text | | 0..1 | Narrative | There are no (further) constraints on this element Element idList.text Short descriptionText summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
CommentsContained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Data typeNarrative Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
contained | | 0..* | Resource | There are no (further) constraints on this element Element idList.contained Short descriptionContained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
CommentsThis should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Data typeResource Mappings |
extension | C | 0..* | Extension | Element idList.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Data typeExtension SlicingUnordered, Open, by url(Value) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
careSettingType | C | 0..1 | Extension(CodeableConcept) | Element idList.extension:careSettingType Short descriptionAn extension to carry the Care setting type. Alternate namesextensions, user content DefinitionAn extension to carry the Care setting type.
CommentsThere can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Data typeExtension(CodeableConcept) Extension URLhttps://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
listWarningCode | C | 0..* | Extension(CodeableConcept) | Element idList.extension:listWarningCode Short descriptionTo capture warnings that the list may be incomplete. Alternate namesextensions, user content DefinitionTo capture warnings that the list may be incomplete.
CommentsThere can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Data typeExtension(CodeableConcept) Extension URLhttps://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ListWarningCode ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idList.modifierExtension Short descriptionExtensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Data typeExtension Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
identifier | | 0..* | Identifier | There are no (further) constraints on this element Element idList.identifier Short descriptionBusiness identifier DefinitionIdentifier for the List assigned for business purposes outside the context of FHIR.
Data typeIdentifier Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.identifier
- rim: .id
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status | S Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idList.status Short descriptioncurrent | retired | entered-in-error DefinitionIndicates the current state of this list.
CommentsThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Data typecode BindingThe current state of the list.
ListStatus (required) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.status
- rim: .status[current=active;retired=obsolete;entered-in-error=nullified]
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mode | S Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idList.mode Short descriptionworking | snapshot | changes DefinitionHow this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
RequirementsLists are used in various ways, and it must be known in what way it is safe to use them.
CommentsThis element is labeled as a modifier because a change list must not be misunderstood as a complete list.
Data typecode BindingThe processing mode that applies to this list.
ListMode (required) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.class
- rim: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
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title | Σ | 0..1 | string | There are no (further) constraints on this element Element idList.title Short descriptionDescriptive name for the list DefinitionA label for the list assigned by the author.
RequirementsAllows customization beyond just the code identifying the kind of list.
Data typestring Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Examples GeneralDr. Jane's Patients Mappings |
code | S Σ | 0..1 | CodeableConceptBinding | Element idList.code Short descriptionWhat the purpose of this list is DefinitionThis code defines the purpose of the list - why it was created.
RequirementsLists often contain subsets of resources rather than an exhaustive list. The code identifies what type of subset is included.
CommentsIf there is no code, the purpose of the list is implied where it is used, such as in a document section using Document.section.code.
Data typeCodeableConcept BindingWhat the purpose of a list is.
UKCoreListCode (preferred) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.what[x]
- rim: .code
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subject | S Σ | 0..1 | Reference(Patient | Group | Device | Location) | There are no (further) constraints on this element Element idList.subject Short descriptionIf all resources have the same subject DefinitionThe common subject (or patient) of the resources that are in the list if there is one.
RequirementsThe primary purpose of listing the subject explicitly is to help with finding the right list.
CommentsSome purely arbitrary lists do not have a common subject, so this is optional.
Data typeReference(Patient | Group | Device | Location) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.subject[x]
- rim: .participation[typeCode<SUB].role (and sometimes .player)
- w5: FiveWs.subject
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encounter | | 0..1 | Reference(Encounter) | There are no (further) constraints on this element Element idList.encounter Short descriptionContext in which list created DefinitionThe encounter that is the context in which this list was created.
Data typeReference(Encounter) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.context
- rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
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date | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idList.date Short descriptionWhen the list was prepared DefinitionThe date that the list was prepared.
RequirementsIdentifies how current the list is which affects relevance.
CommentsThe actual important date is the date of currency of the resources that were summarized, but it is usually assumed that these are current when the preparation occurs.
Data typedateTime Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.recorded
- rim: .participation[typeCode<AUT].time[type=TS]
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source | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | Device) | There are no (further) constraints on this element Element idList.source Short descriptionWho and/or what defined the list contents (aka Author) Alternate namesAuthor DefinitionThe entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list.
RequirementsAllows follow-up as well as context.
CommentsThe primary source is the entity that made the decisions what items are in the list. This may be software or user.
Data typeReference(Practitioner | PractitionerRole | Patient | Device) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- w5: FiveWs.author
- rim: .participation[typeCode<AUT].role[classCode=REL].player[classCode=PSN,determinerCode=INST] or .participation[typeCode<AUT].role[classCode=REL].player[classCode=DEV,determinerCode=INST]
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orderedBy | | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idList.orderedBy Short descriptionWhat order the list has DefinitionWhat order applies to the items in the list.
RequirementsImportant for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
CommentsApplications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
Data typeCodeableConcept BindingWhat order applies to the items in a list.
ListOrderCodes (preferred) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
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note | | 0..* | Annotation | There are no (further) constraints on this element Element idList.note Short descriptionComments about the list DefinitionComments that apply to the overall list.
Data typeAnnotation Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: .inboundRelationship[typeCode=SUBJ].act.text
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entry | C | 0..* | BackboneElement | There are no (further) constraints on this element Element idList.entry Short descriptionEntries in the list DefinitionCommentsIf there are no entries in the list, an emptyReason SHOULD be provided.
Data typeBackboneElement ConditionsThe cardinality or value of this element may be affected by these constraints: lst-1 Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
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id | | 0..1 | string | There are no (further) constraints on this element Element idList.entry.id Short descriptionUnique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Data typestring Mappings |
extension | C | 0..* | Extension | There are no (further) constraints on this element Element idList.entry.extension Short descriptionAdditional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
CommentsThere can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Data typeExtension Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idList.entry.modifierExtension Short descriptionExtensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
RequirementsModifier 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.
CommentsThere can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Data typeExtension Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) - ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists() Mappings |
flag | | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idList.entry.flag Short descriptionStatus/Workflow information about this item DefinitionThe flag allows the system constructing the list to indicate the role and significance of the item in the list.
RequirementsThis field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list.
CommentsThe flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is "changes".
Data typeCodeableConcept BindingCodes that provide further information about the reason and meaning of the item in the list.
PatientMedicineChangeTypes (example) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
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deleted | ?! C | 0..1 | boolean | There are no (further) constraints on this element Element idList.entry.deleted Short descriptionIf this item is actually marked as deleted DefinitionTrue if this item is marked as deleted in the list.
RequirementsThe flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as "deleted".
CommentsIf the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is "changes". A deleted entry should be displayed in narrative as deleted. This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list.
Meaning when missingList items are generally only treated as deleted when this element explicitly carries a value of true. Systems SHOULD always populate this value when mode is 'changes'
Data typeboolean ConditionsThe cardinality or value of this element may be affected by these constraints: lst-2 Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: added: .updateMode=("A","AR") retained: .updateMode="NC" updated: .updateMode="R" deleted: .updateMode="D"
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date | | 0..1 | dateTime | There are no (further) constraints on this element Element idList.entry.date Short descriptionWhen item added to list DefinitionWhen this item was added to the list.
RequirementsThe date may be significant for understanding the meaning of items in a working list.
Data typedateTime Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings |
item | | 1..1 | Reference(Resource) | There are no (further) constraints on this element Element idList.entry.item Short descriptionActual entry DefinitionA reference to the actual resource from which data was derived.
Data typeReference(Resource) Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: .target or .role or .role.entity
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emptyReason | C | 0..1 | CodeableConceptBinding | Element idList.emptyReason Short descriptionWhy list is empty DefinitionIf the list is empty, why the list is empty.
RequirementsAllows capturing things like "none exist" or "not asked" which can be important for most lists.
CommentsThe various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
Data typeCodeableConcept BindingIf a list is empty, why it is empty.
UKCoreListEmptyReasonCode (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: lst-1 Constraints- ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count()) Mappings- rim: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
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