CH EPR mHealth (R4)
0.1.1 - Draft Standard for Trial Use
CH EPR mHealth (R4)
0.1.1 - Draft Standard for Trial Use
This page is part of the CH EPR mHealth (R4) (v0.1.1: DSTU 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
XML representation of the IHE.MHD.Minimal.DocumentManifest Profile.
Narrative view of the profile
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="IHE.MHD.Minimal.DocumentManifest"/> <text> <status value="additional"/> <div xmlns="http://www.w3.org/1999/xhtml"> StructureDefinition for DocumentManifest as represented in the Provide and Query interactions in the IHE IT Infrastructure Technical Framework Supplement <a href="http://wiki.ihe.net/index.php/Mobile_access_to_Health_Documents_(MHD)">Mobile access to Health Documents (MHD) Rev. 3.1</a>. The IHE MHD Profile text is Normative, this conformance resource is Informative.</div> </text> <url value="http://ihe.net/fhir/ihe.mhd.fhir/StructureDefinition/IHE.MHD.Minimal.DocumentManifest"/> <version value="0.1.1"/> <name value="IHE_MHD_Minimal_DocumentManifest"/> <title value="Minimal DocumentManifest (SubmissionSet)"/> <status value="active"/> <experimental value="false"/> <date value="2020-01-23"/> <publisher value="eHealth Suisse"/> <contact> <name value="eHealth Suisse"/> <telecom> <system value="url"/> <value value="https://www.e-health-suisse.ch"/> </telecom> </contact> <description value="IHE MHD Profile on DocumentManifest for Minimal Metadata (SubmissionSet)."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="CH"/> </coding> </jurisdiction> <copyright value="IHE http://www.ihe.net/Governance/#Intellectual_Property"/> <fhirVersion value="4.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="xds"/> <uri value="http://ihe.net/xds"/> <name value="XDS metadata equivalent"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="DocumentManifest"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DocumentManifest"/> <derivation value="constraint"/> <snapshot> <element id="DocumentManifest"> <path value="DocumentManifest"/> <short value="A list that defines a set of documents"/> <definition value="A collection of documents compiled for a purpose together with metadata that applies to the collection."/> <min value="0"/> <max value="*"/> <base> <path value="DocumentManifest"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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 value="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()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="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."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="rim"/> <map value="Act[classCode=FOLDER, moodCode=EVN]"/> </mapping> </element> <element id="DocumentManifest.id"> <path value="DocumentManifest.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="DocumentManifest.meta"> <path value="DocumentManifest.meta"/> <short value="Metadata about the resource"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="DocumentManifest.implicitRules"> <path value="DocumentManifest.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="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 value="true"/> </element> <element id="DocumentManifest.language"> <path value="DocumentManifest.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </binding> </element> <element id="DocumentManifest.text"> <path value="DocumentManifest.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A 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."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> <mapping> <identity value="XDSonFHIR"/> <map value="SubmissionSet.comment"/> </mapping> </element> <element id="DocumentManifest.contained"> <path value="DocumentManifest.contained"/> <short value="Contained, inline Resources"/> <definition value="These 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."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="DocumentManifest.extension"> <path value="DocumentManifest.extension"/> <short value="Additional content defined by implementations"/> <definition value="May 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."/> <comment value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="DocumentManifest.modifierExtension"> <path value="DocumentManifest.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May 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)."/> <comment value="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 value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="DocumentManifest.masterIdentifier"> <path value="DocumentManifest.masterIdentifier"/> <short value="Unique Identifier for the set of documents"/> <definition value="A single identifier that uniquely identifies this manifest. Principally used to refer to the manifest in non-FHIR contexts."/> <min value="1"/> <max value="1"/> <base> <path value="DocumentManifest.masterIdentifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value="id [need a list semantic to indicate order matters]"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.uniqueId"/> </mapping> </element> <element id="DocumentManifest.identifier"> <path value="DocumentManifest.identifier"/> <short value="Other identifiers for the manifest"/> <definition value="Other identifiers associated with the document manifest, including version independent identifiers."/> <min value="1"/> <max value="*"/> <base> <path value="DocumentManifest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="v2"/> <map value="TXA-16-Unique Document File Name?"/> </mapping> <mapping> <identity value="rim"/> <map value=".id / .setId"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.entryUUID"/> </mapping> </element> <element id="DocumentManifest.status"> <path value="DocumentManifest.status"/> <short value="current | superseded | entered-in-error"/> <definition value="The status of this document manifest."/> <comment value="approved -> status=current"/> <min value="1"/> <max value="1"/> <base> <path value="DocumentManifest.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DocumentReferenceStatus"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <description value="The status of the document reference."/> <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet status"/> </mapping> </element> <element id="DocumentManifest.type"> <path value="DocumentManifest.type"/> <short value="Kind of document set"/> <definition value="The code specifying the type of clinical activity that resulted in placing the associated content into the DocumentManifest."/> <comment value="Specifies the kind of this set of documents (e.g. Patient Summary, Discharge Summary, Prescription, etc.). The type of a set of documents may be the same as one of the documents in it - especially if there is only one - but it may be wider."/> <min value="0"/> <max value="1"/> <base> <path value="DocumentManifest.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="v3Act"/> </extension> <strength value="example"/> <description value="The activity that caused the DocumentManifest to be created."/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.contentTypeCode"/> </mapping> </element> <element id="DocumentManifest.subject"> <path value="DocumentManifest.subject"/> <short value="The subject of the set of documents"/> <definition value="Who or what the set of documents is about. The documents can be about a person, (patient or healthcare practitioner), a device (i.e. machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure). If the documents cross more than one subject, then more than one subject is allowed here (unusual use case)."/> <comment value="Not a contained resource. URL Points to an existing Patient resource representing Affinity Domain Patient"/> <min value="0"/> <max value="1"/> <base> <path value="DocumentManifest.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <aggregation value="referenced"/> <aggregation value="bundled"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.patientId"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="DocumentManifest.created"> <path value="DocumentManifest.created"/> <short value="When this document manifest created"/> <definition value="When the document manifest was created for submission to the server (not necessarily the same thing as the actual resource last modified time, since it may be modified, replicated, etc.)."/> <comment value="Creation time is used for tracking, organizing versions and searching. This is the creation time of the document set, not the documents on which it is based."/> <min value="1"/> <max value="1"/> <base> <path value="DocumentManifest.created"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.submissionTime"/> </mapping> </element> <element id="DocumentManifest.author"> <path value="DocumentManifest.author"/> <short value="Who and/or what authored the DocumentManifest"/> <definition value="Identifies who is the author of the manifest. Manifest author is not necessarly the author of the references included."/> <comment value="Contained resource of type Practitioner or Organization with: * authorInstitution: Organization For Practionioner, also with: * authorPerson: Practitioner.identifier and Practitioner.name * authorRole:—Not supported in STU3 * authorSpecialty: Practitioner.qualification * authorTelecommunication: Practitioner.telecom"/> <min value="0"/> <max value="*"/> <base> <path value="DocumentManifest.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <aggregation value="contained"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.author"/> </mapping> </element> <element id="DocumentManifest.recipient"> <path value="DocumentManifest.recipient"/> <short value="Intended to get notified about this set of documents"/> <definition value="A patient, practitioner, or organization for which this set of documents is intended."/> <comment value="How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice."/> <min value="0"/> <max value="*"/> <base> <path value="DocumentManifest.recipient"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.cause"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=IRCP].role"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.intendedRecipient"/> </mapping> </element> <element id="DocumentManifest.source"> <path value="DocumentManifest.source"/> <short value="The source system/application/software"/> <definition value="Identifies the source system, application, or software that produced the document manifest."/> <min value="1"/> <max value="1"/> <base> <path value="DocumentManifest.source"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PFM].time"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.sourceId"/> </mapping> </element> <element id="DocumentManifest.description"> <path value="DocumentManifest.description"/> <short value="Human-readable description (title)"/> <definition value="Human-readable description of the source document. This is sometimes known as the "title"."/> <comment value="What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a "consultation" or "progress note")."/> <requirements value="Helps humans to assess whether the document is of interest."/> <min value="0"/> <max value="1"/> <base> <path value="DocumentManifest.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".title"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet.title"/> </mapping> </element> <element id="DocumentManifest.content"> <path value="DocumentManifest.content"/> <short value="Items in manifest"/> <definition value="The list of Resources that consist of the parts of this manifest."/> <comment value="When used for XDS the intended focus of the DocumentManifest is for the reference to target to be a set of DocumentReference Resources. The reference is to "Any" to support EN 13606 usage, where an extract is DocumentManifest that references List and Composition resources."/> <requirements value="Any Resources are allowed to be grouped in a Manifest. The manifest brings context to the group."/> <min value="1"/> <max value="*"/> <base> <path value="DocumentManifest.content"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://ihe.net/fhir/ihe.mhd.fhir/StructureDefinition/IHE.MHD.Provide.Minimal.DocumentReference"/> <targetProfile value="http://ihe.net/fhir/ihe.mhd.fhir/StructureDefinition/IHE.MHD.Minimal.List"/> <aggregation value="referenced"/> <aggregation value="bundled"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target"/> </mapping> <mapping> <identity value="xds"/> <map value="SubmissionSet DocumentEntry(s)"/> </mapping> </element> <element id="DocumentManifest.related"> <path value="DocumentManifest.related"/> <short value="Related things"/> <definition value="Related identifiers or resources associated with the DocumentManifest."/> <comment value="These HL7 FHIR elements are not used in XDS, therefore would not be present. Document Consumers should be robust to these elements holding values."/> <min value="0"/> <max value="0"/> <base> <path value="DocumentManifest.related"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="DocumentManifest.related.id"> <path value="DocumentManifest.related.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="DocumentManifest.related.extension"> <path value="DocumentManifest.related.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="DocumentManifest.related.modifierExtension"> <path value="DocumentManifest.related.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="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 value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="DocumentManifest.related.identifier"> <path value="DocumentManifest.related.identifier"/> <short value="Identifiers of things that are related"/> <definition value="Related identifier to this DocumentManifest. For example, Order numbers, accession numbers, XDW workflow numbers."/> <comment value="If both identifier and ref elements are present they shall refer to the same thing."/> <min value="0"/> <max value="1"/> <base> <path value="DocumentManifest.related.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="DocumentManifest.related.ref"> <path value="DocumentManifest.related.ref"/> <short value="Related Resource"/> <definition value="Related Resource to this DocumentManifest. For example, Order, ServiceRequest, Procedure, EligibilityRequest, etc."/> <comment value="If both identifier and ref elements are present they shall refer to the same thing."/> <min value="0"/> <max value="1"/> <base> <path value="DocumentManifest.related.ref"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="DocumentManifest.text"> <path value="DocumentManifest.text"/> <mapping> <identity value="XDSonFHIR"/> <map value="SubmissionSet.comment"/> </mapping> </element> <element id="DocumentManifest.masterIdentifier"> <path value="DocumentManifest.masterIdentifier"/> <min value="1"/> </element> <element id="DocumentManifest.identifier"> <path value="DocumentManifest.identifier"/> <min value="1"/> </element> <element id="DocumentManifest.status"> <path value="DocumentManifest.status"/> <comment value="approved -> status=current"/> </element> <element id="DocumentManifest.type"> <path value="DocumentManifest.type"/> </element> <element id="DocumentManifest.subject"> <path value="DocumentManifest.subject"/> <comment value="Not a contained resource. URL Points to an existing Patient resource representing Affinity Domain Patient"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <aggregation value="referenced"/> <aggregation value="bundled"/> </type> </element> <element id="DocumentManifest.created"> <path value="DocumentManifest.created"/> <min value="1"/> </element> <element id="DocumentManifest.author"> <path value="DocumentManifest.author"/> <comment value="Contained resource of type Practitioner or Organization with: * authorInstitution: Organization For Practionioner, also with: * authorPerson: Practitioner.identifier and Practitioner.name * authorRole:—Not supported in STU3 * authorSpecialty: Practitioner.qualification * authorTelecommunication: Practitioner.telecom"/> <type> <code value="Reference"/> <aggregation value="contained"/> </type> <mustSupport value="true"/> </element> <element id="DocumentManifest.source"> <path value="DocumentManifest.source"/> <min value="1"/> </element> <element id="DocumentManifest.content"> <path value="DocumentManifest.content"/> <type> <code value="Reference"/> <targetProfile value="http://ihe.net/fhir/ihe.mhd.fhir/StructureDefinition/IHE.MHD.Provide.Minimal.DocumentReference"/> <targetProfile value="http://ihe.net/fhir/ihe.mhd.fhir/StructureDefinition/IHE.MHD.Minimal.List"/> <aggregation value="referenced"/> <aggregation value="bundled"/> </type> </element> <element id="DocumentManifest.related"> <path value="DocumentManifest.related"/> <comment value="These HL7 FHIR elements are not used in XDS, therefore would not be present. Document Consumers should be robust to these elements holding values."/> <max value="0"/> </element> </differential> </StructureDefinition>