The ID generated by an ingestion service. This represents a producer-submitted message collection

The ID for either the client or tenant that holds the contract with the data receiver, as recorded by the data receiver. This ID must be unique to data sent on behalf of that client or tenant within the data receiver systems. The receiver systems should associate this ID to the messages that originate from this client or tenant. This supports traceability, data protection, and data isolation, when appropriate.

The ID of the client as recorded in the data producer or data integrator source system(s)

The organizing entity that owns the process that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, the process-organization value should reflect the organaization reponsible for the service.

The name of the process or service that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, use the process-name as the name of that analytic service.

The version of either the process or the service that has produced the data held in the FHIR resource or element

The classification type of the process that has produced the data held in either the FHIR resource or element

The record ID that the data producer or data integrator uses internally to identify this data

The timestamp when the data was generated within the FHIR resource or element

The ID for a record that the data producer or data integrator extracted knowledge from to produce the data within the FHIR resource or element

The ID for a file from which the data producer or data integrator extracted knowledge, to produce the data within this FHIR resource or element

Either the data model type or schema type that generates this FHIR resource

Version of the source system's data model, used by either the data producer or the data integrator

The event that is the catalyst for creating or updating this FHIR resource

Date and time of the source event that triggers either the creation or updating of this FHIR resource

References element level insight results pertaining to the data in this resource instance.

• value @ system

Identifies the origin of this FHIR resource, from either a source system of record or derived from a process

The ID generated by an ingestion service. This represents a producer-submitted message collection

The ID for either the client or tenant that holds the contract with the data receiver, as recorded by the data receiver. This ID must be unique to data sent on behalf of that client or tenant within the data receiver systems. The receiver systems should associate this ID to the messages that originate from this client or tenant. This supports traceability, data protection, and data isolation, when appropriate.

The ID of the client as recorded in the data producer or data integrator source system(s)

The organizing entity that owns the process that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, the process-organization value should reflect the organaization reponsible for the service.

The name of the process or service that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, use the process-name as the name of that analytic service.

The version of either the process or the service that has produced the data held in the FHIR resource or element

The classification type of the process that has produced the data held in either the FHIR resource or element

The record ID that the data producer or data integrator uses internally to identify this data

The timestamp when the data was generated within the FHIR resource or element

The ID for a record that the data producer or data integrator extracted knowledge from to produce the data within the FHIR resource or element

The ID for a file from which the data producer or data integrator extracted knowledge, to produce the data within this FHIR resource or element

Either the data model type or schema type that generates this FHIR resource

Version of the source system's data model, used by either the data producer or the data integrator

The event that is the catalyst for creating or updating this FHIR resource

An Extension

• value @ url

• type @ $this

Date and time of the source event that triggers either the creation or updating of this FHIR resource

References element level insight results pertaining to the data in this resource instance.

• value @ system

Identifies the origin of this FHIR resource, from either a source system of record or derived from a process

The metadata about a resource. This is content in the resource that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

The ID generated by an ingestion service. This represents a producer-submitted message collection

The ID for either the client or tenant that holds the contract with the data receiver, as recorded by the data receiver. This ID must be unique to data sent on behalf of that client or tenant within the data receiver systems. The receiver systems should associate this ID to the messages that originate from this client or tenant. This supports traceability, data protection, and data isolation, when appropriate.

The ID of the client as recorded in the data producer or data integrator source system(s)

The organizing entity that owns the process that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, the process-organization value should reflect the organaization reponsible for the service.

The name of the process or service that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, use the process-name as the name of that analytic service.

The version of either the process or the service that has produced the data held in the FHIR resource or element

The classification type of the process that has produced the data held in either the FHIR resource or element

The record ID that the data producer or data integrator uses internally to identify this data

The timestamp when the data was generated within the FHIR resource or element

The ID for a record that the data producer or data integrator extracted knowledge from to produce the data within the FHIR resource or element

The ID for a file from which the data producer or data integrator extracted knowledge, to produce the data within this FHIR resource or element

Either the data model type or schema type that generates this FHIR resource

Version of the source system's data model, used by either the data producer or the data integrator

The event that is the catalyst for creating or updating this FHIR resource

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

• value @ url

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

• type @ $this

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Date and time of the source event that triggers either the creation or updating of this FHIR resource

References element level insight results pertaining to the data in this resource instance.

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

When the resource last changed - e.g. when the version changed.

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

• value @ system

Identifies the origin of this FHIR resource, from either a source system of record or derived from a process

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

The identification of the code system that defines the meaning of the symbol in the code.

Need to be unambiguous about the source of the definition of the symbol.

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Need to refer to a particular code in the system.

A representation of the meaning of the code in the system, following the rules of the system.

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.