{ "description": "This cross-version extension represents Account.diagnosis from http://hl7.org/fhir/StructureDefinition/Account|5.0.0 for use in FHIR R4B.", "_filename": "StructureDefinition-ext-R5-Account.diagnosis.json", "package_name": "hl7.fhir.uv.xver", "date": "2025-09-01T22:37:16.221395+10:00", "derivation": "constraint", "publisher": "FHIR Infrastructure", "fhirVersion": "4.3.0", "jurisdiction": [ { "coding": [ { "code": "001", "system": "http://unstats.un.org/unsd/methods/m49/m49.htm", "display": "World" } ] } ], "name": "Ext_R5_Account_diagnosis", "mapping": [ { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" } ], "abstract": false, "type": "Extension", "experimental": "false", "resourceType": "StructureDefinition", "title": "Cross-version Extension for R5.Account.diagnosis for use in FHIR R4B", "package_version": "r5.r4b-0.0.1-snapshot-2", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fhir" }, { "url": "http://hl7.org/fhir/StructureDefinition/package-source", "extension": [ { "url": "packageId", "valueId": "hl7.fhir.uv.xver-r5.r4b" }, { "url": "version", "valueString": "0.0.1-snapshot-2" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 0, "_valueInteger": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical": "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b" } ] } }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use", "_valueCode": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical": "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b" } ] } } ], "snapshot": { "element": [ { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children unless an empty Parameters resource", "xpath": "@value|f:*|h:div|self::f:Parameters", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension", "min": 0, "definition": "When using an account for billing a specific Encounter the set of diagnoses that are relevant for billing are stored here on the account where they are able to be sequenced appropriately prior to processing to produce claim(s).", "isModifier": false, "short": "The list of diagnoses relevant to this account", "max": "*", "id": "Extension", "condition": [ "ele-1" ], "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "*", "min": 0, "path": "Extension" } }, { "path": "Extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "id" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 1, "definition": "An Extension", "isModifier": false, "short": "Extension", "slicing": { "rules": "closed", "ordered": false, "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "max": "*", "id": "Extension.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 0, "definition": "`Account.diagnosis` has no related element in R4B:Account", "isModifier": false, "short": "Ranking of the diagnosis (for each type)", "type": [ { "code": "Extension" } ], "sliceName": "sequence", "max": "1", "id": "Extension.extension:sequence", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). 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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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension:sequence.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "sequence", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:sequence.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.extension.value[x]", "min": 0, "definition": "`Account.diagnosis` has no related element in R4B:Account", "isModifier": false, "short": "Ranking of the diagnosis (for each type)", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "positiveInt" } ], "max": "1", "id": "Extension.extension:sequence.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 1, "definition": "`Account.diagnosis` has no related element in R4B:Account", "isModifier": false, "short": "The diagnosis relevant to the account", "type": [ { "code": "Extension" } ], "sliceName": "condition", "max": "1", "id": "Extension.extension:condition", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "id" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:condition.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension.extension", "min": 0, "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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension:condition.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "condition", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:condition.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.extension.value[x]", "min": 0, "definition": "`Account.diagnosis` has no related element in R4B:Account", "isModifier": false, "short": "The diagnosis relevant to the account", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "CodeableReference" } ], "binding": { "strength": "example", "valueSet": "http://hl7.org/fhir/5.0/ValueSet/R5-condition-code-for-R4B|0.0.1-snapshot-2" }, "max": "1", "id": "Extension.extension:condition.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 0, "definition": "Ranking of the diagnosis (for each type).", "isModifier": false, "short": "Date of the diagnosis (when coded diagnosis)", "type": [ { "code": "Extension" } ], "sliceName": "dateOfDiagnosis", "max": "1", "id": "Extension.extension:dateOfDiagnosis", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "id" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:dateOfDiagnosis.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension.extension", "min": 0, "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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension:dateOfDiagnosis.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "dateOfDiagnosis", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:dateOfDiagnosis.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.extension.value[x]", "min": 0, "definition": "Ranking of the diagnosis (for each type).", "isModifier": false, "short": "Date of the diagnosis (when coded diagnosis)", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "Extension.extension:dateOfDiagnosis.value[x]", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 0, "definition": "`Account.diagnosis` has no related element in R4B:Account", "isModifier": false, "short": "Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …)", "type": [ { "code": "Extension" } ], "sliceName": "type", "max": "*", "id": "Extension.extension:type", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). 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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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension:type.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "type", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:type.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.extension.value[x]", "min": 0, "definition": "`Account.diagnosis` has no related element in R4B:Account", "isModifier": false, "short": "Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …)", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/5.0/ValueSet/R5-encounter-diagnosis-use-for-R4B|0.0.1-snapshot-2", "description": "The type of diagnosis this condition represents." }, "max": "1", "id": "Extension.extension:type.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 0, "definition": "Was the Diagnosis present on Admission in the related Encounter.", "isModifier": false, "short": "Diagnosis present on Admission", "type": [ { "code": "Extension" } ], "sliceName": "onAdmission", "max": "1", "id": "Extension.extension:onAdmission", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "id" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:onAdmission.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension.extension", "min": 0, "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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension:onAdmission.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "onAdmission", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:onAdmission.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.extension.value[x]", "min": 0, "definition": "Was the Diagnosis present on Admission in the related Encounter.", "isModifier": false, "short": "Diagnosis present on Admission", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "boolean" } ], "max": "1", "id": "Extension.extension:onAdmission.value[x]", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 0, "definition": "The package code can be used to group diagnoses that may be priced or delivered as a single product. Such as DRGs.", "isModifier": false, "short": "Package Code specific for billing", "type": [ { "code": "Extension" } ], "sliceName": "packageCode", "max": "*", "id": "Extension.extension:packageCode", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "id" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:packageCode.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension.extension", "min": 0, "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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension:packageCode.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.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "packageCode", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.extension:packageCode.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.extension.value[x]", "min": 0, "definition": "The package code can be used to group diagnoses that may be priced or delivered as a single product. Such as DRGs.", "isModifier": false, "short": "Package Code specific for billing", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "Extension.extension:packageCode.value[x]", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false }, { "path": "Extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Account.diagnosis", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element|4.3.0", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.value[x]", "min": 0, "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4B/extensibility.html) for a list).", "isModifier": false, "short": "Value of extension", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "base64Binary" }, { "code": "boolean" }, { "code": "canonical" }, { "code": "code" }, { "code": "date" }, { "code": "dateTime" }, { "code": "decimal" }, { "code": "id" }, { "code": "instant" }, { "code": "integer" }, { "code": "markdown" }, { "code": "oid" }, { "code": "positiveInt" }, { "code": "string" }, { "code": "time" }, { "code": "unsignedInt" }, { "code": "uri" }, { "code": "url" }, { "code": "uuid" }, { "code": "Address" }, { "code": "Age" }, { "code": "Annotation" }, { "code": "Attachment" }, { "code": "CodeableConcept" }, { "code": "CodeableReference" }, { "code": "Coding" }, { "code": "ContactPoint" }, { "code": "Count" }, { "code": "Distance" }, { "code": "Duration" }, { "code": "HumanName" }, { "code": "Identifier" }, { "code": "Money" }, { "code": "Period" }, { "code": "Quantity" }, { "code": "Range" }, { "code": "Ratio" }, { "code": "RatioRange" }, { "code": "Reference" }, { "code": "SampledData" }, { "code": "Signature" }, { "code": "Timing" }, { "code": "ContactDetail" }, { "code": "Contributor" }, { "code": "DataRequirement" }, { "code": "Expression" }, { "code": "ParameterDefinition" }, { "code": "RelatedArtifact" }, { "code": "TriggerDefinition" }, { "code": "UsageContext" }, { "code": "Dosage" } ], "max": "1", "id": "Extension.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false } ], "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString": "4.3.0" } ] }, "status": "active", "id": "66903e0c-5072-416f-a570-0d8b07bdff75", "kind": "complex-type", "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Account.diagnosis", "context": [ { "type": "element", "expression": "Account" } ], "version": "0.0.1-snapshot-2", "differential": { "element": [ { "id": "Extension", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Extension" }, "path": "Extension", "short": "The list of diagnoses relevant to this account", "comment": "`Account.diagnosis` has no related element in R4B:Account", "definition": "When using an account for billing a specific Encounter the set of diagnoses that are relevant for billing are stored here on the account where they are able to be sequenced appropriately prior to processing to produce claim(s)." }, { "id": "Extension.extension", "max": "*", "min": 1, "base": { "max": "*", "min": 0, "path": "Extension.extension" }, "path": "Extension.extension", "slicing": { "rules": "closed", "ordered": false, "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Extension.extension:sequence", "max": "1", "min": 0, "base": { "max": "*", "min": 0, "path": "Extension.extension" }, "path": "Extension.extension", "short": "Ranking of the diagnosis (for each type)", "sliceName": "sequence", "definition": "`Account.diagnosis` has no related element in R4B:Account" }, { "id": "Extension.extension:sequence.url", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Extension.url" }, "path": "Extension.extension.url", "fixedUri": "sequence" }, { "id": "Extension.extension:sequence.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "path": "Extension.extension.value[x]", "type": [ { "code": "positiveInt" } ], "short": "Ranking of the diagnosis (for each type)", "definition": "`Account.diagnosis` has no related element in R4B:Account" }, { "id": "Extension.extension:condition", "max": "1", "min": 1, "base": { "max": "*", "min": 0, "path": "Extension.extension" }, "path": "Extension.extension", "short": "The diagnosis relevant to the account", "sliceName": "condition", "definition": "`Account.diagnosis` has no related element in R4B:Account" }, { "id": "Extension.extension:condition.url", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Extension.url" }, "path": "Extension.extension.url", "fixedUri": "condition" }, { "id": "Extension.extension:condition.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "path": "Extension.extension.value[x]", "type": [ { "code": "CodeableReference" } ], "short": "The diagnosis relevant to the account", "binding": { "strength": "example", "valueSet": "http://hl7.org/fhir/5.0/ValueSet/R5-condition-code-for-R4B|0.0.1-snapshot-2" }, "definition": "`Account.diagnosis` has no related element in R4B:Account" }, { "path": "Extension.extension", "min": 0, "definition": "Ranking of the diagnosis (for each type).", "short": "Date of the diagnosis (when coded diagnosis)", "sliceName": "dateOfDiagnosis", "max": "1", "id": "Extension.extension:dateOfDiagnosis", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "*", "min": 0, "path": "Extension.extension" } }, { "id": "Extension.extension:dateOfDiagnosis.url", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Extension.url" }, "path": "Extension.extension.url", "fixedUri": "dateOfDiagnosis" }, { "id": "Extension.extension:dateOfDiagnosis.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "path": "Extension.extension.value[x]", "type": [ { "code": "dateTime" } ], "short": "Date of the diagnosis (when coded diagnosis)", "comment": "`Account.diagnosis` has no related element in R4B:Account", "definition": "Ranking of the diagnosis (for each type)." }, { "id": "Extension.extension:type", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Extension.extension" }, "path": "Extension.extension", "short": "Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …)", "sliceName": "type", "definition": "`Account.diagnosis` has no related element in R4B:Account" }, { "id": "Extension.extension:type.url", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Extension.url" }, "path": "Extension.extension.url", "fixedUri": "type" }, { "id": "Extension.extension:type.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "path": "Extension.extension.value[x]", "type": [ { "code": "CodeableConcept" } ], "short": "Type that this diagnosis has relevant to the account (e.g. admission, billing, discharge …)", "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/5.0/ValueSet/R5-encounter-diagnosis-use-for-R4B|0.0.1-snapshot-2", "description": "The type of diagnosis this condition represents." }, "definition": "`Account.diagnosis` has no related element in R4B:Account" }, { "path": "Extension.extension", "min": 0, "definition": "Was the Diagnosis present on Admission in the related Encounter.", "short": "Diagnosis present on Admission", "sliceName": "onAdmission", "max": "1", "id": "Extension.extension:onAdmission", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "*", "min": 0, "path": "Extension.extension" } }, { "id": "Extension.extension:onAdmission.url", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Extension.url" }, "path": "Extension.extension.url", "fixedUri": "onAdmission" }, { "id": "Extension.extension:onAdmission.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "path": "Extension.extension.value[x]", "type": [ { "code": "boolean" } ], "short": "Diagnosis present on Admission", "comment": "`Account.diagnosis` has no related element in R4B:Account", "definition": "Was the Diagnosis present on Admission in the related Encounter." }, { "path": "Extension.extension", "min": 0, "definition": "The package code can be used to group diagnoses that may be priced or delivered as a single product. Such as DRGs.", "short": "Package Code specific for billing", "sliceName": "packageCode", "max": "*", "id": "Extension.extension:packageCode", "comment": "`Account.diagnosis` has no related element in R4B:Account", "base": { "max": "*", "min": 0, "path": "Extension.extension" } }, { "id": "Extension.extension:packageCode.url", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Extension.url" }, "path": "Extension.extension.url", "fixedUri": "packageCode" }, { "id": "Extension.extension:packageCode.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "path": "Extension.extension.value[x]", "type": [ { "code": "CodeableConcept" } ], "short": "Package Code specific for billing", "comment": "`Account.diagnosis` has no related element in R4B:Account", "definition": "The package code can be used to group diagnoses that may be priced or delivered as a single product. Such as DRGs." }, { "id": "Extension.url", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Extension.url" }, "path": "Extension.url", "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Account.diagnosis" } ] }, "contact": [ { "name": "FHIR Infrastructure", "telecom": [ { "value": "http://www.hl7.org/Special/committees/fiwg", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|4.3.0" }