{
"description": "R4: `Composition.confidentiality` (new:code)",
"_filename": "StructureDefinition-ext-R4-Composition.confidentiality.json",
"package_name": "hl7.fhir.uv.xver-r4.r5",
"date": "2026-03-17T21:02:03.8104715+00:00",
"derivation": "constraint",
"publisher": "FHIR Infrastructure",
"fhirVersion": "5.0.0",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `Composition.confidentiality` as defined in FHIR R4\r\nin FHIR R5.\r\n\r\nThe source element is defined as:\r\n`Composition.confidentiality` 0..1 `code`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* R4: `Composition.confidentiality` 0..1 `code`\n* R4B: `Composition.confidentiality` 0..1 `code`\r\n\r\nFollowing are the generation technical comments:\r\nElement `Composition.confidentiality` has a context of Composition based on following the parent source element upwards and mapping to `Composition`.\nElement `Composition.confidentiality` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).",
"name": "ExtensionComposition_Confidentiality",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "R4: As defined by affinity domain (new)",
"package_version": "0.1.0",
"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-r4.r5"
}, {
"url": "version",
"valueString": "0.1.0"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/version-specific-use",
"extension": [ {
"url": "startFhirVersion",
"valueCode": "5.0"
}, {
"url": "endFhirVersion",
"valueCode": "5.0"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-bind"
}, {
"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/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
} ]
}
}, {
"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/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension",
"min": 0,
"definition": "R4: `Composition.confidentiality` (new:code)",
"isModifier": false,
"short": "R4: As defined by affinity domain (new)",
"max": "1",
"id": "Extension",
"comment": "Element `Composition.confidentiality` has a context of Composition based on following the parent source element upwards and mapping to `Composition`.\nElement `Composition.confidentiality` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"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",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "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 managable, 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",
"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.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/4.0/StructureDefinition/extension-Composition.confidentiality",
"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",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Extension.value[x]",
"min": 0,
"definition": "The code specifying the level of confidentiality of the Composition.",
"isModifier": false,
"short": "As defined by affinity domain",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R4-v3-ConfidentialityClassification-for-R5|0.1.0",
"description": "Codes specifying the level of confidentiality of the composition."
},
"max": "1",
"id": "Extension.value[x]",
"condition": [ "ext-1" ],
"comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "5.0.0"
} ]
},
"status": "active",
"id": "a01c4438-52d5-4ea2-941e-e85c0d9ef3c3",
"kind": "complex-type",
"url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Composition.confidentiality",
"context": [ {
"type": "element",
"expression": "Composition"
} ],
"version": "0.1.0",
"differential": {
"element": [ {
"path": "Extension",
"min": 0,
"definition": "R4: `Composition.confidentiality` (new:code)",
"isModifier": false,
"short": "R4: As defined by affinity domain (new)",
"max": "1",
"id": "Extension",
"comment": "Element `Composition.confidentiality` has a context of Composition based on following the parent source element upwards and mapping to `Composition`.\nElement `Composition.confidentiality` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nThe exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"id": "Extension.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Composition.confidentiality"
}, {
"path": "Extension.value[x]",
"min": 0,
"definition": "The code specifying the level of confidentiality of the Composition.",
"short": "As defined by affinity domain",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/uv/xver/ValueSet/R4-v3-ConfidentialityClassification-for-R5|0.1.0",
"description": "Codes specifying the level of confidentiality of the composition."
},
"max": "1",
"id": "Extension.value[x]",
"comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
} ]
},
"contact": [ {
"name": "FHIR Infrastructure",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"
}