{ "resourceType" : "StructureDefinition", "id" : "CommunicationBy", "text" : { "status" : "extensions", "div" : "

Сгенерированный нарратив: StructureDefinition CommunicationBy

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
НаименованиеФлагиКарта.ТипОписание и ограничения\"doco\"
\".\"\".\" Communication 0..*CommunicationA clinical or business level record of information being transmitted or shared
\".\"\".\"\".\" meta 1..1MetaМетаданные о ресурсе
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" versionId 0..1idИдентификатор версии. Указывается версия ресурса, который подлежит редактированию, если предусмотрено правилами. Если версия не указана, то ресурс считается новым.
\".\"\".\"\".\"\".\" lastUpdated 0..1instantДата и время последнего обновления
\".\"\".\"\".\"\".\" source 0..0Определяет, откуда берется ресурс
\".\"\".\"\".\"\".\" profile 1..1canonical(StructureDefinition)Ссылка на профиль
Требуемый шаблон: https://fhir.by/StructureDefinition/CommunicationBy
\".\"\".\"\".\"\".\" security 0..0Метки безопасности, примененные к этому ресурсу
\".\"\".\"\".\"\".\" tag 0..0Теги, применяемые к этому ресурсу
\".\"\".\"\".\" implicitRules 0..0Набор правил, в соответствии с которыми был создан этот контент
\".\"\".\"\".\" language 0..0Language of the resource content
\".\"\".\"\".\" text 0..0Краткое изложение текста ресурса для интерпретации человеком
\".\"\".\"\".\" contained 0..0Автономные встроенные ресурсы
\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\" modifierExtension 0..0Extension
\".\"\".\"\".\" identifier 0..0Unique identifier
\".\"\".\"\".\" instantiatesCanonical 0..0Instantiates FHIR protocol or definition
\".\"\".\"\".\" instantiatesUri 0..0Instantiates external protocol or definition
\".\"\".\"\".\" basedOn 0..0Request fulfilled by this communication
\".\"\".\"\".\" partOf 0..0Часть события, на которое ссылается ссылка (e.g. Communication, Procedure)
\".\"\".\"\".\" inResponseTo 0..0Reply to
\".\"\".\"\".\" status 1..1codeСтатус сообщения
\".\"\".\"\".\" statusReason 0..0Reason for current status
\".\"\".\"\".\" category 0..0Message category
\".\"\".\"\".\" priority 0..0routine | urgent | asap | stat
\".\"\".\"\".\" medium 1..1CodeableConceptКанал передачи сообщений
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" coding
\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\" system 1..1uriСсылка на справочник
\".\"\".\"\".\"\".\"\".\" code 1..1codeКод
\".\"\".\"\".\"\".\"\".\" userSelected 0..0Если эта кодировка была выбрана непосредственно пользователем
\".\"\".\"\".\"\".\" text 0..0Простое текстовое представление концепции
\".\"\".\"\".\" subject 1..1Reference(Пациент | Пациент без ИН)Ссылка на пациента
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" reference 1..1stringСсылка на ресурс в виде относительного URL
\".\"\".\"\".\" topic 0..1CodeableConceptТема сообщения
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" coding
\".\"\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\"\".\" system 1..1uriСсылка на справочник
\".\"\".\"\".\"\".\"\".\" code 1..1codeКод
\".\"\".\"\".\"\".\"\".\" userSelected 0..0Если эта кодировка была выбрана непосредственно пользователем
\".\"\".\"\".\"\".\" text 0..0Простое текстовое представление концепции
\".\"\".\"\".\" about 0..*Reference(Resource)Ссылка на ресурс, связанный с сообщением. К примеру: в сообщении передается информация о создании направления на консультацию и в этом элементе фиксируется ссылка на ресурс направления
\".\"\".\"\".\" sent 1..1dateTimeДата отправки сообщения
\".\"\".\"\".\" received 0..0When received
\".\"\".\"\".\" recipient 0..1Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint)Who the information is shared with
\".\"\".\"\".\" sender 1..1Reference(Учреждение здравоохранения)Who shares the information
\".\"\".\"\".\"\".\" reference 1..1stringСсылка на ресурс в виде относительного URL
\".\"\".\"\".\" reason 0..0Indication for message
\".\"\".\"\".\" payload
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" content[x] 1..1Reference(Неструктурированный документ)Message part content
\".\"\".\"\".\" note 1..1AnnotationШаблон уведомления
\".\"\".\"\".\"\".\" id 0..0Уникальный идентификатор для межэлементных ссылок
\".\"\".\"\".\"\".\" extension 0..0Extension
\".\"\".\"\".\"\".\" author[x] 0..0Individual responsible for the annotation
\".\"\".\"\".\"\".\" time 0..0Когда была сделана аннотация

\"doco\" Документация для этого формата
" }, "url" : "https://fhir.by/StructureDefinition/CommunicationBy", "version" : "0.2.6803", "name" : "CommunicationBy", "title" : "Сообщение", "status" : "unknown", "experimental" : true, "date" : "2026-06-25T08:49:26+00:00", "publisher" : "fhir.by", "contact" : [{ "name" : "fhir.by", "telecom" : [{ "system" : "url", "value" : "https://fhir.by" }] }], "description" : "Профиль для создания ресурсов сообщений", "fhirVersion" : "5.0.0", "mapping" : [{ "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }], "kind" : "resource", "abstract" : false, "type" : "Communication", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Communication", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "5.0.0" }], "element" : [{ "id" : "Communication", "path" : "Communication", "short" : "A clinical or business level record of information being transmitted or shared", "definition" : "A clinical or business level record of information being transmitted or shared; e.g. an alert that was sent to a responsible provider, a public health agency communication to a provider/reporter in response to a case report for a reportable condition.", "min" : 0, "max" : "*", "base" : { "path" : "Communication", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "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." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity, Role, or Act" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "w5", "map" : "workflow.encounter" }] }, { "id" : "Communication.id", "path" : "Communication.id", "short" : "Логический идентификатор этого артефакта", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Communication.meta", "path" : "Communication.meta", "short" : "Метаданные о ресурсе", "definition" : "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" : 1, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Communication.meta.id", "path" : "Communication.meta.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.meta.extension", "path" : "Communication.meta.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.meta.versionId", "path" : "Communication.meta.versionId", "short" : "Идентификатор версии. Указывается версия ресурса, который подлежит редактированию, если предусмотрено правилами. Если версия не указана, то ресурс считается новым.", "definition" : "Идентификатор конкретной версии, который отображается в части URL, относящейся к версии. Это значение изменяется при создании, обновлении или удалении ресурса.", "comment" : "Сервер присваивает это значение и игнорирует то, что указывает клиент, за исключением случая, когда сервер устанавливает целостность версии при обновлении/удалении.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.versionId", "min" : 0, "max" : "1" }, "type" : [{ "code" : "id" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Communication.meta.lastUpdated", "path" : "Communication.meta.lastUpdated", "short" : "Дата и время последнего обновления", "definition" : "Когда ресурс менялся в последний раз - например, когда изменилась версия.", "comment" : "Этот элемент обычно опускается в экземплярах, отправляемых с помощью PUT или POST. Вместо этого он заполняется в экземпляре ответа и при получении информации с помощью GET. Это значение задается менеджером сервера / ресурсов; то, что предоставляет клиент, не имеет значения. Это эквивалентно последнему изменению HTTP и должно иметь такое же значение при взаимодействии [read](http://hl7.org/fhir/R5/http.html#read).", "min" : 0, "max" : "1", "base" : { "path" : "Meta.lastUpdated", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Communication.meta.source", "path" : "Communication.meta.source", "short" : "Определяет, откуда берется ресурс", "definition" : "uri, который идентифицирует систему-источник ресурса. Он предоставляет минимальный объем информации о [Provenance] (provenance.html#), которую можно использовать для отслеживания или определения источника информации на ресурсе. Источник может идентифицировать другой сервер FHIR, документ, сообщение, базу данных и т.д.", "comment" : "Точное использование источника (и возможное подразумеваемое Provenance.entity.role и agent.role) остается на усмотрение разработчика. Допускается только один указанный источник; для получения дополнительной информации о происхождении следует использовать полный источник. Источник может соответствовать Provenance.entity.what[x] или Provenance.agent.who[x], хотя это может быть и более общая или абстрактная ссылка. \n\nЭтот элемент может использоваться для указания текущего главного источника ресурса, имеющего канонический URL-адрес, если ресурс больше не размещен по каноническому URL-адресу.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.source", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Communication.meta.profile", "path" : "Communication.meta.profile", "short" : "Ссылка на профиль", "definition" : "Список профилей (ссылок на [StructureDefinition](http://hl7.org/fhir/R5/structuredefinition.html#) ресурсы), которым, как утверждается, соответствует этот ресурс. URL-адрес является ссылкой на [StructureDefinition.url](http://hl7.org/fhir/R5/structuredefinition-definitions.html#StructureDefinition.url).", "comment" : "Сервер и/или другая инфраструктура политики должны определять, проверяются ли и/или обновляются ли эти утверждения с течением времени. Список URL-адресов профиля представляет собой набор.", "min" : 1, "max" : "1", "base" : { "path" : "Meta.profile", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition|5.0.0"] }], "patternCanonical" : "https://fhir.by/StructureDefinition/CommunicationBy", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Communication.meta.security", "path" : "Communication.meta.security", "short" : "Метки безопасности, примененные к этому ресурсу", "definition" : "Метки безопасности, применяемые к данному ресурсу. Эти метки связывают определенные ресурсы с общей политикой безопасности и инфраструктурой.", "comment" : "Метки безопасности могут быть обновлены без изменения указанной версии ресурса. Список меток безопасности представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.security", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SecurityLabels" }], "strength" : "extensible", "description" : "Защитные этикетки из системы классификации конфиденциальности и безопасности в сфере здравоохранения.", "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels|5.0.0" } }, { "id" : "Communication.meta.tag", "path" : "Communication.meta.tag", "short" : "Теги, применяемые к этому ресурсу", "definition" : "Теги, применяемые к этому ресурсу. Теги предназначены для идентификации ресурсов и соотнесения их с процессами и документооборотом, и приложения не обязаны учитывать теги при интерпретации значения ресурса.", "comment" : "Теги могут быть обновлены без изменения заявленной версии ресурса. Список тегов представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.tag", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Tags" }], "strength" : "example", "description" : "Коды, представляющие различные типы тегов, обычно связанные с рабочим процессом; например, \"Требуется проверка доктором Джонсом\".", "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags|5.0.0" } }, { "id" : "Communication.implicitRules", "path" : "Communication.implicitRules", "short" : "Набор правил, в соответствии с которыми был создан этот контент", "definition" : "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" : "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 its narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "0", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation", "isSummary" : true }, { "id" : "Communication.language", "path" : "Communication.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "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" : 0, "max" : "0", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "required", "description" : "Языковой тег IETF для человеческого языка", "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages|5.0.0", "additional" : [{ "purpose" : "starter", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|5.0.0" }] } }, { "id" : "Communication.text", "path" : "Communication.text", "short" : "Краткое изложение текста ресурса для интерпретации человеком", "definition" : "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" : "Contained resources do not have a 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" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["dom-6"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "Communication.contained", "path" : "Communication.contained", "short" : "Автономные встроенные ресурсы", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.", "comment" : "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" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "condition" : ["dom-2", "dom-4", "dom-3", "dom-5"], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.extension", "path" : "Communication.extension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "Communication.modifierExtension", "path" : "Communication.modifierExtension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : true }, { "id" : "Communication.identifier", "path" : "Communication.identifier", "short" : "Unique identifier", "definition" : "Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.", "comment" : "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R5/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.", "requirements" : "Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }] }, { "id" : "Communication.instantiatesCanonical", "path" : "Communication.instantiatesCanonical", "short" : "Instantiates FHIR protocol or definition", "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.instantiatesCanonical", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition|5.0.0", "http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0", "http://hl7.org/fhir/StructureDefinition/Measure|5.0.0", "http://hl7.org/fhir/StructureDefinition/OperationDefinition|5.0.0", "http://hl7.org/fhir/StructureDefinition/Questionnaire|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.instantiatesCanonical" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "Communication.instantiatesUri", "path" : "Communication.instantiatesUri", "short" : "Instantiates external protocol or definition", "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.", "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.instantiatesUri", "min" : 0, "max" : "*" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.instantiatesUri" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "Communication.basedOn", "path" : "Communication.basedOn", "short" : "Request fulfilled by this communication", "definition" : "An order, proposal or plan fulfilled in whole or in part by this Communication.", "comment" : "This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.", "alias" : ["fulfills"], "min" : 0, "max" : "0", "base" : { "path" : "Communication.basedOn", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.basedOn" }] }, { "id" : "Communication.partOf", "path" : "Communication.partOf", "short" : "Часть события, на которое ссылается ссылка (e.g. Communication, Procedure)", "definition" : "A larger event (e.g. Communication, Procedure) of which this particular communication is a component or step.", "comment" : "The event the communication was part of - e.g. if you disclosed as \"part\" of counselling, it would be partOf that Procedure.", "alias" : ["container"], "min" : 0, "max" : "0", "base" : { "path" : "Communication.partOf", "min" : 0, "max" : "*" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy", "valueBoolean" : true }], "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.partOf" }] }, { "id" : "Communication.inResponseTo", "path" : "Communication.inResponseTo", "short" : "Reply to", "definition" : "Prior communication that this communication is in response to.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.inResponseTo", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Communication|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "Communication.status", "path" : "Communication.status", "short" : "Статус сообщения", "definition" : "The status of the transmission.", "comment" : "This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.", "min" : 1, "max" : "1", "base" : { "path" : "Communication.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "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" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CommunicationStatus" }], "strength" : "required", "description" : "The status of the communication.", "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|5.0.0" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }] }, { "id" : "Communication.statusReason", "path" : "Communication.statusReason", "short" : "Reason for current status", "definition" : "Captures the reason for the current state of the Communication.", "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.", "alias" : ["Suspended Reason", "Cancelled Reason"], "min" : 0, "max" : "0", "base" : { "path" : "Communication.statusReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CommunicationNotDoneReason" }], "strength" : "example", "description" : "Codes for the reason why a communication did not happen.", "valueSet" : "http://hl7.org/fhir/ValueSet/communication-not-done-reason|5.0.0" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.statusReason" }] }, { "id" : "Communication.category", "path" : "Communication.category", "short" : "Message category", "definition" : "The type of message conveyed such as alert, notification, reminder, instruction, etc.", "comment" : "There may be multiple axes of categorization and one communication may serve multiple purposes.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.category", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CommunicationCategory" }], "strength" : "example", "description" : "Codes for general categories of communications such as alerts, instructions, etc.", "valueSet" : "http://hl7.org/fhir/ValueSet/communication-category|5.0.0" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }] }, { "id" : "Communication.priority", "path" : "Communication.priority", "short" : "routine | urgent | asap | stat", "definition" : "Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.", "comment" : "Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.priority", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If missing, this communication should be treated with normal priority", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CommunicationPriority" }], "strength" : "required", "description" : "Codes indicating the relative importance of a communication.", "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|5.0.0" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.grade" }] }, { "id" : "Communication.medium", "path" : "Communication.medium", "short" : "Канал передачи сообщений", "definition" : "A channel that was used for this communication (e.g. email, fax).", "min" : 1, "max" : "1", "base" : { "path" : "Communication.medium", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CommunicationMedium" }], "strength" : "example", "description" : "Codes for communication mediums such as phone, fax, email, in person, etc.", "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode" } }, { "id" : "Communication.medium.id", "path" : "Communication.medium.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.medium.extension", "path" : "Communication.medium.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.medium.coding", "path" : "Communication.medium.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Communication.medium.coding.id", "path" : "Communication.medium.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.medium.coding.extension", "path" : "Communication.medium.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.medium.coding.system", "path" : "Communication.medium.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Communication.medium.coding.version", "path" : "Communication.medium.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Communication.medium.coding.code", "path" : "Communication.medium.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Communication.medium.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Communication.medium.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Communication.medium.coding.userSelected", "path" : "Communication.medium.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Communication.medium.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Communication.medium.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Communication.subject", "path" : "Communication.subject", "short" : "Ссылка на пациента", "definition" : "The patient or group that was the focus of this communication.", "alias" : ["patient"], "min" : 1, "max" : "1", "base" : { "path" : "Communication.subject", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PatientWithIdentificationNumber", "https://fhir.by/StructureDefinition/PatientWithoutIdentificationNumber"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }] }, { "id" : "Communication.subject.id", "path" : "Communication.subject.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.subject.extension", "path" : "Communication.subject.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.subject.reference", "path" : "Communication.subject.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.subject.type", "path" : "Communication.subject.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.subject.identifier", "path" : "Communication.subject.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Communication.subject.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Communication.subject.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.topic", "path" : "Communication.topic", "short" : "Тема сообщения", "definition" : "Description of the purpose/content, similar to a subject line in an email.", "comment" : "Communication.topic.text can be used without any codings.", "min" : 0, "max" : "1", "base" : { "path" : "Communication.topic", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CommunicationTopic" }], "strength" : "example", "description" : "Codes describing the purpose or content of the communication.", "valueSet" : "http://hl7.org/fhir/ValueSet/communication-topic|5.0.0" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.context" }] }, { "id" : "Communication.topic.id", "path" : "Communication.topic.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.topic.extension", "path" : "Communication.topic.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.topic.coding", "path" : "Communication.topic.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Communication.topic.coding.id", "path" : "Communication.topic.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.topic.coding.extension", "path" : "Communication.topic.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.topic.coding.system", "path" : "Communication.topic.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Communication.topic.coding.version", "path" : "Communication.topic.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Communication.topic.coding.code", "path" : "Communication.topic.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Communication.topic.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Communication.topic.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Communication.topic.coding.userSelected", "path" : "Communication.topic.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Communication.topic.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Communication.topic.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Communication.about", "path" : "Communication.about", "short" : "Ссылка на ресурс, связанный с сообщением. К примеру: в сообщении передается информация о создании направления на консультацию и в этом элементе фиксируется ссылка на ресурс направления", "definition" : "Other resources that pertain to this communication and to which this communication should be associated.", "comment" : "Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.", "min" : 0, "max" : "*", "base" : { "path" : "Communication.about", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.context" }] }, { "id" : "Communication.encounter", "path" : "Communication.encounter", "short" : "The Encounter during which this Communication was created", "definition" : "The Encounter during which this Communication was created or to which the creation of this record is tightly associated.", "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.", "min" : 0, "max" : "1", "base" : { "path" : "Communication.encounter", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.encounter" }, { "identity" : "w5", "map" : "FiveWs.context" }] }, { "id" : "Communication.sent", "path" : "Communication.sent", "short" : "Дата отправки сообщения", "definition" : "The time when this communication was sent.", "min" : 1, "max" : "1", "base" : { "path" : "Communication.sent", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.occurrence[x] {Invariant: maps to period.start}" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }] }, { "id" : "Communication.received", "path" : "Communication.received", "short" : "When received", "definition" : "The time when this communication arrived at the destination.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.received", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.occurrence[x] {Invariant: maps to period.end}" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }] }, { "id" : "Communication.recipient", "path" : "Communication.recipient", "short" : "Who the information is shared with", "definition" : "The entity (e.g. person, organization, clinical information system, care team or device) which is the target of the communication.", "comment" : "If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).", "min" : 0, "max" : "1", "base" : { "path" : "Communication.recipient", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam|5.0.0", "http://hl7.org/fhir/StructureDefinition/Device|5.0.0", "http://hl7.org/fhir/StructureDefinition/Group|5.0.0", "http://hl7.org/fhir/StructureDefinition/HealthcareService|5.0.0", "http://hl7.org/fhir/StructureDefinition/Location|5.0.0", "http://hl7.org/fhir/StructureDefinition/Organization|5.0.0", "http://hl7.org/fhir/StructureDefinition/Patient|5.0.0", "http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|5.0.0", "http://hl7.org/fhir/StructureDefinition/Endpoint|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }] }, { "id" : "Communication.sender", "path" : "Communication.sender", "short" : "Who shares the information", "definition" : "The entity (e.g. person, organization, clinical information system, or device) which is the source of the communication.", "min" : 1, "max" : "1", "base" : { "path" : "Communication.sender", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/OrganizationBy"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }] }, { "id" : "Communication.sender.id", "path" : "Communication.sender.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.sender.extension", "path" : "Communication.sender.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Дополнительный контент, определяемый реализациями", "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.", "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.sender.reference", "path" : "Communication.sender.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.sender.type", "path" : "Communication.sender.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.sender.identifier", "path" : "Communication.sender.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Communication.sender.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Communication.sender.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.reason", "path" : "Communication.reason", "short" : "Indication for message", "definition" : "The reason or justification for the communication.", "comment" : "Textual reasons can be captured using reason.concept.text.", "min" : 0, "max" : "0", "base" : { "path" : "Communication.reason", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableReference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "CommunicationReason" }], "strength" : "example", "description" : "Codes for describing reasons for the occurrence of a communication.", "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings|5.0.0" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.reason" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : ".reasonCode" }] }, { "id" : "Communication.payload", "path" : "Communication.payload", "short" : "Message payload", "definition" : "Text, attachment(s), or resource(s) that was communicated to the recipient.", "min" : 0, "max" : "*", "base" : { "path" : "Communication.payload", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "Communication.payload.id", "path" : "Communication.payload.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.payload.extension", "path" : "Communication.payload.extension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.payload.modifierExtension", "path" : "Communication.payload.modifierExtension", "short" : "Расширения, которые нельзя игнорировать даже если его не узнают", "definition" : "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 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements" : "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/R5/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Communication.payload.content[x]", "path" : "Communication.payload.content[x]", "short" : "Message part content", "definition" : "A communicated content (or for multi-part communications, one portion of the communication).", "comment" : "The content can be codified or textual. As an example of codified content, when working with machine generated communications, the payload may be drawn from a finite, terminology defined set of communications, especially for short, status update kinds of communications where more of a natural language approach isn't appropriate.\n\nIf the content isn't codified, contentCodeableConcept.text can be used. \n\nWhen using contentCodeableConcept, the CodeableConcept is what is being communicated and is not a categorization of the content.", "min" : 1, "max" : "1", "base" : { "path" : "Communication.payload.content[x]", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/AttachDocument"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "Communication.note", "path" : "Communication.note", "short" : "Шаблон уведомления", "definition" : "Additional notes or commentary about the communication by the sender, receiver or other interested parties.", "min" : 1, "max" : "1", "base" : { "path" : "Communication.note", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Annotation" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.note" }] }, { "id" : "Communication.note.id", "path" : "Communication.note.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Communication.note.extension", "path" : "Communication.note.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Communication.note.author[x]", "path" : "Communication.note.author[x]", "short" : "Individual responsible for the annotation", "definition" : "The individual responsible for making the annotation.", "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.", "min" : 0, "max" : "0", "base" : { "path" : "Annotation.author[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0", "http://hl7.org/fhir/StructureDefinition/Patient|5.0.0", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|5.0.0", "http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"] }, { "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.participant[typeCode=AUT].role" }] }, { "id" : "Communication.note.time", "path" : "Communication.note.time", "short" : "Когда была сделана аннотация", "definition" : "Indicates when this particular annotation was made.", "min" : 0, "max" : "0", "base" : { "path" : "Annotation.time", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.effectiveTime" }] }, { "id" : "Communication.note.text", "path" : "Communication.note.text", "short" : "Текстовое содержимое аннотации", "definition" : "The text of the annotation in markdown format.", "min" : 1, "max" : "1", "base" : { "path" : "Annotation.text", "min" : 1, "max" : "1" }, "type" : [{ "code" : "markdown" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.text" }] }] }, "differential" : { "element" : [{ "id" : "Communication", "path" : "Communication" }, { "id" : "Communication.meta", "path" : "Communication.meta", "min" : 1 }, { "id" : "Communication.meta.id", "path" : "Communication.meta.id", "max" : "0" }, { "id" : "Communication.meta.extension", "path" : "Communication.meta.extension", "max" : "0" }, { "id" : "Communication.meta.versionId", "path" : "Communication.meta.versionId", "short" : "Идентификатор версии. Указывается версия ресурса, который подлежит редактированию, если предусмотрено правилами. Если версия не указана, то ресурс считается новым." }, { "id" : "Communication.meta.lastUpdated", "path" : "Communication.meta.lastUpdated", "short" : "Дата и время последнего обновления" }, { "id" : "Communication.meta.source", "path" : "Communication.meta.source", "max" : "0" }, { "id" : "Communication.meta.profile", "path" : "Communication.meta.profile", "min" : 1, "max" : "1", "patternCanonical" : "https://fhir.by/StructureDefinition/CommunicationBy" }, { "id" : "Communication.meta.security", "path" : "Communication.meta.security", "max" : "0" }, { "id" : "Communication.meta.tag", "path" : "Communication.meta.tag", "max" : "0" }, { "id" : "Communication.implicitRules", "path" : "Communication.implicitRules", "max" : "0" }, { "id" : "Communication.language", "path" : "Communication.language", "max" : "0" }, { "id" : "Communication.text", "path" : "Communication.text", "max" : "0" }, { "id" : "Communication.contained", "path" : "Communication.contained", "max" : "0" }, { "id" : "Communication.extension", "path" : "Communication.extension", "max" : "0" }, { "id" : "Communication.modifierExtension", "path" : "Communication.modifierExtension", "max" : "0" }, { "id" : "Communication.identifier", "path" : "Communication.identifier", "max" : "0" }, { "id" : "Communication.instantiatesCanonical", "path" : "Communication.instantiatesCanonical", "max" : "0" }, { "id" : "Communication.instantiatesUri", "path" : "Communication.instantiatesUri", "max" : "0" }, { "id" : "Communication.basedOn", "path" : "Communication.basedOn", "max" : "0" }, { "id" : "Communication.partOf", "path" : "Communication.partOf", "max" : "0" }, { "id" : "Communication.inResponseTo", "path" : "Communication.inResponseTo", "max" : "0" }, { "id" : "Communication.status", "path" : "Communication.status", "short" : "Статус сообщения" }, { "id" : "Communication.statusReason", "path" : "Communication.statusReason", "max" : "0" }, { "id" : "Communication.category", "path" : "Communication.category", "max" : "0" }, { "id" : "Communication.priority", "path" : "Communication.priority", "max" : "0" }, { "id" : "Communication.medium", "path" : "Communication.medium", "short" : "Канал передачи сообщений", "min" : 1, "max" : "1" }, { "id" : "Communication.medium.id", "path" : "Communication.medium.id", "max" : "0" }, { "id" : "Communication.medium.extension", "path" : "Communication.medium.extension", "max" : "0" }, { "id" : "Communication.medium.coding.id", "path" : "Communication.medium.coding.id", "max" : "0" }, { "id" : "Communication.medium.coding.extension", "path" : "Communication.medium.coding.extension", "max" : "0" }, { "id" : "Communication.medium.coding.system", "path" : "Communication.medium.coding.system", "min" : 1 }, { "id" : "Communication.medium.coding.code", "path" : "Communication.medium.coding.code", "min" : 1 }, { "id" : "Communication.medium.coding.userSelected", "path" : "Communication.medium.coding.userSelected", "max" : "0" }, { "id" : "Communication.medium.text", "path" : "Communication.medium.text", "max" : "0" }, { "id" : "Communication.subject", "path" : "Communication.subject", "short" : "Ссылка на пациента", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PatientWithIdentificationNumber", "https://fhir.by/StructureDefinition/PatientWithoutIdentificationNumber"] }] }, { "id" : "Communication.subject.id", "path" : "Communication.subject.id", "max" : "0" }, { "id" : "Communication.subject.extension", "path" : "Communication.subject.extension", "max" : "0" }, { "id" : "Communication.subject.reference", "path" : "Communication.subject.reference", "min" : 1 }, { "id" : "Communication.topic", "path" : "Communication.topic", "short" : "Тема сообщения" }, { "id" : "Communication.topic.id", "path" : "Communication.topic.id", "max" : "0" }, { "id" : "Communication.topic.extension", "path" : "Communication.topic.extension", "max" : "0" }, { "id" : "Communication.topic.coding.id", "path" : "Communication.topic.coding.id", "max" : "0" }, { "id" : "Communication.topic.coding.extension", "path" : "Communication.topic.coding.extension", "max" : "0" }, { "id" : "Communication.topic.coding.system", "path" : "Communication.topic.coding.system", "min" : 1 }, { "id" : "Communication.topic.coding.code", "path" : "Communication.topic.coding.code", "min" : 1 }, { "id" : "Communication.topic.coding.userSelected", "path" : "Communication.topic.coding.userSelected", "max" : "0" }, { "id" : "Communication.topic.text", "path" : "Communication.topic.text", "max" : "0" }, { "id" : "Communication.about", "path" : "Communication.about", "short" : "Ссылка на ресурс, связанный с сообщением. К примеру: в сообщении передается информация о создании направления на консультацию и в этом элементе фиксируется ссылка на ресурс направления" }, { "id" : "Communication.sent", "path" : "Communication.sent", "short" : "Дата отправки сообщения", "min" : 1 }, { "id" : "Communication.received", "path" : "Communication.received", "max" : "0" }, { "id" : "Communication.recipient", "path" : "Communication.recipient", "max" : "1" }, { "id" : "Communication.sender", "path" : "Communication.sender", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/OrganizationBy"] }] }, { "id" : "Communication.sender.reference", "path" : "Communication.sender.reference", "min" : 1 }, { "id" : "Communication.reason", "path" : "Communication.reason", "max" : "0" }, { "id" : "Communication.payload.id", "path" : "Communication.payload.id", "max" : "0" }, { "id" : "Communication.payload.extension", "path" : "Communication.payload.extension", "max" : "0" }, { "id" : "Communication.payload.content[x]", "path" : "Communication.payload.content[x]", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/AttachDocument"] }] }, { "id" : "Communication.note", "path" : "Communication.note", "short" : "Шаблон уведомления", "min" : 1, "max" : "1" }, { "id" : "Communication.note.id", "path" : "Communication.note.id", "max" : "0" }, { "id" : "Communication.note.extension", "path" : "Communication.note.extension", "max" : "0" }, { "id" : "Communication.note.author[x]", "path" : "Communication.note.author[x]", "max" : "0" }, { "id" : "Communication.note.time", "path" : "Communication.note.time", "max" : "0" }] } }