StructureMap

A Map of relationships between 2 structures that can be used to transform data.

Properties

Name	Required	Type	Description
url	✓	uri	Canonical identifier for this structure map, represented as a URI (globally unique) Details An absolute URI that is used to identify this structure map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this structure map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the structure map is stored on different servers. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.
identifier		Identifier[]	Additional identifier for the structure map Details A formal identifier that is used to identify this structure map when it is represented in other formats, or referenced in a specification, model, design or an instance. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this structure map outside of FHIR, where it is not possible to use the logical URI.
version		string	Business version of the structure map Details The identifier that is used to identify this version of the structure map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. There may be different structure map instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the structure map with the format [url]|[version].
name	✓	string	Name for this structure map (computer friendly) Details A natural language name identifying the structure map. This name should be usable as an identifier for the module by machine processing applications such as code generation. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.
title		string	Name for this structure map (human friendly) Details A short, descriptive, user-friendly title for the structure map. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
status	✓	code	draft | active | retired | unknown Details The status of this structure map. Enables tracking the life-cycle of the content. Allows filtering of structure maps that are appropriate for use versus not.
experimental		boolean	For testing purposes, not real usage Details A Boolean value to indicate that this structure map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. Allows filtering of structure maps that are appropriate for use versus not.
date		dateTime	Date last changed Details The date (and optionally time) when the structure map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the structure map changes. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
publisher		string	Name of the publisher (organization or individual) Details The name of the organization or individual that published the structure map. Usually an organization but may be an individual. The publisher (or steward) of the structure map is the organization or individual primarily responsible for the maintenance and upkeep of the structure map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure map. This item SHOULD be populated unless the information is available from context.
contact		ContactDetail[]	Contact details for the publisher Details Contact details to assist a user in finding and communicating with the publisher. May be a web site, an email address, a telephone number, etc.
description		markdown	Natural language description of the structure map Details A free text natural language description of the structure map from a consumer's perspective. This description can be used to capture details such as why the structure map was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the structure map as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the structure map is presumed to be the predominant language in the place the structure map was created).
useContext		UsageContext[]	The context that the content is intended to support Details The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate structure map instances. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
jurisdiction		CodeableConcept[]	Intended jurisdiction for structure map (if applicable) Details A legal or geographic region in which the structure map is intended to be used. It may be possible for the structure map to be used in jurisdictions other than those for which it was originally designed or intended.
purpose		markdown	Why this structure map is defined Details Explanation of why this structure map is needed and why it has been designed as it has. This element does not describe the usage of the structure map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this structure map.
copyright		markdown	Use and/or publishing restrictions Details A copyright statement relating to the structure map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure map.
structure		StructureMapStructure[]	Structure Definition used by this map Details A structure definition used by this map. The structure definition may describe instances that are converted, or the instances that are produced. It is not necessary for a structure map to identify any dependent structures, though not listing them may restrict its usefulness.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.
url	✓	canonical	Canonical reference to structure definition Details The canonical reference to the structure.
mode	✓	code	source | queried | target | produced Details How the referenced structure is used in this mapping.
alias		string	Name for type in this map Details The name used for this type in the map. This is needed if both types have the same name (e.g. version conversion).
documentation		string	Documentation on use of structure Details Documentation that describes how the structure is used in the mapping.
import		canonical[]	Other maps used by this map (canonical URLs) Details Other maps used by this map (canonical URLs).
group	✓	StructureMapGroup[]	Named sections for reader convenience Details Organizes the mapping into manageable chunks for human review/ease of maintenance.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.
name	✓	id	Human-readable label Details A unique name for the group for the convenience of human readers.
extends		id	Another group that this group adds rules to Details Another group that this group adds rules to.
typeMode	✓	code	none | types | type-and-types Details If this is the default rule set to apply for the source type or this combination of types. Not applicable if the underlying model is untyped. There can only be one default mapping for any particular type combination.
documentation		string	Additional description/explanation for group Details Additional supporting documentation that explains the purpose of the group and the types of mappings within it.
input	✓	StructureMapGroupInput[]	Named instance provided when invoking the map Details A name assigned to an instance of data. The instance must be provided when the mapping is invoked. If no inputs are named, then the entry mappings are type based.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.
name	✓	id	Name for this instance of data Details Name for this instance of data.
type		string	Type for this instance of data Details Type for this instance of data.
mode	✓	code	source | target Details Mode for this instance of data.
documentation		string	Documentation for this instance of data Details Documentation for this instance of data.
rule	✓	StructureMapGroupRule[]	Transform Rule from source to target Details Transform Rule from source to target.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.
name	✓	id	Name of the rule for internal references Details Name of the rule for internal references.
source	✓	StructureMapGroupRuleSource[]	Source inputs to the mapping Details Source inputs to the mapping.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.
context	✓	id	Type or variable this rule applies to Details Type or variable this rule applies to.
min		integer	Specified minimum cardinality Details Specified minimum cardinality for the element. This is optional; if present, it acts an implicit check on the input content.
max		string	Specified maximum cardinality (number or *) Details Specified maximum cardinality for the element - a number or a "*". This is optional; if present, it acts an implicit check on the input content (* just serves as documentation; it's the default value).
type		string	Rule only applies if source has this type Details Specified type for the element. This works as a condition on the mapping - use for polymorphic elements.
defaultValue[x]		base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference<>, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Default value if no value exists Details A value to use if there is no existing value in the source object. If there's a default value on an item that can repeat, it will only be used once.
element		string	Optional field for this source Details Optional field for this source.
listMode		code	first | not_first | last | not_last | only_one Details How to handle the list mode for this element.
variable		id	Named context for field, if a field is specified Details Named context for field, if a field is specified.
condition		string	FHIRPath expression - must be true or the rule does not apply Details FHIRPath expression - must be true or the rule does not apply.
check		string	FHIRPath expression - must be true or the mapping engine throws an error instead of completing Details FHIRPath expression - must be true or the mapping engine throws an error instead of completing.
logMessage		string	Message to put in log if source exists (FHIRPath) Details A FHIRPath expression which specifies a message to put in the transform log when content matching the source rule is found. This is typically used for recording that something Is not transformed to the target for some reason.
target		StructureMapGroupRuleTarget[]	Content to create because of this mapping rule Details Content to create because of this mapping rule.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.
context		id	Type or variable this rule applies to Details Type or variable this rule applies to.
contextType		code	type | variable Details How to interpret the context.
element		string	Field to create in the context Details Field to create in the context.
variable		id	Named context for field, if desired, and a field is specified Details Named context for field, if desired, and a field is specified.
listMode		code[]	first | share | last | collate Details If field is a list, how to manage the list.
listRuleId		id	Internal rule reference for shared list items Details Internal rule reference for shared list items.
transform		code	create | copy + Details How the data is copied / created.
parameter		StructureMapGroupRuleTargetParameter[]	Parameters to the transform Details Parameters to the transform.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
value[x]	✓	id, string, boolean, integer, decimal	Parameter value - variable or literal Details Parameter value - variable or literal.
rule		[]	Rules contained in this rule Details Rules contained in this rule.
dependent		StructureMapGroupRuleDependent[]	Which other rules to apply in the context of this rule Details Which other rules to apply in the context of this rule.
id		string	Unique id for inter-element referencing Details Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored even if unrecognized Details May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.
name	✓	id	Name of a rule or group to apply Details Name of a rule or group to apply.
variable	✓	string[]	Variable to pass to the rule or group Details Variable to pass to the rule or group.
documentation		string	Documentation for this instance of data Details Documentation for this instance of data.

Search Parameters

Name	Type	Description	Expression
context	token	A use context assigned to the structure map	StructureMap.useContext.value
context-quantity	quantity	A quantity- or range-valued use context assigned to the structure map	StructureMap.useContext.value
context-type	token	A type of use context assigned to the structure map	StructureMap.useContext.code
date	date	The structure map publication date	StructureMap.date
description	string	The description of the structure map	StructureMap.description
jurisdiction	token	Intended jurisdiction for the structure map	StructureMap.jurisdiction
name	string	Computationally friendly name of the structure map	StructureMap.name
publisher	string	Name of the publisher of the structure map	StructureMap.publisher
status	token	The current status of the structure map	StructureMap.status
title	string	The human-friendly name of the structure map	StructureMap.title
url	uri	The uri that identifies the structure map	StructureMap.url
version	token	The business version of the structure map	StructureMap.version
context-type-quantity	composite	A use context type and quantity- or range-based value assigned to the structure map	StructureMap.useContext
context-type-value	composite	A use context type and value assigned to the structure map	StructureMap.useContext
identifier	token	External identifier for the structure map	StructureMap.identifier

Inherited Properties

Name	Required	Type	Description
id		string	Logical id of this artifact Details The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
meta		Meta	Metadata about the resource Details 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.
implicitRules		uri	A set of rules under which this content was created Details 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. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
language		code	Language of the resource content Details The base language in which the resource is written. 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).
text		Narrative	Text summary of the resource, for human interpretation Details 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. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
contained		Resource[]	Contained, inline Resources Details These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. 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.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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.
modifierExtension		Extension[]	Extensions that cannot be ignored Details May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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.