Generated Narrative: StructureDefinition binary Profile: StructureDefinition Tag: All (Details: DSF Read Access Tag code ALL = 'All') Name Flags Card. Type Description & Constraints Binary <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( must-have-meta-tag-or-security-context )">C 0..* Binary Pure binary content defined by a format other than FHIR Constraints: must-have-meta-tag-or-security-context #xD; meta <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( organization-implies-local, role-implies-local, all-implies-no-local, all-implies-no-organization, all-implies-no-role )">C 0..1 Meta Metadata about the resource Constraints: organization-implies-local, role-implies-local, all-implies-no-local, all-implies-no-organization, all-implies-no-role #xD; Slices for tag 0..* Coding Tags applied to this resource Slice: Unordered, Open by value:system, value:code #xD; tag:all 0..1 Coding Tags applied to this resource #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dsf.dev/fhir/CodeSystem/read-access-tag #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: ALL #xD; tag:local 0..1 Coding Tags applied to this resource #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dsf.dev/fhir/CodeSystem/read-access-tag #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: LOCAL #xD; tag:organization 0..* Coding Tags applied to this resource #xD; Slices for extension Content/Rules for all slices #xD; extension:organization-extension 1..1 Identifier Optional Extensions Element URL: http://dsf.dev/fhir/StructureDefinition/extension-read-access-organization #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dsf.dev/fhir/CodeSystem/read-access-tag #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: ORGANIZATION #xD; tag:read-access-parent-organization-role 0..* Coding Tags applied to this resource #xD; Slices for extension Content/Rules for all slices #xD; extension:role-extension 1..1 (Complex) Optional Extensions Element URL: http://dsf.dev/fhir/StructureDefinition/extension-read-access-parent-organization-role #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dsf.dev/fhir/CodeSystem/read-access-tag #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: ROLE #xD; Documentation for this format
Pure binary content defined by a format other than FHIR
A resource that represents the data of a single raw artifact as digital content accessible in its native format. A Binary resource can contain any content, whether text, image, pdf, zip archive, etc.
Typically, Binary resources are used for handling content such as: * CDA Documents (i.e. with XDS) * PDF Documents * Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS).
At least one meta.tag from system 'http://dsf.dev/fhir/CodeSystem/read-access-tag' or Binary.securityContext required
meta.tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag').exists() xor securityContext.exists()
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.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'ORGANIZATION').exists() implies tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'LOCAL').exists()
tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'ROLE').exists() implies tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'LOCAL').exists()
tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'ALL').exists() implies tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'LOCAL').exists().not()
ALL tag can not be used with ORGANIZATION
tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'ALL').exists() implies tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'ORGANIZATION').exists().not()
tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'ALL').exists() implies tag.where(system = 'http://dsf.dev/fhir/CodeSystem/read-access-tag' and code = 'ROLE').exists().not()
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
When the resource last changed - e.g. when the version changed.
This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Security Labels from the Healthcare Privacy and Security Classification System.
Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
The identification of the code system that defines the meaning of the symbol in the code.
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Need to be unambiguous about the source of the definition of the symbol.
fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Need to refer to a particular code in the system.
fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
A representation of the meaning of the code in the system, following the rules of the system.
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
C*E.2 - but note this is not well followed
fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
If this coding was chosen directly by the user
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
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 ]
Optional Extension Element - found in all resources.
A set of rules under which this content was created
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.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
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).
MimeType of the binary content represented as a standard MimeType (BCP 13).
The mime type of an attachment. Any valid mime type is allowed.
Identifies another resource to use as proxy when enforcing access control
This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. Media, DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient.
Very often, a server will also know of a resource that references the binary, and can automatically apply the appropriate access rules based on that reference. However, there are some circumstances where this is not appropriate, e.g. the binary is uploaded directly to the server without any linking resource, the binary is referred to from multiple different resources, and/or the binary is content such as an application logo that has less protection than any of the resources that reference it.
If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type.