MyHealth@Eu Medical Imaging Report
0.0.1 - ci-build 150

MyHealth@Eu Medical Imaging Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: HeaderMyH - Detailed Descriptions

Draft as of 2025-06-25

Definitions for the Header logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. Header
Definition

Medical Imaging Report - Header data element

ShortA.1 - Medical Imaging Report header data element
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Header.insurance
Definition

Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

ShortA.1.3.1 - Health insurance information
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Header.insurance.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. Header.insurance.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Header.insurance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Header.insurance.modifierExtension
    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 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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Header.insurance.identifier
    Definition

    Unique health insurance company identification code.

    ShortA.1.3.1.1 - Health insurance code
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    12. Header.insurance.name
    Definition

    The full, official name of the healthcare insurance provider.

    ShortA.1.3.1.2 - Health insurance provider name
    Control0..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    14. Header.insurance.subjectIdentifier
    Definition

    Number or code under which the insured person is registered at the insurance provider.

    ShortA.1.3.1.3 - Health insurance policy number
    Control0..*
    TypeIdentifier
    16. Header.informationRecipient
    Definition

    Information recipient - (intended recipient or recipients of the report), if applicable

    ShortA.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Header.informationRecipient.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    20. Header.informationRecipient.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Header.informationRecipient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 22. Header.informationRecipient.modifierExtension
      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 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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      24. Header.informationRecipient.identifier
      Definition

      The health professional or patient identifier. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier could be used.

      ShortA.1.4.1 - Recipient identifier
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier
      26. Header.informationRecipient.name
      Definition

      Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

      ShortA.1.4.2 - Recipient name
      Control0..1
      TypeHumanName
      28. Header.informationRecipient.organization
      Definition

      The healthcare provider organisation information.

      ShortA.1.4.3 - Recipient organisation
      Control0..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Header.informationRecipient.organization.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      32. Header.informationRecipient.organization.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Header.informationRecipient.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 34. Header.informationRecipient.organization.modifierExtension
        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 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).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        36. Header.informationRecipient.organization.name
        Definition

        Name of the organization

        ShortA.1.4.3.1 - Organization Name
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        38. Header.informationRecipient.organization.address
        Definition

        Address of the organization

        ShortA.1.4.3.2 - Organization Address
        Control0..*
        TypeAddress
        40. Header.informationRecipient.organization.telecom
        Definition

        Telecom of the organization

        ShortA.1.4.3.3 - Telecom of the organization
        Control0..*
        TypeContactPoint
        42. Header.informationRecipient.organization.specialty
        Definition

        Specialty of the organization

        ShortA.1.4.3.4 - Specialty of the organization
        Control0..1
        TypeCodeableConcept
        44. Header.informationRecipient.address
        Definition

        Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

        ShortA.1.4.4 - Address
        Control0..1
        TypeAddress
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Header.informationRecipient.address.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        48. Header.informationRecipient.address.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Header.informationRecipient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 50. Header.informationRecipient.address.use
          Definition

          The purpose of this address.

          Shorthome | work | temp | old | billing - purpose of this address
          Comments

          Applications can assume that an address is current unless it explicitly says that it is temporary or old.

          Control0..1
          BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

          The use of an address.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows an appropriate address to be chosen from a list of many.

          Example<br/><b>General</b>:home
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. Header.informationRecipient.address.type
          Definition

          Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

          Shortpostal | physical | both
          Comments

          The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).


          The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

          Control0..1
          BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
          (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

          The type of an address (physical / postal).

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Example<br/><b>General</b>:both
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Header.informationRecipient.address.text
          Definition

          Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

          ShortText representation of the address
          Comments

          Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          A renderable, unencoded form.

          Example<br/><b>General</b>:137 Nowhere Street, Erewhon 9132
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Header.informationRecipient.address.line
          Definition

          This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

          ShortStreet name, number, direction & P.O. Box etc.
          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Example<br/><b>General</b>:137 Nowhere Street
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. Header.informationRecipient.address.city
          Definition

          The city where the patient has his/her domicile.


          The name of the city, town, suburb, village or other community or delivery center.

          ShortA.1.4.4.3 - CityName of city, town etc.
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesMunicpality
          Example<br/><b>General</b>:Erewhon
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. Header.informationRecipient.address.district
          Definition

          The name of the administrative area (county).

          ShortDistrict name (aka county)
          Comments

          District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesCounty
          Example<br/><b>General</b>:Madison
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. Header.informationRecipient.address.state
          Definition

          The state or province where the patient has his/her domicile.


          Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

          ShortA.1.4.4.5 - State or ProvinceSub-unit of country (abbreviations ok)
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesProvince, Territory
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. Header.informationRecipient.address.postalCode
          Definition

          A postal code designating a region defined by the postal service.

          ShortPostal code for area
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesZip
          Example<br/><b>General</b>:9132
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. Header.informationRecipient.address.country
          Definition

          The country where the patient has his/her domicile (Country of affiliation).


          Country - a nation as commonly understood or generally accepted.

          ShortA.1.4.4.6 - CountryCountry (e.g. can be ISO 3166 2 or 3 letter code)
          Comments

          ISO 3166 3 letter codes can be used in place of a human readable country name.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. Header.informationRecipient.address.period
          Definition

          Time period when address was/is in use.

          ShortTime period when address was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows addresses to be placed in historical context.

          Example<br/><b>General</b>:{ "start" : "2010-03-23", "end" : "2010-07-01" }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. Header.informationRecipient.address.street
          Definition

          The street where the patient has his/her domicile.

          ShortA.1.4.4.1 - Street
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          72. Header.informationRecipient.address.numberofstreet
          Definition

          The number of the street where the patient has his/her domicile.

          ShortA.1.4.4.2 - Number of Street
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          74. Header.informationRecipient.address.postalcode
          Definition

          The postal code where the patient has his/her domicile.

          ShortA.1.4.4.4 - Postal Code
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          76. Header.informationRecipient.country
          Definition

          Country of the intended recipient as part of the address.

          ShortA.1.4.5 - Country
          Control0..1
          TypeCodeableConcept
          78. Header.informationRecipient.telecom
          Definition

          Telecommunication contact information (addresses) associated to a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

          ShortA.1.4.6 - Telecom
          Control0..*
          TypeContactPoint
          80. Header.author
          Definition

          Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.

          ShortA.1.5 - Author (by whom the Medical Imaging report was/were authored). Multiple authors could be provided.
          Control1..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. Header.author.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          84. Header.author.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Header.author.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 86. Header.author.modifierExtension
            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 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).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            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.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            88. Header.author.identifier
            Definition

            The health professional identifier that will allow addressing recipients within a national or international data exchange infrastructure, such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier should be used.

            ShortA.1.5.1 - Author identifier
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control1..*
            TypeIdentifier
            90. Header.author.name
            Definition

            Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

            ShortA.1.5.2 - Author name
            Control1..1
            TypeHumanName
            92. Header.author.organization
            Definition

            The healthcare provider organisation information.

            ShortA.1.5.3 - Author organisation
            Control0..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            94. Header.author.organization.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            96. Header.author.organization.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Header.author.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 98. Header.author.organization.modifierExtension
              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 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).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              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.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              100. Header.author.organization.name
              Definition

              Name of the organization

              ShortA.1.5.3.1- Organization Name
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              102. Header.author.organization.address
              Definition

              Address of the organization

              ShortA.1.5.3.2 - Organization Address
              Control0..*
              TypeAddress
              104. Header.author.organization.telecom
              Definition

              Telecom of the organization

              ShortA.1.5.3.3 - Telecom of the organization
              Control0..*
              TypeContactPoint
              106. Header.author.organization.specialty
              Definition

              Specialty of the organization

              ShortA.1.5.3.4 - Specialty of the organization
              Control0..1
              TypeCodeableConcept
              108. Header.author.dateTime
              Definition

              Date and time of the last modification of the document by its Author.

              ShortA.1.5.4 - Date Time
              Control1..1
              TypedateTime
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              110. Header.legalAuthenticator
              Definition

              Legal authenticator (The person taking responsibility for the medical content of the document)

              ShortA.1.6 - Legal authenticator (The person taking responsibility for the medical content of the document)
              Control0..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              112. Header.legalAuthenticator.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              114. Header.legalAuthenticator.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Header.legalAuthenticator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 116. Header.legalAuthenticator.modifierExtension
                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 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).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                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.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                118. Header.legalAuthenticator.identifier
                Definition

                The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. Multiple identifiers could be provided.

                ShortA.1.6.1 - Legal authenticator identifier
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control1..*
                TypeIdentifier
                120. Header.legalAuthenticator.name
                Definition

                Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                ShortA.1.6.2 - Legal authenticator name
                Control1..1
                TypeHumanName
                122. Header.legalAuthenticator.organization
                Definition

                The healthcare provider organisation information.

                ShortA.1.6.3 - Legal authenticator organisation
                Control1..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                124. Header.legalAuthenticator.organization.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                126. Header.legalAuthenticator.organization.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Header.legalAuthenticator.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 128. Header.legalAuthenticator.organization.modifierExtension
                  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 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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  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.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  130. Header.legalAuthenticator.organization.name
                  Definition

                  Name of the organization

                  ShortA.1.6.3.1-Organization Name
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  132. Header.legalAuthenticator.organization.address
                  Definition

                  Address of the organization

                  ShortA.1.6.3.2-Organization Address
                  Control0..*
                  TypeAddress
                  134. Header.legalAuthenticator.organization.telecom
                  Definition

                  Telecom of the organization

                  ShortA.1.6.3.3-Telecom of the organization
                  Control0..*
                  TypeContactPoint
                  136. Header.legalAuthenticator.organization.specialty
                  Definition

                  Specialty of the organization

                  ShortA.1.6.3.4 - Specialty of the organization
                  Control0..1
                  TypeCodeableConcept
                  138. Header.legalAuthenticator.dateTime
                  Definition

                  Date and time when the document was authorised.

                  ShortA.1.6.4 - Authentication date and time
                  Control0..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  140. Header.resultValidator
                  Definition

                  Result validator (multiple Result validators could be provided)

                  ShortA.1.7 - Result validator (multiple attesters could be provided)
                  Control0..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  142. Header.resultValidator.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  144. Header.resultValidator.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Header.resultValidator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 146. Header.resultValidator.modifierExtension
                    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 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).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    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.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    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.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    148. Header.resultValidator.identifier
                    Definition

                    The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the license or registration number.

                    ShortA.1.6.1 - Result validator identifier
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..*
                    TypeIdentifier
                    150. Header.resultValidator.name
                    Definition

                    Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                    ShortA.1.6.2 - Result validator name
                    Control1..1
                    TypeHumanName
                    152. Header.resultValidator.organization
                    Definition

                    The healthcare provider organisation information.

                    ShortA.1.6.4 - Result validator organisation
                    Control1..1
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    154. Header.resultValidator.organization.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    156. Header.resultValidator.organization.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    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.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Header.resultValidator.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 158. Header.resultValidator.organization.modifierExtension
                      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 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).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      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.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      160. Header.resultValidator.organization.name
                      Definition

                      Name of the organization

                      ShortA.1.6.4.1-Organization Name
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      162. Header.resultValidator.organization.address
                      Definition

                      Address of the organization

                      ShortA.1.6.4.2-Organization Address
                      Control0..*
                      TypeAddress
                      164. Header.resultValidator.organization.telecom
                      Definition

                      Telecom of the organization

                      ShortA.1.6.4.3-Telecom of the organization
                      Control0..*
                      TypeContactPoint
                      166. Header.resultValidator.organization.specialty
                      Definition

                      Specialty of the organization

                      ShortA.1.6.4.4-Specialty of the organization
                      Control0..1
                      TypeCodeableConcept
                      168. Header.resultValidator.dateTime
                      Definition

                      Date and time when the document was validated

                      ShortA.1.6.5 - Validation date and time
                      Control1..1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      170. Header.documentMetadata
                      Definition

                      Document metadata

                      ShortA.1.8 - Document metadata
                      Control1..1
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      172. Header.documentMetadata.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      174. Header.documentMetadata.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Header.documentMetadata.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 176. Header.documentMetadata.modifierExtension
                        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 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).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        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.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        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.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        178. Header.documentMetadata.identifier
                        Definition

                        Unique identifier of the document

                        ShortA.1.8.0 - Document ID
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..1
                        TypeIdentifier
                        180. Header.documentMetadata.type
                        Definition

                        Identifies the type of document at hand, e.g. Hospital discharge report.

                        ShortA.1.8.1 - Document type
                        Control1..1
                        TypeCodeableConcept
                        182. Header.documentMetadata.status
                        Definition

                        The status of the Hospital discharge report. E.g., preliminary, final.

                        ShortA.1.8.2 - Document status
                        Control1..1
                        TypeCodeableConcept
                        184. Header.documentMetadata.dateTime
                        Definition

                        Date and time of the Hospital discharge report creation.

                        ShortA.1.8.3 - Report date and time
                        Control1..1
                        TypedateTime
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        186. Header.documentMetadata.title
                        Definition

                        Document title, fix value 'Hospital discharge report'.

                        ShortA.1.8.4 - Document title
                        Control1..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        188. Header.documentMetadata.ImagingProcedure
                        Definition

                        Imaging study procedure(s) performed. This element is relevant for the interactive selection of the available studies.

                        ShortA.1.8.5 - Imaging Procedure
                        Control0..*
                        TypeBackboneElement
                        190. Header.documentMetadata.custodian
                        Definition

                        Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

                        ShortA.1.8.6 - Report custodian
                        Control0..1
                        TypeBackboneElement
                        192. Header.documentMetadata.confidentiality
                        Definition

                        Level of confidentiality of the document. Implicit value is normal.

                        ShortA.1.8.7 - Confidentiality
                        Control0..1
                        TypeCodeableConcept
                        194. Header.documentMetadata.language
                        Definition

                        Language in which the document is written. Language is expressed by the ISO language code.

                        ShortA.1.8.8 - Language
                        Control1..1
                        TypeCodeableConcept
                        196. Header.documentMetadata.version
                        Definition

                        Version of the document

                        ShortA.1.8.9 - Version
                        NoteThis is a business version Id, not a resource version Id (see discussion)
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        198. Header.documentMetadata.StudyInstanceUID
                        Definition

                        Unique global identifier(s) that identifies an imaging study upon which the imaging report is based. An identifier that links an imaging report to one or more imaging studies. This element is relevant for the interactive selection of the available studies.

                        ShortA.1.8.10 - Study Instance UID
                        Control1..*
                        Typeoid
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        200. Header.documentMetadata.AccessionNumber
                        Definition

                        This is an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.

                        ShortA.1.8.11 - Accession number
                        Control1..1
                        TypeIdentifier

                        Guidance on how to interpret the contents of this table can be foundhere

                        0. Header
                        Definition

                        Medical Imaging Report - Header data element

                        ShortA.1 - Medical Imaging Report header data element
                        Logical ModelInstances of this logical model are not marked to be the target of a Reference
                        2. Header.insurance
                        Definition

                        Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

                        ShortA.1.3.1 - Health insurance information
                        Control0..1
                        TypeBackboneElement
                        4. Header.insurance.identifier
                        Definition

                        Unique health insurance company identification code.

                        ShortA.1.3.1.1 - Health insurance code
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control0..*
                        TypeIdentifier
                        6. Header.insurance.name
                        Definition

                        The full, official name of the healthcare insurance provider.

                        ShortA.1.3.1.2 - Health insurance provider name
                        Control0..*
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        8. Header.insurance.subjectIdentifier
                        Definition

                        Number or code under which the insured person is registered at the insurance provider.

                        ShortA.1.3.1.3 - Health insurance policy number
                        Control0..*
                        TypeIdentifier
                        10. Header.informationRecipient
                        Definition

                        Information recipient - (intended recipient or recipients of the report), if applicable

                        ShortA.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
                        Control0..*
                        TypeBackboneElement
                        12. Header.informationRecipient.identifier
                        Definition

                        The health professional or patient identifier. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier could be used.

                        ShortA.1.4.1 - Recipient identifier
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control0..1
                        TypeIdentifier
                        14. Header.informationRecipient.name
                        Definition

                        Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                        ShortA.1.4.2 - Recipient name
                        Control0..1
                        TypeHumanName
                        16. Header.informationRecipient.organization
                        Definition

                        The healthcare provider organisation information.

                        ShortA.1.4.3 - Recipient organisation
                        Control0..1
                        TypeBackboneElement
                        18. Header.informationRecipient.organization.name
                        Definition

                        Name of the organization

                        ShortA.1.4.3.1 - Organization Name
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        20. Header.informationRecipient.organization.address
                        Definition

                        Address of the organization

                        ShortA.1.4.3.2 - Organization Address
                        Control0..*
                        TypeAddress
                        22. Header.informationRecipient.organization.telecom
                        Definition

                        Telecom of the organization

                        ShortA.1.4.3.3 - Telecom of the organization
                        Control0..*
                        TypeContactPoint
                        24. Header.informationRecipient.organization.specialty
                        Definition

                        Specialty of the organization

                        ShortA.1.4.3.4 - Specialty of the organization
                        Control0..1
                        TypeCodeableConcept
                        26. Header.informationRecipient.address
                        Definition

                        Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

                        ShortA.1.4.4 - Address
                        Control0..1
                        TypeAddress
                        28. Header.informationRecipient.address.street
                        Definition

                        The street where the patient has his/her domicile.

                        ShortA.1.4.4.1 - Street
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        30. Header.informationRecipient.address.numberofstreet
                        Definition

                        The number of the street where the patient has his/her domicile.

                        ShortA.1.4.4.2 - Number of Street
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        32. Header.informationRecipient.address.city
                        Definition

                        The city where the patient has his/her domicile.

                        ShortA.1.4.4.3 - City
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        34. Header.informationRecipient.address.postalcode
                        Definition

                        The postal code where the patient has his/her domicile.

                        ShortA.1.4.4.4 - Postal Code
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        36. Header.informationRecipient.address.state
                        Definition

                        The state or province where the patient has his/her domicile.

                        ShortA.1.4.4.5 - State or Province
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        38. Header.informationRecipient.address.country
                        Definition

                        The country where the patient has his/her domicile (Country of affiliation).

                        ShortA.1.4.4.6 - Country
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        40. Header.informationRecipient.country
                        Definition

                        Country of the intended recipient as part of the address.

                        ShortA.1.4.5 - Country
                        Control0..1
                        TypeCodeableConcept
                        42. Header.informationRecipient.telecom
                        Definition

                        Telecommunication contact information (addresses) associated to a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

                        ShortA.1.4.6 - Telecom
                        Control0..*
                        TypeContactPoint
                        44. Header.author
                        Definition

                        Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.

                        ShortA.1.5 - Author (by whom the Medical Imaging report was/were authored). Multiple authors could be provided.
                        Control1..*
                        TypeBackboneElement
                        46. Header.author.identifier
                        Definition

                        The health professional identifier that will allow addressing recipients within a national or international data exchange infrastructure, such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier should be used.

                        ShortA.1.5.1 - Author identifier
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..*
                        TypeIdentifier
                        48. Header.author.name
                        Definition

                        Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                        ShortA.1.5.2 - Author name
                        Control1..1
                        TypeHumanName
                        50. Header.author.organization
                        Definition

                        The healthcare provider organisation information.

                        ShortA.1.5.3 - Author organisation
                        Control0..1
                        TypeBackboneElement
                        52. Header.author.organization.name
                        Definition

                        Name of the organization

                        ShortA.1.5.3.1- Organization Name
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        54. Header.author.organization.address
                        Definition

                        Address of the organization

                        ShortA.1.5.3.2 - Organization Address
                        Control0..*
                        TypeAddress
                        56. Header.author.organization.telecom
                        Definition

                        Telecom of the organization

                        ShortA.1.5.3.3 - Telecom of the organization
                        Control0..*
                        TypeContactPoint
                        58. Header.author.organization.specialty
                        Definition

                        Specialty of the organization

                        ShortA.1.5.3.4 - Specialty of the organization
                        Control0..1
                        TypeCodeableConcept
                        60. Header.author.dateTime
                        Definition

                        Date and time of the last modification of the document by its Author.

                        ShortA.1.5.4 - Date Time
                        Control1..1
                        TypedateTime
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        62. Header.legalAuthenticator
                        Definition

                        Legal authenticator (The person taking responsibility for the medical content of the document)

                        ShortA.1.6 - Legal authenticator (The person taking responsibility for the medical content of the document)
                        Control0..1
                        TypeBackboneElement
                        64. Header.legalAuthenticator.identifier
                        Definition

                        The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. Multiple identifiers could be provided.

                        ShortA.1.6.1 - Legal authenticator identifier
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..*
                        TypeIdentifier
                        66. Header.legalAuthenticator.name
                        Definition

                        Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                        ShortA.1.6.2 - Legal authenticator name
                        Control1..1
                        TypeHumanName
                        68. Header.legalAuthenticator.organization
                        Definition

                        The healthcare provider organisation information.

                        ShortA.1.6.3 - Legal authenticator organisation
                        Control1..1
                        TypeBackboneElement
                        70. Header.legalAuthenticator.organization.name
                        Definition

                        Name of the organization

                        ShortA.1.6.3.1-Organization Name
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        72. Header.legalAuthenticator.organization.address
                        Definition

                        Address of the organization

                        ShortA.1.6.3.2-Organization Address
                        Control0..*
                        TypeAddress
                        74. Header.legalAuthenticator.organization.telecom
                        Definition

                        Telecom of the organization

                        ShortA.1.6.3.3-Telecom of the organization
                        Control0..*
                        TypeContactPoint
                        76. Header.legalAuthenticator.organization.specialty
                        Definition

                        Specialty of the organization

                        ShortA.1.6.3.4 - Specialty of the organization
                        Control0..1
                        TypeCodeableConcept
                        78. Header.legalAuthenticator.dateTime
                        Definition

                        Date and time when the document was authorised.

                        ShortA.1.6.4 - Authentication date and time
                        Control0..1
                        TypedateTime
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        80. Header.resultValidator
                        Definition

                        Result validator (multiple Result validators could be provided)

                        ShortA.1.7 - Result validator (multiple attesters could be provided)
                        Control0..*
                        TypeBackboneElement
                        82. Header.resultValidator.identifier
                        Definition

                        The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the license or registration number.

                        ShortA.1.6.1 - Result validator identifier
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..*
                        TypeIdentifier
                        84. Header.resultValidator.name
                        Definition

                        Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                        ShortA.1.6.2 - Result validator name
                        Control1..1
                        TypeHumanName
                        86. Header.resultValidator.organization
                        Definition

                        The healthcare provider organisation information.

                        ShortA.1.6.4 - Result validator organisation
                        Control1..1
                        TypeBackboneElement
                        88. Header.resultValidator.organization.name
                        Definition

                        Name of the organization

                        ShortA.1.6.4.1-Organization Name
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        90. Header.resultValidator.organization.address
                        Definition

                        Address of the organization

                        ShortA.1.6.4.2-Organization Address
                        Control0..*
                        TypeAddress
                        92. Header.resultValidator.organization.telecom
                        Definition

                        Telecom of the organization

                        ShortA.1.6.4.3-Telecom of the organization
                        Control0..*
                        TypeContactPoint
                        94. Header.resultValidator.organization.specialty
                        Definition

                        Specialty of the organization

                        ShortA.1.6.4.4-Specialty of the organization
                        Control0..1
                        TypeCodeableConcept
                        96. Header.resultValidator.dateTime
                        Definition

                        Date and time when the document was validated

                        ShortA.1.6.5 - Validation date and time
                        Control1..1
                        TypedateTime
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        98. Header.documentMetadata
                        Definition

                        Document metadata

                        ShortA.1.8 - Document metadata
                        Control1..1
                        TypeBackboneElement
                        100. Header.documentMetadata.identifier
                        Definition

                        Unique identifier of the document

                        ShortA.1.8.0 - Document ID
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..1
                        TypeIdentifier
                        102. Header.documentMetadata.type
                        Definition

                        Identifies the type of document at hand, e.g. Hospital discharge report.

                        ShortA.1.8.1 - Document type
                        Control1..1
                        TypeCodeableConcept
                        104. Header.documentMetadata.status
                        Definition

                        The status of the Hospital discharge report. E.g., preliminary, final.

                        ShortA.1.8.2 - Document status
                        Control1..1
                        TypeCodeableConcept
                        106. Header.documentMetadata.dateTime
                        Definition

                        Date and time of the Hospital discharge report creation.

                        ShortA.1.8.3 - Report date and time
                        Control1..1
                        TypedateTime
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        108. Header.documentMetadata.title
                        Definition

                        Document title, fix value 'Hospital discharge report'.

                        ShortA.1.8.4 - Document title
                        Control1..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        110. Header.documentMetadata.ImagingProcedure
                        Definition

                        Imaging study procedure(s) performed. This element is relevant for the interactive selection of the available studies.

                        ShortA.1.8.5 - Imaging Procedure
                        Control0..*
                        TypeBackboneElement
                        112. Header.documentMetadata.custodian
                        Definition

                        Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

                        ShortA.1.8.6 - Report custodian
                        Control0..1
                        TypeBackboneElement
                        114. Header.documentMetadata.confidentiality
                        Definition

                        Level of confidentiality of the document. Implicit value is normal.

                        ShortA.1.8.7 - Confidentiality
                        Control0..1
                        TypeCodeableConcept
                        116. Header.documentMetadata.language
                        Definition

                        Language in which the document is written. Language is expressed by the ISO language code.

                        ShortA.1.8.8 - Language
                        Control1..1
                        TypeCodeableConcept
                        118. Header.documentMetadata.version
                        Definition

                        Version of the document

                        ShortA.1.8.9 - Version
                        NoteThis is a business version Id, not a resource version Id (see discussion)
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        120. Header.documentMetadata.StudyInstanceUID
                        Definition

                        Unique global identifier(s) that identifies an imaging study upon which the imaging report is based. An identifier that links an imaging report to one or more imaging studies. This element is relevant for the interactive selection of the available studies.

                        ShortA.1.8.10 - Study Instance UID
                        Control1..*
                        Typeoid
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        122. Header.documentMetadata.AccessionNumber
                        Definition

                        This is an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.

                        ShortA.1.8.11 - Accession number
                        Control1..1
                        TypeIdentifier

                        Guidance on how to interpret the contents of this table can be foundhere

                        0. Header
                        Definition

                        Medical Imaging Report - Header data element

                        ShortA.1 - Medical Imaging Report header data element
                        Control0..*
                        Is Modifierfalse
                        Logical ModelInstances of this logical model are not marked to be the target of a Reference
                        2. Header.insurance
                        Definition

                        Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

                        ShortA.1.3.1 - Health insurance information
                        Control0..1
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        4. Header.insurance.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        6. Header.insurance.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        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.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Header.insurance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 8. Header.insurance.modifierExtension
                          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 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).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          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.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          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.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          10. Header.insurance.identifier
                          Definition

                          Unique health insurance company identification code.

                          ShortA.1.3.1.1 - Health insurance code
                          NoteThis is a business identifier, not a resource identifier (see discussion)
                          Control0..*
                          TypeIdentifier
                          12. Header.insurance.name
                          Definition

                          The full, official name of the healthcare insurance provider.

                          ShortA.1.3.1.2 - Health insurance provider name
                          Control0..*
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          14. Header.insurance.subjectIdentifier
                          Definition

                          Number or code under which the insured person is registered at the insurance provider.

                          ShortA.1.3.1.3 - Health insurance policy number
                          Control0..*
                          TypeIdentifier
                          16. Header.informationRecipient
                          Definition

                          Information recipient - (intended recipient or recipients of the report), if applicable

                          ShortA.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
                          Control0..*
                          TypeBackboneElement
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          18. Header.informationRecipient.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          20. Header.informationRecipient.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          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.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Header.informationRecipient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 22. Header.informationRecipient.modifierExtension
                            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 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).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            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.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            24. Header.informationRecipient.identifier
                            Definition

                            The health professional or patient identifier. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier could be used.

                            ShortA.1.4.1 - Recipient identifier
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..1
                            TypeIdentifier
                            26. Header.informationRecipient.name
                            Definition

                            Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                            ShortA.1.4.2 - Recipient name
                            Control0..1
                            TypeHumanName
                            28. Header.informationRecipient.organization
                            Definition

                            The healthcare provider organisation information.

                            ShortA.1.4.3 - Recipient organisation
                            Control0..1
                            TypeBackboneElement
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            30. Header.informationRecipient.organization.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            32. Header.informationRecipient.organization.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Header.informationRecipient.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 34. Header.informationRecipient.organization.modifierExtension
                              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 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).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              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.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              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.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              36. Header.informationRecipient.organization.name
                              Definition

                              Name of the organization

                              ShortA.1.4.3.1 - Organization Name
                              Control0..1
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              38. Header.informationRecipient.organization.address
                              Definition

                              Address of the organization

                              ShortA.1.4.3.2 - Organization Address
                              Control0..*
                              TypeAddress
                              40. Header.informationRecipient.organization.telecom
                              Definition

                              Telecom of the organization

                              ShortA.1.4.3.3 - Telecom of the organization
                              Control0..*
                              TypeContactPoint
                              42. Header.informationRecipient.organization.specialty
                              Definition

                              Specialty of the organization

                              ShortA.1.4.3.4 - Specialty of the organization
                              Control0..1
                              TypeCodeableConcept
                              44. Header.informationRecipient.address
                              Definition

                              Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

                              ShortA.1.4.4 - Address
                              Control0..1
                              TypeAddress
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              46. Header.informationRecipient.address.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              48. Header.informationRecipient.address.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              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.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Header.informationRecipient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 50. Header.informationRecipient.address.use
                                Definition

                                The purpose of this address.

                                Shorthome | work | temp | old | billing - purpose of this address
                                Comments

                                Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                Control0..1
                                BindingThe codes SHALL be taken from AddressUse
                                (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                The use of an address.

                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Allows an appropriate address to be chosen from a list of many.

                                Example<br/><b>General</b>:home
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                52. Header.informationRecipient.address.type
                                Definition

                                Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                Shortpostal | physical | both
                                Comments

                                The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                Control0..1
                                BindingThe codes SHALL be taken from AddressType
                                (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                The type of an address (physical / postal).

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Example<br/><b>General</b>:both
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                54. Header.informationRecipient.address.text
                                Definition

                                Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                ShortText representation of the address
                                Comments

                                Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                A renderable, unencoded form.

                                Example<br/><b>General</b>:137 Nowhere Street, Erewhon 9132
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                56. Header.informationRecipient.address.line
                                Definition

                                This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                ShortStreet name, number, direction & P.O. Box etc.
                                Control0..*
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Example<br/><b>General</b>:137 Nowhere Street
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                58. Header.informationRecipient.address.city
                                Definition

                                The city where the patient has his/her domicile.

                                ShortA.1.4.4.3 - City
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Alternate NamesMunicpality
                                Example<br/><b>General</b>:Erewhon
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                60. Header.informationRecipient.address.district
                                Definition

                                The name of the administrative area (county).

                                ShortDistrict name (aka county)
                                Comments

                                District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Alternate NamesCounty
                                Example<br/><b>General</b>:Madison
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                62. Header.informationRecipient.address.state
                                Definition

                                The state or province where the patient has his/her domicile.

                                ShortA.1.4.4.5 - State or Province
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Alternate NamesProvince, Territory
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                64. Header.informationRecipient.address.postalCode
                                Definition

                                A postal code designating a region defined by the postal service.

                                ShortPostal code for area
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Alternate NamesZip
                                Example<br/><b>General</b>:9132
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                66. Header.informationRecipient.address.country
                                Definition

                                The country where the patient has his/her domicile (Country of affiliation).

                                ShortA.1.4.4.6 - Country
                                Comments

                                ISO 3166 3 letter codes can be used in place of a human readable country name.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                68. Header.informationRecipient.address.period
                                Definition

                                Time period when address was/is in use.

                                ShortTime period when address was/is in use
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summarytrue
                                Requirements

                                Allows addresses to be placed in historical context.

                                Example<br/><b>General</b>:{ "start" : "2010-03-23", "end" : "2010-07-01" }
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                70. Header.informationRecipient.address.street
                                Definition

                                The street where the patient has his/her domicile.

                                ShortA.1.4.4.1 - Street
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                72. Header.informationRecipient.address.numberofstreet
                                Definition

                                The number of the street where the patient has his/her domicile.

                                ShortA.1.4.4.2 - Number of Street
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                74. Header.informationRecipient.address.postalcode
                                Definition

                                The postal code where the patient has his/her domicile.

                                ShortA.1.4.4.4 - Postal Code
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                76. Header.informationRecipient.country
                                Definition

                                Country of the intended recipient as part of the address.

                                ShortA.1.4.5 - Country
                                Control0..1
                                TypeCodeableConcept
                                78. Header.informationRecipient.telecom
                                Definition

                                Telecommunication contact information (addresses) associated to a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

                                ShortA.1.4.6 - Telecom
                                Control0..*
                                TypeContactPoint
                                80. Header.author
                                Definition

                                Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.

                                ShortA.1.5 - Author (by whom the Medical Imaging report was/were authored). Multiple authors could be provided.
                                Control1..*
                                TypeBackboneElement
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                82. Header.author.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                84. Header.author.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                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.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Header.author.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 86. Header.author.modifierExtension
                                  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 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).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  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.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  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.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  88. Header.author.identifier
                                  Definition

                                  The health professional identifier that will allow addressing recipients within a national or international data exchange infrastructure, such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier should be used.

                                  ShortA.1.5.1 - Author identifier
                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  Control1..*
                                  TypeIdentifier
                                  90. Header.author.name
                                  Definition

                                  Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                                  ShortA.1.5.2 - Author name
                                  Control1..1
                                  TypeHumanName
                                  92. Header.author.organization
                                  Definition

                                  The healthcare provider organisation information.

                                  ShortA.1.5.3 - Author organisation
                                  Control0..1
                                  TypeBackboneElement
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  94. Header.author.organization.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  96. Header.author.organization.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  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.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Header.author.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 98. Header.author.organization.modifierExtension
                                    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 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).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    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.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    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.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    100. Header.author.organization.name
                                    Definition

                                    Name of the organization

                                    ShortA.1.5.3.1- Organization Name
                                    Control0..1
                                    Typestring
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    102. Header.author.organization.address
                                    Definition

                                    Address of the organization

                                    ShortA.1.5.3.2 - Organization Address
                                    Control0..*
                                    TypeAddress
                                    104. Header.author.organization.telecom
                                    Definition

                                    Telecom of the organization

                                    ShortA.1.5.3.3 - Telecom of the organization
                                    Control0..*
                                    TypeContactPoint
                                    106. Header.author.organization.specialty
                                    Definition

                                    Specialty of the organization

                                    ShortA.1.5.3.4 - Specialty of the organization
                                    Control0..1
                                    TypeCodeableConcept
                                    108. Header.author.dateTime
                                    Definition

                                    Date and time of the last modification of the document by its Author.

                                    ShortA.1.5.4 - Date Time
                                    Control1..1
                                    TypedateTime
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    110. Header.legalAuthenticator
                                    Definition

                                    Legal authenticator (The person taking responsibility for the medical content of the document)

                                    ShortA.1.6 - Legal authenticator (The person taking responsibility for the medical content of the document)
                                    Control0..1
                                    TypeBackboneElement
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    112. Header.legalAuthenticator.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    114. Header.legalAuthenticator.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    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.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Header.legalAuthenticator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 116. Header.legalAuthenticator.modifierExtension
                                      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 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).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      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.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      118. Header.legalAuthenticator.identifier
                                      Definition

                                      The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. Multiple identifiers could be provided.

                                      ShortA.1.6.1 - Legal authenticator identifier
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control1..*
                                      TypeIdentifier
                                      120. Header.legalAuthenticator.name
                                      Definition

                                      Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                                      ShortA.1.6.2 - Legal authenticator name
                                      Control1..1
                                      TypeHumanName
                                      122. Header.legalAuthenticator.organization
                                      Definition

                                      The healthcare provider organisation information.

                                      ShortA.1.6.3 - Legal authenticator organisation
                                      Control1..1
                                      TypeBackboneElement
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      124. Header.legalAuthenticator.organization.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      126. Header.legalAuthenticator.organization.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Header.legalAuthenticator.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 128. Header.legalAuthenticator.organization.modifierExtension
                                        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 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).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        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.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        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.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        130. Header.legalAuthenticator.organization.name
                                        Definition

                                        Name of the organization

                                        ShortA.1.6.3.1-Organization Name
                                        Control0..1
                                        Typestring
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        132. Header.legalAuthenticator.organization.address
                                        Definition

                                        Address of the organization

                                        ShortA.1.6.3.2-Organization Address
                                        Control0..*
                                        TypeAddress
                                        134. Header.legalAuthenticator.organization.telecom
                                        Definition

                                        Telecom of the organization

                                        ShortA.1.6.3.3-Telecom of the organization
                                        Control0..*
                                        TypeContactPoint
                                        136. Header.legalAuthenticator.organization.specialty
                                        Definition

                                        Specialty of the organization

                                        ShortA.1.6.3.4 - Specialty of the organization
                                        Control0..1
                                        TypeCodeableConcept
                                        138. Header.legalAuthenticator.dateTime
                                        Definition

                                        Date and time when the document was authorised.

                                        ShortA.1.6.4 - Authentication date and time
                                        Control0..1
                                        TypedateTime
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        140. Header.resultValidator
                                        Definition

                                        Result validator (multiple Result validators could be provided)

                                        ShortA.1.7 - Result validator (multiple attesters could be provided)
                                        Control0..*
                                        TypeBackboneElement
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        142. Header.resultValidator.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        144. Header.resultValidator.extension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortAdditional content defined by implementations
                                        Comments

                                        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.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on Header.resultValidator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 146. Header.resultValidator.modifierExtension
                                          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 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).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          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.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          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.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          148. Header.resultValidator.identifier
                                          Definition

                                          The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the license or registration number.

                                          ShortA.1.6.1 - Result validator identifier
                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                          Control1..*
                                          TypeIdentifier
                                          150. Header.resultValidator.name
                                          Definition

                                          Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                                          ShortA.1.6.2 - Result validator name
                                          Control1..1
                                          TypeHumanName
                                          152. Header.resultValidator.organization
                                          Definition

                                          The healthcare provider organisation information.

                                          ShortA.1.6.4 - Result validator organisation
                                          Control1..1
                                          TypeBackboneElement
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          154. Header.resultValidator.organization.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          156. Header.resultValidator.organization.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          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.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Header.resultValidator.organization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 158. Header.resultValidator.organization.modifierExtension
                                            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 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).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            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.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            160. Header.resultValidator.organization.name
                                            Definition

                                            Name of the organization

                                            ShortA.1.6.4.1-Organization Name
                                            Control0..1
                                            Typestring
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            162. Header.resultValidator.organization.address
                                            Definition

                                            Address of the organization

                                            ShortA.1.6.4.2-Organization Address
                                            Control0..*
                                            TypeAddress
                                            164. Header.resultValidator.organization.telecom
                                            Definition

                                            Telecom of the organization

                                            ShortA.1.6.4.3-Telecom of the organization
                                            Control0..*
                                            TypeContactPoint
                                            166. Header.resultValidator.organization.specialty
                                            Definition

                                            Specialty of the organization

                                            ShortA.1.6.4.4-Specialty of the organization
                                            Control0..1
                                            TypeCodeableConcept
                                            168. Header.resultValidator.dateTime
                                            Definition

                                            Date and time when the document was validated

                                            ShortA.1.6.5 - Validation date and time
                                            Control1..1
                                            TypedateTime
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            170. Header.documentMetadata
                                            Definition

                                            Document metadata

                                            ShortA.1.8 - Document metadata
                                            Control1..1
                                            TypeBackboneElement
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            172. Header.documentMetadata.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            174. Header.documentMetadata.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on Header.documentMetadata.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 176. Header.documentMetadata.modifierExtension
                                              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 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).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              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.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              178. Header.documentMetadata.identifier
                                              Definition

                                              Unique identifier of the document

                                              ShortA.1.8.0 - Document ID
                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              Control1..1
                                              TypeIdentifier
                                              180. Header.documentMetadata.type
                                              Definition

                                              Identifies the type of document at hand, e.g. Hospital discharge report.

                                              ShortA.1.8.1 - Document type
                                              Control1..1
                                              TypeCodeableConcept
                                              182. Header.documentMetadata.status
                                              Definition

                                              The status of the Hospital discharge report. E.g., preliminary, final.

                                              ShortA.1.8.2 - Document status
                                              Control1..1
                                              TypeCodeableConcept
                                              184. Header.documentMetadata.dateTime
                                              Definition

                                              Date and time of the Hospital discharge report creation.

                                              ShortA.1.8.3 - Report date and time
                                              Control1..1
                                              TypedateTime
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              186. Header.documentMetadata.title
                                              Definition

                                              Document title, fix value 'Hospital discharge report'.

                                              ShortA.1.8.4 - Document title
                                              Control1..1
                                              Typestring
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              188. Header.documentMetadata.ImagingProcedure
                                              Definition

                                              Imaging study procedure(s) performed. This element is relevant for the interactive selection of the available studies.

                                              ShortA.1.8.5 - Imaging Procedure
                                              Control0..*
                                              TypeBackboneElement
                                              190. Header.documentMetadata.custodian
                                              Definition

                                              Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

                                              ShortA.1.8.6 - Report custodian
                                              Control0..1
                                              TypeBackboneElement
                                              192. Header.documentMetadata.confidentiality
                                              Definition

                                              Level of confidentiality of the document. Implicit value is normal.

                                              ShortA.1.8.7 - Confidentiality
                                              Control0..1
                                              TypeCodeableConcept
                                              194. Header.documentMetadata.language
                                              Definition

                                              Language in which the document is written. Language is expressed by the ISO language code.

                                              ShortA.1.8.8 - Language
                                              Control1..1
                                              TypeCodeableConcept
                                              196. Header.documentMetadata.version
                                              Definition

                                              Version of the document

                                              ShortA.1.8.9 - Version
                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                              Control0..1
                                              Typestring
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              198. Header.documentMetadata.StudyInstanceUID
                                              Definition

                                              Unique global identifier(s) that identifies an imaging study upon which the imaging report is based. An identifier that links an imaging report to one or more imaging studies. This element is relevant for the interactive selection of the available studies.

                                              ShortA.1.8.10 - Study Instance UID
                                              Control1..*
                                              Typeoid
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              200. Header.documentMetadata.AccessionNumber
                                              Definition

                                              This is an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.

                                              ShortA.1.8.11 - Accession number
                                              Control1..1
                                              TypeIdentifier