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Tuesday, October 22, 2019

FHIR Terminology Datatype Usage Patterns

For the V2toFHIR project, I recently took up a task to write up my preferred approach for recording the original V2 code in FHIR Resources when mapping from a V2 message to FHIR.  To do that, I wanted to make a list of all the possible things that one might need to consider, so I ran a quick report of the variations in how code, Coding, and CodeableConcept are used with terminology in FHIR with respect to Binding Strength and Cardinality.

The report can be found at the bottom of the post.

Some interesting points:

code ~ required

The code datatype always uses a required vocabulary EXCEPT in one case in which it is preferred in Resource.language (which of course propagates to all resources in R4).  Now, why Resource.language says preferred instead of extensible is beyond me.  Who couldn't work with it as extensible?

max(cardinality(code)) is almost always 1

Instructive cases where there can be more than one code: AllergyIntolerance.category, Questionnaire.subjectType, CoverageEligibilityRequest.purpose and CoverageEligibilityResponse.purpose, anything dealing with daysOfWeek, and definition or conformance resources.  

The complete list where more than one can be used is AllergyIntolerance.category, CapabilityStatement.patchFormat, CapabilityStatement.rest.resource.referencePolicy, Endpoint.payloadMimeType, HealthcareService.availableTime.daysOfWeek, ImplementationGuide.definition.resource.fhirVersion
Location.hoursOfOperation.daysOfWeek, ObservationDefinition.permittedDataType, OperationDefinition.resource, PractitionerRole.availableTime.daysOfWeek, Questionnaire.subjectType, SearchParameter.comparator, SearchParameter.modifier, SearchParameter.target, StructureMap.group.rule.target.listMode, CapabilityStatement.format, 
CodeSystem.filter.operator, CoverageEligibilityRequest.purpose, CoverageEligibilityResponse.purpose, ImplementationGuide.fhirVersion, SearchParameter.base

Coding never uses required

The Coding data type is never bound with a required vocabulary, and rarely with a preferred one.  

Coding is not often used

In general, Coding is used 42 times, while CodableConcept is used 614 times. Hmm, do we really need Coding?  There are a few cases where I think the answer might be yes, but generally, I'd consider that most cases could probably survive quite well with just CodeableConcept.  In fact, in HL7 V2, CWE replaced ID/IS in the version 2.7 time frame throughout much of the specification.  There seem to be a small number of cases where Coding might be essential (QuestionnaireResponse.item.answer.value[x] could be one of these).

CodeableConcept has some interesting required cases

AdverseEvent.outcome, AdverseEvent.severity, AllergyIntolerance.clinicalStatus, AllergyIntolerance.verificationStatus, Condition.clinicalStatus, Condition.verificationStatus
These fields look mostly categorical and generally I have no complaints.  Seeing AdverseEvent.severity as a CodeableConcept makes me wonder though if AllergyIntolerance.criticality should also be CodeableConcept, or if the former should be code.

Measure.improvementNotation, MeasureReport.improvementNotation
The various improvementNotation attributes (on Measure and MeasureReport) could arguably be code.  I'm not sure what the use case is for CodableConcept in these.

EffectEvidenceSynthesis.effectEstimate.unitOfMeasure, 
ResearchElementDefinition.characteristic.unitOfMeasure, 
RiskEvidenceSynthesis.riskEstimate.unitOfMeasure
The unitOfMeasure fields above, when used alongside a decimal value argue that this information could have been modeled using SimpleQuantity to keep FHIR resources aligned around data types.

SupplyDelivery.type, InsurancePlan.plan.specificCost.benefit.cost.applicability, MolecularSequence.structureVariant.variantType
I don't have any feedback on these, just listing them for completeness.


Row Labels Count of Name
code 319
preferred 1
0..1 1
Resource.language 1
required 318
0..* 15
AllergyIntolerance.category 1
CapabilityStatement.patchFormat 1
CapabilityStatement.rest.resource.referencePolicy 1
Endpoint.payloadMimeType 1
HealthcareService.availableTime.daysOfWeek 1
ImplementationGuide.definition.resource.fhirVersion 1
Location.hoursOfOperation.daysOfWeek 1
ObservationDefinition.permittedDataType 1
OperationDefinition.resource 1
PractitionerRole.availableTime.daysOfWeek 1
Questionnaire.subjectType 1
SearchParameter.comparator 1
SearchParameter.modifier 1
SearchParameter.target 1
StructureMap.group.rule.target.listMode 1
0..1 112
ActivityDefinition.intent 1
ActivityDefinition.kind 1
ActivityDefinition.priority 1
AllergyIntolerance.criticality 1
AllergyIntolerance.reaction.severity 1
AllergyIntolerance.type 1
Appointment.participant.required 1
AuditEvent.action 1
AuditEvent.agent.network.type 1
AuditEvent.outcome 1
BiologicallyDerivedProduct.productCategory 1
BiologicallyDerivedProduct.status 1
BiologicallyDerivedProduct.storage.scale 1
Bundle.entry.search.mode 1
CapabilityStatement.rest.resource.conditionalDelete 1
CapabilityStatement.rest.resource.conditionalRead 1
CapabilityStatement.rest.resource.versioning 1
CarePlan.activity.detail.kind 1
CareTeam.status 1
CatalogEntry.status 1
ClaimResponse.processNote.type 1
CodeSystem.hierarchyMeaning 1
Communication.priority 1
CommunicationRequest.priority 1
Composition.confidentiality 1
Composition.section.mode 1
Consent.provision.type 1
Contract.status 1
DetectedIssue.severity 1
Device.status 1
Device.udiCarrier.entryType 1
DeviceMetric.calibration.state 1
DeviceMetric.calibration.type 1
DeviceMetric.color 1
DeviceMetric.operationalStatus 1
DeviceRequest.priority 1
DeviceRequest.status 1
DocumentReference.docStatus 1
EffectEvidenceSynthesis.resultsByExposure.exposureState 1
Encounter.location.status 1
EnrollmentRequest.status 1
EnrollmentResponse.outcome 1
EnrollmentResponse.status 1
EvidenceVariable.characteristic.groupMeasure 1
EvidenceVariable.type 1
ExplanationOfBenefit.processNote.type 1
ImplementationGuide.license 1
InsurancePlan.status 1
Location.mode 1
Location.status 1
Medication.status 1
MedicationKnowledge.status 1
MedicationRequest.priority 1
MessageDefinition.category 1
MessageDefinition.responseRequired 1
MolecularSequence.referenceSeq.orientation 1
MolecularSequence.referenceSeq.strand 1
MolecularSequence.type 1
ObservationDefinition.qualifiedInterval.category 1
ObservationDefinition.qualifiedInterval.gender 1
OperationDefinition.parameter.searchType 1
OperationDefinition.parameter.type 1
Patient.contact.gender 1
Patient.gender 1
PaymentReconciliation.outcome 1
PaymentReconciliation.processNote.type 1
Person.gender 1
Person.link.assurance 1
PlanDefinition.action.cardinalityBehavior 1
PlanDefinition.action.groupingBehavior 1
PlanDefinition.action.precheckBehavior 1
PlanDefinition.action.priority 1
PlanDefinition.action.requiredBehavior 1
PlanDefinition.action.selectionBehavior 1
Practitioner.gender 1
Questionnaire.item.enableBehavior 1
RelatedPerson.gender 1
RequestGroup.action.cardinalityBehavior 1
RequestGroup.action.groupingBehavior 1
RequestGroup.action.precheckBehavior 1
RequestGroup.action.priority 1
RequestGroup.action.requiredBehavior 1
RequestGroup.action.selectionBehavior 1
RequestGroup.priority 1
ResearchElementDefinition.characteristic.participantEffectiveGroupMeasure 1
ResearchElementDefinition.characteristic.studyEffectiveGroupMeasure 1
ResearchElementDefinition.variableType 1
SearchParameter.xpathUsage 1
ServiceRequest.priority 1
Specimen.status 1
StructureDefinition.derivation 1
StructureDefinition.fhirVersion 1
StructureMap.group.rule.source.listMode 1
StructureMap.group.rule.target.contextType 1
StructureMap.group.rule.target.transform 1
Subscription.channel.payload 1
Substance.status 1
SupplyDelivery.status 1
SupplyRequest.priority 1
SupplyRequest.status 1
Task.priority 1
TerminologyCapabilities.codeSearch 1
TestScript.setup.action.assert.contentType 1
TestScript.setup.action.assert.direction 1
TestScript.setup.action.assert.operator 1
TestScript.setup.action.assert.requestMethod 1
TestScript.setup.action.assert.resource 1
TestScript.setup.action.assert.response 1
TestScript.setup.action.operation.accept 1
TestScript.setup.action.operation.contentType 1
TestScript.setup.action.operation.method 1
TestScript.setup.action.operation.resource 1
1..* 6
CapabilityStatement.format 1
CodeSystem.filter.operator 1
CoverageEligibilityRequest.purpose 1
CoverageEligibilityResponse.purpose 1
ImplementationGuide.fhirVersion 1
SearchParameter.base 1
1..1 185
Account.status 1
ActivityDefinition.participant.type 1
ActivityDefinition.status 1
AdverseEvent.actuality 1
Appointment.participant.status 1
Appointment.status 1
AppointmentResponse.participantStatus 1
Binary.contentType 1
Bundle.entry.request.method 1
Bundle.type 1
CapabilityStatement.document.mode 1
CapabilityStatement.fhirVersion 1
CapabilityStatement.kind 1
CapabilityStatement.messaging.supportedMessage.mode 1
CapabilityStatement.rest.interaction.code 1
CapabilityStatement.rest.mode 1
CapabilityStatement.rest.resource.interaction.code 1
CapabilityStatement.rest.resource.searchParam.type 1
CapabilityStatement.rest.resource.type 1
CapabilityStatement.status 1
CarePlan.activity.detail.status 1
CarePlan.intent 1
CarePlan.status 1
CatalogEntry.relatedEntry.relationtype 1
ChargeItem.status 1
ChargeItemDefinition.propertyGroup.priceComponent.type 1
ChargeItemDefinition.status 1
Claim.status 1
Claim.use 1
ClaimResponse.outcome 1
ClaimResponse.status 1
ClaimResponse.use 1
ClinicalImpression.status 1
CodeSystem.content 1
CodeSystem.property.type 1
CodeSystem.status 1
Communication.status 1
CommunicationRequest.status 1
CompartmentDefinition.code 1
CompartmentDefinition.resource.code 1
CompartmentDefinition.status 1
Composition.attester.mode 1
Composition.relatesTo.code 1
Composition.status 1
ConceptMap.group.element.target.equivalence 1
ConceptMap.group.unmapped.mode 1
ConceptMap.status 1
Consent.provision.data.meaning 1
Consent.status 1
Contract.contentDefinition.publicationStatus 1
Coverage.status 1
CoverageEligibilityRequest.status 1
CoverageEligibilityResponse.outcome 1
CoverageEligibilityResponse.status 1
DetectedIssue.status 1
Device.deviceName.type 1
DeviceDefinition.deviceName.type 1
DeviceMetric.category 1
DeviceRequest.intent 1
DeviceUseStatement.status 1
DiagnosticReport.status 1
DocumentManifest.status 1
DocumentReference.relatesTo.code 1
DocumentReference.status 1
EffectEvidenceSynthesis.status 1
Encounter.status 1
Encounter.statusHistory.status 1
Endpoint.status 1
EpisodeOfCare.status 1
EpisodeOfCare.statusHistory.status 1
EventDefinition.status 1
Evidence.status 1
EvidenceVariable.status 1
ExampleScenario.actor.type 1
ExampleScenario.instance.resourceType 1
ExampleScenario.status 1
ExplanationOfBenefit.outcome 1
ExplanationOfBenefit.status 1
ExplanationOfBenefit.use 1
FamilyMemberHistory.status 1
Flag.status 1
Goal.lifecycleStatus 1
GraphDefinition.link.target.compartment.code 1
GraphDefinition.link.target.compartment.rule 1
GraphDefinition.link.target.compartment.use 1
GraphDefinition.link.target.type 1
GraphDefinition.start 1
GraphDefinition.status 1
Group.type 1
GuidanceResponse.status 1
ImagingStudy.status 1
Immunization.status 1
ImmunizationEvaluation.status 1
ImplementationGuide.definition.page.generation 1
ImplementationGuide.definition.parameter.code 1
ImplementationGuide.global.type 1
ImplementationGuide.status 1
Invoice.lineItem.priceComponent.type 1
Invoice.status 1
Library.status 1
Linkage.item.type 1
List.mode 1
List.status 1
Measure.status 1
MeasureReport.status 1
MeasureReport.type 1
Media.status 1
MedicationAdministration.status 1
MedicationDispense.status 1
MedicationRequest.intent 1
MedicationRequest.status 1
MedicationStatement.status 1
MessageDefinition.focus.code 1
MessageDefinition.status 1
MessageHeader.response.code 1
MetadataResource.status 1
MolecularSequence.quality.type 1
MolecularSequence.repository.type 1
NamingSystem.kind 1
NamingSystem.status 1
NamingSystem.uniqueId.type 1
NutritionOrder.intent 1
NutritionOrder.status 1
Observation.status 1
OperationDefinition.kind 1
OperationDefinition.parameter.binding.strength 1
OperationDefinition.parameter.use 1
OperationDefinition.status 1
OperationOutcome.issue.code 1
OperationOutcome.issue.severity 1
Patient.link.type 1
PaymentNotice.status 1
PaymentReconciliation.status 1
PlanDefinition.action.condition.kind 1
PlanDefinition.action.participant.type 1
PlanDefinition.action.relatedAction.relationship 1
PlanDefinition.status 1
Procedure.status 1
Provenance.entity.role 1
Questionnaire.item.enableWhen.operator 1
Questionnaire.item.type 1
Questionnaire.status 1
QuestionnaireResponse.status 1
RequestGroup.action.condition.kind 1
RequestGroup.action.relatedAction.relationship 1
RequestGroup.intent 1
RequestGroup.status 1
ResearchDefinition.status 1
ResearchElementDefinition.status 1
ResearchElementDefinition.type 1
ResearchStudy.status 1
ResearchSubject.status 1
RiskAssessment.status 1
RiskEvidenceSynthesis.status 1
SearchParameter.status 1
SearchParameter.type 1
ServiceRequest.intent 1
ServiceRequest.status 1
Slot.status 1
SpecimenDefinition.typeTested.preference 1
StructureDefinition.context.type 1
StructureDefinition.kind 1
StructureDefinition.status 1
StructureMap.group.input.mode 1
StructureMap.group.typeMode 1
StructureMap.status 1
StructureMap.structure.mode 1
Subscription.channel.type 1
Subscription.status 1
Task.intent 1
Task.status 1
TerminologyCapabilities.kind 1
TerminologyCapabilities.status 1
TestReport.participant.type 1
TestReport.result 1
TestReport.setup.action.assert.result 1
TestReport.setup.action.operation.result 1
TestReport.status 1
TestScript.status 1
ValueSet.compose.include.filter.op 1
ValueSet.status 1
VerificationResult.status 1
VisionPrescription.lensSpecification.eye 1
VisionPrescription.lensSpecification.prism.base 1
VisionPrescription.status 1
CodeableConcept 614
example 432
0..* 152
ActivityDefinition.bodySite 1
ActivityDefinition.topic 1
Appointment.serviceCategory 1
Appointment.serviceType 1
AuditEvent.agent.role 1
BodyStructure.locationQualifier 1
CarePlan.activity.detail.reasonCode 1
CarePlan.activity.outcomeCodeableConcept 1
CarePlan.category 1
CareTeam.category 1
CareTeam.participant.role 1
CareTeam.reasonCode 1
ChargeItem.bodysite 1
ChargeItem.reason 1
Claim.diagnosis.type 1
Claim.item.detail.modifier 1
Claim.item.detail.programCode 1
Claim.item.detail.subDetail.modifier 1
Claim.item.detail.subDetail.programCode 1
Claim.item.modifier 1
Claim.item.programCode 1
Claim.item.subSite 1
Claim.procedure.type 1
ClaimResponse.addItem.detail.modifier 1
ClaimResponse.addItem.detail.subDetail.modifier 1
ClaimResponse.addItem.modifier 1
ClaimResponse.addItem.programCode 1
ClaimResponse.addItem.subSite 1
ClinicalImpression.prognosisCodeableConcept 1
Communication.category 1
Communication.medium 1
Communication.reasonCode 1
CommunicationRequest.category 1
CommunicationRequest.medium 1
CommunicationRequest.reasonCode 1
Composition.category 1
Composition.event.code 1
Condition.bodySite 1
Condition.evidence.code 1
Consent.provision.action 1
Consent.provision.code 1
Contract.subType 1
Contract.term.action.performerType 1
Contract.term.action.reasonCode 1
Contract.term.asset.context.code 1
Contract.term.asset.periodType 1
Contract.term.asset.subtype 1
Contract.term.asset.type 1
Contract.term.offer.decisionMode 1
CoverageEligibilityRequest.item.modifier 1
CoverageEligibilityResponse.insurance.item.authorizationSupporting 1
CoverageEligibilityResponse.insurance.item.modifier 1
DetectedIssue.evidence.code 1
DeviceDefinition.safety 1
DeviceRequest.reasonCode 1
DiagnosticReport.category 1
DiagnosticReport.conclusionCode 1
DocumentReference.category 1
DocumentReference.context.event 1
EffectEvidenceSynthesis.topic 1
Encounter.hospitalization.dietPreference 1
Encounter.type 1
EpisodeOfCare.type 1
EventDefinition.topic 1
Evidence.topic 1
EvidenceVariable.topic 1
ExplanationOfBenefit.addItem.detail.modifier 1
ExplanationOfBenefit.addItem.detail.subDetail.modifier 1
ExplanationOfBenefit.addItem.modifier 1
ExplanationOfBenefit.addItem.programCode 1
ExplanationOfBenefit.addItem.subSite 1
ExplanationOfBenefit.diagnosis.type 1
ExplanationOfBenefit.item.detail.modifier 1
ExplanationOfBenefit.item.detail.programCode 1
ExplanationOfBenefit.item.detail.subDetail.modifier 1
ExplanationOfBenefit.item.detail.subDetail.programCode 1
ExplanationOfBenefit.item.modifier 1
ExplanationOfBenefit.item.programCode 1
ExplanationOfBenefit.item.subSite 1
ExplanationOfBenefit.procedure.type 1
FamilyMemberHistory.reasonCode 1
Flag.category 1
Goal.category 1
Goal.outcomeCode 1
HealthcareService.category 1
HealthcareService.characteristic 1
HealthcareService.program 1
HealthcareService.referralMethod 1
HealthcareService.serviceProvisionCode 1
HealthcareService.type 1
ImagingStudy.reasonCode 1
Immunization.programEligibility 1
Immunization.protocolApplied.targetDisease 1
Immunization.reasonCode 1
Immunization.subpotentReason 1
ImmunizationEvaluation.doseStatusReason 1
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode 1
ImmunizationRecommendation.recommendation.forecastReason 1
ImmunizationRecommendation.recommendation.vaccineCode 1
InsurancePlan.type 1
Library.topic 1
Measure.topic 1
Media.reasonCode 1
MedicationAdministration.reasonCode 1
MedicationAdministration.statusReason 1
MedicationDispense.substitution.reason 1
MedicationKnowledge.intendedRoute 1
MedicationRequest.category 1
MedicationRequest.reasonCode 1
MedicationStatement.reasonCode 1
MedicationStatement.statusReason 1
NutritionOrder.excludeFoodModifier 1
NutritionOrder.foodPreferenceModifier 1
NutritionOrder.oralDiet.fluidConsistencyType 1
NutritionOrder.oralDiet.type 1
Observation.referenceRange.appliesTo 1
ObservationDefinition.category 1
ObservationDefinition.qualifiedInterval.appliesTo 1
Organization.type 1
OrganizationAffiliation.code 1
PlanDefinition.goal.addresses 1
PlanDefinition.topic 1
PractitionerRole.code 1
Procedure.bodySite 1
Procedure.complication 1
Procedure.followUp 1
Procedure.reasonCode 1
Procedure.usedCode 1
Provenance.agent.role 1
ResearchDefinition.topic 1
ResearchElementDefinition.topic 1
ResearchStudy.category 1
ResearchStudy.condition 1
ResearchStudy.focus 1
ResearchStudy.keyword 1
RiskEvidenceSynthesis.topic 1
Schedule.serviceCategory 1
Schedule.serviceType 1
ServiceRequest.bodySite 1
ServiceRequest.category 1
ServiceRequest.locationCode 1
ServiceRequest.orderDetail 1
ServiceRequest.reasonCode 1
Slot.serviceCategory 1
Slot.serviceType 1
SpecimenDefinition.collection 1
SpecimenDefinition.patientPreparation 1
SpecimenDefinition.typeTested.rejectionCriterion 1
SupplyRequest.reasonCode 1
VerificationResult.primarySource.communicationMethod 1
VerificationResult.primarySource.type 1
VerificationResult.validationProcess 1
0..1 209
Account.type 1
ActivityDefinition.code 1
ActivityDefinition.participant.role 1
ActivityDefinition.product[x] 1
AdverseEvent.event 1
AdverseEvent.seriousness 1
AdverseEvent.suspectEntity.causality.assessment 1
AdverseEvent.suspectEntity.causality.method 1
AllergyIntolerance.code 1
AllergyIntolerance.reaction.exposureRoute 1
AllergyIntolerance.reaction.substance 1
Appointment.cancelationReason 1
BiologicallyDerivedProduct.processing.procedure 1
BiologicallyDerivedProduct.productCode 1
BodyStructure.location 1
BodyStructure.morphology 1
CarePlan.activity.detail.code 1
CarePlan.activity.detail.product[x] 1
ChargeItem.performer.function 1
ChargeItem.product[x] 1
ChargeItemDefinition.code 1
Claim.careTeam.qualification 1
Claim.careTeam.role 1
Claim.diagnosis.onAdmission 1
Claim.diagnosis.packageCode 1
Claim.fundsReserve 1
Claim.item.bodySite 1
Claim.item.category 1
Claim.item.detail.category 1
Claim.item.detail.revenue 1
Claim.item.detail.subDetail.category 1
Claim.item.detail.subDetail.revenue 1
Claim.item.location[x] 1
Claim.item.revenue 1
Claim.related.relationship 1
Claim.subType 1
Claim.supportingInfo.code 1
Claim.supportingInfo.reason 1
ClaimResponse.addItem.bodySite 1
ClaimResponse.addItem.location[x] 1
ClaimResponse.formCode 1
ClaimResponse.fundsReserve 1
ClaimResponse.item.adjudication.reason 1
ClaimResponse.payeeType 1
ClaimResponse.payment.adjustmentReason 1
ClaimResponse.subType 1
ClinicalImpression.code 1
ClinicalImpression.finding.itemCodeableConcept 1
ClinicalImpression.statusReason 1
Communication.statusReason 1
Communication.topic 1
CommunicationRequest.statusReason 1
Composition.section.code 1
Condition.code 1
Condition.stage.summary 1
Condition.stage.type 1
Contract.contentDefinition.subType 1
Contract.contentDerivative 1
Contract.expirationType 1
Contract.scope 1
Contract.term.action.performerRole 1
Contract.term.action.subject.role 1
Contract.term.asset.scope 1
Contract.term.offer.type 1
Contract.term.subType 1
Contract.term.type 1
Contract.type 1
CoverageEligibilityRequest.item.category 1
CoverageEligibilityRequest.item.diagnosis.diagnosis[x] 1
CoverageEligibilityRequest.item.productOrService 1
CoverageEligibilityRequest.priority 1
CoverageEligibilityResponse.form 1
CoverageEligibilityResponse.insurance.item.category 1
CoverageEligibilityResponse.insurance.item.network 1
CoverageEligibilityResponse.insurance.item.productOrService 1
CoverageEligibilityResponse.insurance.item.term 1
CoverageEligibilityResponse.insurance.item.unit 1
Device.type 1
DeviceDefinition.type 1
DeviceRequest.parameter.code 1
DeviceRequest.performerType 1
DeviceUseStatement.bodySite 1
DocumentManifest.type 1
DocumentReference.context.facilityType 1
DocumentReference.context.practiceSetting 1
Encounter.hospitalization.dischargeDisposition 1
Encounter.hospitalization.reAdmission 1
Encounter.location.physicalType 1
Encounter.priority 1
Encounter.serviceType 1
ExplanationOfBenefit.addItem.bodySite 1
ExplanationOfBenefit.addItem.location[x] 1
ExplanationOfBenefit.benefitBalance.network 1
ExplanationOfBenefit.benefitBalance.term 1
ExplanationOfBenefit.benefitBalance.unit 1
ExplanationOfBenefit.careTeam.qualification 1
ExplanationOfBenefit.careTeam.role 1
ExplanationOfBenefit.diagnosis.onAdmission 1
ExplanationOfBenefit.diagnosis.packageCode 1
ExplanationOfBenefit.formCode 1
ExplanationOfBenefit.fundsReserve 1
ExplanationOfBenefit.fundsReserveRequested 1
ExplanationOfBenefit.item.adjudication.reason 1
ExplanationOfBenefit.item.bodySite 1
ExplanationOfBenefit.item.category 1
ExplanationOfBenefit.item.detail.category 1
ExplanationOfBenefit.item.detail.revenue 1
ExplanationOfBenefit.item.detail.subDetail.category 1
ExplanationOfBenefit.item.detail.subDetail.revenue 1
ExplanationOfBenefit.item.location[x] 1
ExplanationOfBenefit.item.revenue 1
ExplanationOfBenefit.payee.type 1
ExplanationOfBenefit.payment.adjustmentReason 1
ExplanationOfBenefit.payment.type 1
ExplanationOfBenefit.priority 1
ExplanationOfBenefit.related.relationship 1
ExplanationOfBenefit.subType 1
ExplanationOfBenefit.supportingInfo.code 1
FamilyMemberHistory.condition.outcome 1
FamilyMemberHistory.dataAbsentReason 1
Goal.start[x] 1
Goal.target.detail[x] 1
Goal.target.measure 1
Group.code 1
HealthcareService.eligibility.code 1
Immunization.fundingSource 1
Immunization.reportOrigin 1
Immunization.route 1
Immunization.site 1
Immunization.statusReason 1
ImmunizationRecommendation.recommendation.targetDisease 1
List.code 1
List.entry.flag 1
Location.physicalType 1
Media.bodySite 1
Media.modality 1
Media.view 1
Medication.code 1
Medication.form 1
MedicationAdministration.dosage.method 1
MedicationAdministration.dosage.route 1
MedicationAdministration.dosage.site 1
MedicationAdministration.performer.function 1
MedicationDispense.performer.function 1
MedicationDispense.statusReason[x] 1
MedicationDispense.substitution.type 1
MedicationDispense.type 1
MedicationKnowledge.code 1
MedicationKnowledge.doseForm 1
MedicationKnowledge.drugCharacteristic.type 1
MedicationKnowledge.packaging.type 1
MedicationRequest.courseOfTherapyType 1
MedicationRequest.performerType 1
MedicationRequest.statusReason 1
MedicationRequest.substitution.reason 1
MessageHeader.reason 1
MolecularSequence.quality.method 1
MolecularSequence.quality.standardSequence 1
MolecularSequence.referenceSeq.chromosome 1
MolecularSequence.referenceSeq.referenceSeqId 1
NutritionOrder.enteralFormula.additiveType 1
NutritionOrder.enteralFormula.baseFormulaType 1
NutritionOrder.oralDiet.nutrient.modifier 1
NutritionOrder.oralDiet.texture.foodType 1
NutritionOrder.oralDiet.texture.modifier 1
NutritionOrder.supplement.type 1
Observation.bodySite 1
Observation.method 1
ObservationDefinition.method 1
OperationOutcome.issue.details 1
PaymentNotice.paymentStatus 1
PaymentReconciliation.formCode 1
PlanDefinition.action.participant.role 1
PlanDefinition.goal.category 1
PlanDefinition.goal.start 1
PlanDefinition.goal.target.measure 1
Procedure.category 1
Procedure.code 1
Procedure.outcome 1
Procedure.performer.function 1
Procedure.statusReason 1
ResearchStudy.phase 1
ResearchStudy.reasonStopped 1
RiskAssessment.method 1
RiskAssessment.prediction.outcome 1
RiskAssessment.prediction.qualitativeRisk 1
ServiceRequest.asNeeded[x] 1
ServiceRequest.code 1
ServiceRequest.performerType 1
Specimen.collection.bodySite 1
Specimen.collection.method 1
Specimen.container.additive[x] 1
Specimen.container.type 1
Specimen.processing.procedure 1
Specimen.type 1
SpecimenDefinition.typeCollected 1
SpecimenDefinition.typeTested.container.cap 1
SpecimenDefinition.typeTested.container.material 1
SpecimenDefinition.typeTested.container.type 1
SpecimenDefinition.typeTested.handling.temperatureQualifier 1
SpecimenDefinition.typeTested.type 1
SupplyDelivery.suppliedItem.item[x] 1
SupplyRequest.category 1
SupplyRequest.parameter.code 1
Task.businessStatus 1
Task.code 1
Task.reasonCode 1
Task.statusReason 1
VerificationResult.attestation.communicationMethod 1
1..* 2
AllergyIntolerance.reaction.manifestation 1
Endpoint.payloadType 1
1..1 69
Basic.code 1
ChargeItem.code 1
Claim.diagnosis.diagnosis[x] 1
Claim.item.detail.productOrService 1
Claim.item.detail.subDetail.productOrService 1
Claim.item.productOrService 1
Claim.payee.type 1
Claim.priority 1
Claim.procedure.procedure[x] 1
Claim.supportingInfo.category 1
ClaimResponse.addItem.detail.productOrService 1
ClaimResponse.addItem.detail.subDetail.productOrService 1
ClaimResponse.addItem.productOrService 1
ClaimResponse.error.code 1
ClaimResponse.item.adjudication.category 1
ClaimResponse.payment.type 1
ClaimResponse.total.category 1
ClinicalImpression.investigation.code 1
Contract.contentDefinition.type 1
Contract.term.action.intent 1
Contract.term.action.status 1
Contract.term.action.type 1
Contract.term.offer.party.role 1
Coverage.costToBeneficiary.exception.type 1
CoverageEligibilityResponse.error.code 1
CoverageEligibilityResponse.insurance.item.benefit.type 1
DeviceRequest.code[x] 1
ExplanationOfBenefit.addItem.detail.productOrService 1
ExplanationOfBenefit.addItem.detail.subDetail.productOrService 1
ExplanationOfBenefit.addItem.productOrService 1
ExplanationOfBenefit.benefitBalance.category 1
ExplanationOfBenefit.benefitBalance.financial.type 1
ExplanationOfBenefit.diagnosis.diagnosis[x] 1
ExplanationOfBenefit.item.adjudication.category 1
ExplanationOfBenefit.item.detail.productOrService 1
ExplanationOfBenefit.item.detail.subDetail.productOrService 1
ExplanationOfBenefit.item.productOrService 1
ExplanationOfBenefit.procedure.procedure[x] 1
ExplanationOfBenefit.supportingInfo.category 1
ExplanationOfBenefit.total.category 1
FamilyMemberHistory.condition.code 1
FamilyMemberHistory.relationship 1
Flag.code 1
Goal.description 1
Group.characteristic.code 1
Group.characteristic.value[x] 1
Immunization.vaccineCode 1
ImmunizationEvaluation.doseStatus 1
ImmunizationEvaluation.targetDisease 1
ImmunizationRecommendation.recommendation.dateCriterion.code 1
ImmunizationRecommendation.recommendation.forecastStatus 1
MedicationAdministration.medication[x] 1
MedicationDispense.medication[x] 1
MedicationRequest.medication[x] 1
MedicationRequest.substitution.allowed[x] 1
MedicationStatement.medication[x] 1
Observation.code 1
Observation.component.code 1
ObservationDefinition.code 1
PaymentReconciliation.detail.type 1
PlanDefinition.goal.description 1
Practitioner.qualification.code 1
SpecimenDefinition.typeTested.container.additive.additive[x] 1
Substance.code 1
Substance.ingredient.substance[x] 1
SupplyRequest.item[x] 1
Task.input.type 1
Task.output.type 1
VisionPrescription.lensSpecification.product 1
extensible 116
0..* 54
ActivityDefinition.jurisdiction 1
AdverseEvent.category 1
Appointment.participant.type 1
AppointmentResponse.participantType 1
AuditEvent.agent.purposeOfUse 1
AuditEvent.purposeOfEvent 1
CapabilityStatement.jurisdiction 1
CapabilityStatement.rest.security.service 1
ChargeItemDefinition.jurisdiction 1
CodeSystem.jurisdiction 1
ConceptMap.jurisdiction 1
Condition.category 1
Device.statusReason 1
DocumentReference.securityLabel 1
EffectEvidenceSynthesis.certainty.certaintySubcomponent.rating 1
EffectEvidenceSynthesis.certainty.rating 1
EffectEvidenceSynthesis.jurisdiction 1
Encounter.participant.type 1
EventDefinition.jurisdiction 1
Evidence.jurisdiction 1
EvidenceVariable.jurisdiction 1
ExampleScenario.jurisdiction 1
GraphDefinition.jurisdiction 1
ImagingStudy.procedureCode 1
ImplementationGuide.jurisdiction 1
Library.jurisdiction 1
Location.type 1
Measure.jurisdiction 1
Measure.supplementalData.usage 1
Measure.type 1
MessageDefinition.jurisdiction 1
MetadataResource.jurisdiction 1
NamingSystem.jurisdiction 1
Observation.component.interpretation 1
Observation.interpretation 1
OperationDefinition.jurisdiction 1
Patient.contact.relationship 1
PlanDefinition.jurisdiction 1
Provenance.reason 1
Questionnaire.jurisdiction 1
ResearchDefinition.jurisdiction 1
ResearchElementDefinition.jurisdiction 1
ResearchStudy.location 1
RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating 1
RiskEvidenceSynthesis.certainty.rating 1
RiskEvidenceSynthesis.jurisdiction 1
SearchParameter.jurisdiction 1
Specimen.condition 1
StructureDefinition.jurisdiction 1
StructureMap.jurisdiction 1
Substance.category 1
TerminologyCapabilities.jurisdiction 1
TestScript.jurisdiction 1
ValueSet.jurisdiction 1
0..1 54
ActivityDefinition.subject[x] 1
AuditEvent.agent.type 1
Claim.accident.type 1
Consent.policyRule 1
Contract.legalState 1
Contract.term.offer.decision 1
Coverage.costToBeneficiary.type 1
Coverage.relationship 1
EffectEvidenceSynthesis.certainty.certaintySubcomponent.type 1
EffectEvidenceSynthesis.effectEstimate.precisionEstimate.type 1
EffectEvidenceSynthesis.effectEstimate.type 1
EffectEvidenceSynthesis.effectEstimate.variantState 1
EffectEvidenceSynthesis.resultsByExposure.variantState 1
EffectEvidenceSynthesis.studyType 1
EffectEvidenceSynthesis.synthesisType 1
EventDefinition.subject[x] 1
ExplanationOfBenefit.accident.type 1
FamilyMemberHistory.sex 1
ImagingStudy.series.performer.function 1
Immunization.performer.function 1
InsurancePlan.contact.purpose 1
Library.subject[x] 1
Measure.compositeScoring 1
Measure.group.population.code 1
Measure.scoring 1
Measure.subject[x] 1
MeasureReport.group.population.code 1
MeasureReport.group.stratifier.stratum.population.code 1
Media.type 1
NamingSystem.type 1
NutritionOrder.enteralFormula.routeofAdministration 1
Observation.component.dataAbsentReason 1
Observation.dataAbsentReason 1
ObservationDefinition.qualifiedInterval.context 1
ObservationDefinition.quantitativeDetails.customaryUnit 1
ObservationDefinition.quantitativeDetails.unit 1
Organization.contact.purpose 1
Patient.maritalStatus 1
PlanDefinition.action.subject[x] 1
PlanDefinition.action.type 1
PlanDefinition.subject[x] 1
PlanDefinition.type 1
Provenance.activity 1
Provenance.agent.type 1
RequestGroup.action.type 1
ResearchDefinition.subject[x] 1
ResearchElementDefinition.subject[x] 1
ResearchStudy.primaryPurposeType 1
RiskEvidenceSynthesis.certainty.certaintySubcomponent.type 1
RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type 1
RiskEvidenceSynthesis.riskEstimate.type 1
RiskEvidenceSynthesis.studyType 1
RiskEvidenceSynthesis.synthesisType 1
Specimen.collection.fastingStatus[x] 1
1..* 1
Consent.category 1
1..1 7
Claim.type 1
ClaimResponse.type 1
Consent.provision.actor.role 1
Consent.scope 1
Coverage.class.type 1
ExplanationOfBenefit.type 1
Library.type 1
preferred 52
0..* 16
Appointment.reasonCode 1
Appointment.specialty 1
Encounter.hospitalization.specialArrangement 1
Encounter.hospitalization.specialCourtesy 1
Encounter.reasonCode 1
HealthcareService.communication 1
HealthcareService.specialty 1
Observation.category 1
OrganizationAffiliation.specialty 1
Practitioner.communication 1
PractitionerRole.specialty 1
RelatedPerson.relationship 1
Schedule.specialty 1
Slot.specialty 1
Task.performerType 1
VerificationResult.primarySource.pushTypeAvailable 1
0..1 30
Appointment.appointmentType 1
ClaimResponse.processNote.language 1
Composition.section.emptyReason 1
Composition.section.orderedBy 1
Condition.severity 1
Coverage.type 1
DetectedIssue.code 1
DeviceMetric.unit 1
DocumentReference.type 1
Encounter.diagnosis.use 1
Encounter.hospitalization.admitSource 1
EpisodeOfCare.diagnosis.role 1
ExplanationOfBenefit.processNote.language 1
Goal.achievementStatus 1
Goal.priority 1
List.emptyReason 1
List.orderedBy 1
MedicationAdministration.category 1
MedicationDispense.category 1
MedicationStatement.category 1
Observation.referenceRange.type 1
PlanDefinition.goal.priority 1
Procedure.focalDevice.action 1
ResearchStudy.objective.type 1
Slot.appointmentType 1
VerificationResult.failureAction 1
VerificationResult.need 1
VerificationResult.primarySource.canPushUpdates 1
VerificationResult.primarySource.validationStatus 1
VerificationResult.validationType 1
1..1 6
Composition.type 1
DetectedIssue.mitigation.action 1
DeviceMetric.type 1
DiagnosticReport.code 1
Patient.communication.language 1
RelatedPerson.communication.language 1
required 14
0..1 14
AdverseEvent.outcome 1
AdverseEvent.severity 1
AllergyIntolerance.clinicalStatus 1
AllergyIntolerance.verificationStatus 1
Condition.clinicalStatus 1
Condition.verificationStatus 1
EffectEvidenceSynthesis.effectEstimate.unitOfMeasure 1
InsurancePlan.plan.specificCost.benefit.cost.applicability 1
Measure.improvementNotation 1
MeasureReport.improvementNotation 1
MolecularSequence.structureVariant.variantType 1
ResearchElementDefinition.characteristic.unitOfMeasure 1
RiskEvidenceSynthesis.riskEstimate.unitOfMeasure 1
SupplyDelivery.type 1
Coding 42
example 14
0..* 4
Contract.term.securityLabel.category 1
Contract.term.securityLabel.control 1
Questionnaire.code 1
Questionnaire.item.code 1
0..1 4
ExplanationOfBenefit.supportingInfo.reason 1
ImagingStudy.series.bodySite 1
ImagingStudy.series.laterality 1
QuestionnaireResponse.item.answer.value[x] 1
1..1 6
Contract.term.securityLabel.classification 1
MessageDefinition.event[x] 1
MessageHeader.event[x] 1
Questionnaire.item.answerOption.value[x] 1
Questionnaire.item.enableWhen.answer[x] 1
Questionnaire.item.initial.value[x] 1
extensible 25
0..* 8
AuditEvent.entity.securityLabel 1
AuditEvent.source.type 1
AuditEvent.subtype 1
Consent.provision.class 1
Consent.provision.purpose 1
Consent.provision.securityLabel 1
ImagingStudy.modality 1
StructureDefinition.keyword 1
0..1 8
AuditEvent.agent.media 1
AuditEvent.entity.lifecycle 1
AuditEvent.entity.role 1
AuditEvent.entity.type 1
CodeSystem.concept.designation.use 1
Contract.term.asset.relationship 1
TestScript.setup.action.operation.type 1
ValueSet.compose.include.concept.designation.use 1
1..1 9
AuditEvent.type 1
CapabilityStatement.messaging.endpoint.protocol 1
Encounter.class 1
Encounter.classHistory.class 1
Endpoint.connectionType 1
ImagingStudy.series.instance.sopClass 1
ImagingStudy.series.modality 1
TestScript.destination.profile 1
TestScript.origin.profile 1
preferred 3
0..1 2
DocumentReference.content.format 1
Location.operationalStatus 1
1..1 1
Contract.signer.type 1
Grand Total 975

1 comment:

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