CCII22
type: StructureDefinition
node role: treeRoot
id:
  v: CCII22
meta:
  last updated:
    v: 2023-08-09T18:09:07.213+02:00
text:
  status:
    v: generated
  div: Message Structure: CCI_I22
url:
  v: http://hl7.org/fhir/StructureDefinition/CCI_I22
version:
  v: 2.9
name:
  v: CCI_I22
title:
  v: CCI_I22 (MsgStruct)
status:
  v: draft
experimental:
  v: true
date:
  v: 2023-08-09T18:09:07+02:00
publisher:
  v: FO
description:
  v: Collaborative Care Information
copyright:
  v: FO
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: CCI_I22
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  link: http://hl7.org/fhir/StructureDefinition/DomainResource
derivation:
  v: specialization
snapshot:
  element:
    id:
      v: CCI_I22
    path:
      v: CCI_I22
    short:
      v: A resource with narrative, extensions, and contained resources
    definition:
      v: Collaborative Care Information
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: DomainResource
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
      expression:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: Entity. Role, or Act,Entity, Role, or Act
  element:
    id:
      v: CCI_I22.id
    path:
      v: CCI_I22.id
    short:
      v: Logical id of this artifact
    definition:
      v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
    comment:
      v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Resource.id
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: http://hl7.org/fhirpath/System.String
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: true
  element:
    id:
      v: CCI_I22.meta
    path:
      v: CCI_I22.meta
    short:
      v: Metadata about the resource
    definition:
      v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Resource.meta
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: Meta
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children

v: true

v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: id

v: hasValue() or (children().count() > id.count())

v: false

v: false

v: true

id:
  v: CCI_I22.implicitRules
path:
  v: CCI_I22.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: CCI_I22.language
path:
  v: CCI_I22.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value:
      v: Language
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    value:
      v: true
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|5.0.0
    link: 5.0
    link: .0
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages
      link: http://hl7.org/fhir/ValueSet/languages

id:
  v: CCI_I22.text
path:
  v: CCI_I22.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: CCI_I22.contained
path:
  v: CCI_I22.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: CCI_I22.extension
path:
  v: CCI_I22.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: CCI_I22.modifierExtension
path:
  v: CCI_I22.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: CCI_I22.MSH
path:
  v: CCI_I22.MSH
short:
  v: Message Header
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.MSH
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: MSH
must support:
  v: true

id:
  v: CCI_I22.ARV
path:
  v: CCI_I22.ARV
short:
  v: Access Restriction
min:
  v: 0
max:
  v: *
base:
  path:
    v: CCI_I22.ARV
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: ARV

id:
  v: CCI_I22.SFT
path:
  v: CCI_I22.SFT
short:
  v: Software Segment
min:
  v: 0
max:
  v: *
base:
  path:
    v: CCI_I22.SFT
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: SFT

id:
  v: CCI_I22.UAC
path:
  v: CCI_I22.UAC
short:
  v: User Authentication Credential Segment
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CCI_I22.UAC
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: UAC

id:
  v: CCI_I22.MSA
path:
  v: CCI_I22.MSA
short:
  v: Message Acknowledgment
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.MSA
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: MSA
must support:
  v: true

id:
  v: CCI_I22.ERR
path:
  v: CCI_I22.ERR
short:
  v: Error
min:
  v: 0
max:
  v: *
base:
  path:
    v: CCI_I22.ERR
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: ERR

id:
  v: CCI_I22.PID
path:
  v: CCI_I22.PID
short:
  v: Patient Identification
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.PID
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: PID
must support:
  v: true

id:
  v: CCI_I22.PD1
path:
  v: CCI_I22.PD1
short:
  v: Patient Additional Demographic
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CCI_I22.PD1
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: PD1

id:
  v: CCI_I22.NK1
path:
  v: CCI_I22.NK1
short:
  v: Next of Kin / Associated Parties
min:
  v: 0
max:
  v: *
base:
  path:
    v: CCI_I22.NK1
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: NK1

id:
  v: CCI_I22.INSURANCE
path:
  v: CCI_I22.INSURANCE
short:
  v: INSURANCE Group
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.INSURANCE
  min:
    v: 1
  max:
    v: 1
must support:
  v: true

id:
  v: CCI_I22.INSURANCE.IN1
path:
  v: CCI_I22.INSURANCE.IN1
short:
  v: Insurance
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.INSURANCE.IN1
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: IN1
must support:
  v: true

id:
  v: CCI_I22.INSURANCE.IN2
path:
  v: CCI_I22.INSURANCE.IN2
short:
  v: Insurance Additional Information
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CCI_I22.INSURANCE.IN2
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: IN2

id:
  v: CCI_I22.INSURANCE.IN3
path:
  v: CCI_I22.INSURANCE.IN3
short:
  v: Insurance Additional Information, Certification
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CCI_I22.INSURANCE.IN3
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: IN3

id:
  v: CCI_I22.APPOINTMENT-HISTORY
path:
  v: CCI_I22.APPOINTMENT_HISTORY
short:
  v: APPOINTMENT_HISTORY Group
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.APPOINTMENT_HISTORY
  min:
    v: 1
  max:
    v: 1
must support:
  v: true

id:
  v: CCI_I22.APPOINTMENT-HISTORY.SCH
path:
  v: CCI_I22.APPOINTMENT_HISTORY.SCH
short:
  v: Scheduling Activity Information
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.APPOINTMENT_HISTORY.SCH
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: SCH
must support:
  v: true

id:
  v: CCI_I22.APPOINTMENT-HISTORY.RESOURCES
path:
  v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES
short:
  v: RESOURCES Group
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES
  min:
    v: 1
  max:
    v: 1
must support:
  v: true

id:
  v: CCI_I22.APPOINTMENT-HISTORY.RESOURCES.RGS
path:
  v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES.RGS
short:
  v: Resource Group
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES.RGS
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: RGS
must support:
  v: true

id:
  v: CCI_I22.APPOINTMENT-HISTORY.RESOURCES.RESOURCE-DETAIL
path:
  v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES.RESOURCE_DETAIL
short:
  v: RESOURCE_DETAIL Group
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES.RESOURCE_DETAIL
  min:
    v: 1
  max:
    v: 1
must support:
  v: true

id:
  v: CCI_I22.APPOINTMENT-HISTORY.RESOURCES.RESOURCE-DETAIL.RESOURCE-OBJECT
path:
  v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES.RESOURCE_DETAIL.RESOURCE_OBJECT
short:
  v: RESOURCE_OBJECT Group
min:
  v: 1
max:
  v: 1
base:
  path:
    v: CCI_I22.APPOINTMENT_HISTORY.RESOURCES.RESOURCE_DETAIL.RESOURCE_OBJECT
  min:
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id:
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id:
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id:
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id:
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id:
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id:
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id:
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  v: CCI_I22.PATHWAY.PARTICIPATION-PATHWAY.VAR
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  v: CCI_I22.PATHWAY.PARTICIPATION_PATHWAY.VAR
short:
  v: Variance
min:
  v: 0
max:
  v: *
type:
  code:
    v: VAR

id:
  v: CCI_I22.PATHWAY.PATHWAY-OBSERVATION
path:
  v: CCI_I22.PATHWAY.PATHWAY_OBSERVATION
short:
  v: PATHWAY_OBSERVATION Group
min:
  v: 1
max:
  v: 1
must support:
  v: true

id:
  v: CCI_I22.PATHWAY.PATHWAY-OBSERVATION.OBX
path:
  v: CCI_I22.PATHWAY.PATHWAY_OBSERVATION.OBX
short:
  v: Observation/Result
min:
  v: 1
max:
  v: 1
type:
  code:
    v: OBX
must support:
  v: true

id:
  v: CCI_I22.PATHWAY.PATHWAY-OBSERVATION.PRT
path:
  v: CCI_I22.PATHWAY.PATHWAY_OBSERVATION.PRT
short:
  v: Participation Information
min:
  v: 0
max:
  v: *
type:
  code:
    v: PRT

id:
  v: CCI_I22.REL
path:
  v: CCI_I22.REL
short:
  v: Clinical Relationship Segment
min:
  v: 0
max:
  v: *
type:
  code:
    v: REL