{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/orders/index.cfm"}]}],"date":"2018-08-19T21:48:56+10:00","derivation":"specialization","description":"A physical, countable instance of an item, for example one box or one unit.","differential":{"element":[{"definition":"A physical, countable instance of an item, for example one box or one unit.","id":"ItemInstance","mapping":[{"identity":"v2","map":"CE/CNE/CWE"},{"identity":"rim","map":"CD"},{"identity":"orim","map":"fhir:CodeableConcept rdfs:subClassOf dt:CD"}],"max":"*","min":0,"path":"ItemInstance","short":"A physical instance of an item"},{"definition":"The quantity or amount of instances. For example if several units are being counted for inventory, this quantity can be more than one, provided they are not unique. Seriallized items are considered unique and as such would have a quantity max 1. This element is required and its presence asserts that the reource refers to a physical item.","id":"ItemInstance.count","isSummary":true,"max":"1","min":1,"path":"ItemInstance.count","short":"The count of items","type":[{"code":"integer"}]},{"definition":"The location where the item is phisically located.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"id":"ItemInstance.location","isSummary":true,"max":"1","min":0,"path":"ItemInstance.location","short":"The physical location of the item","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}]},{"definition":"The patient that the item is associated with (implanted in, given to).","id":"ItemInstance.subject","isSummary":true,"max":"1","min":0,"path":"ItemInstance.subject","short":"The patient that the item is affixed to","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}]},{"definition":"The manufacture or preparation date and time. Times are necessary for several examples - for example biologically derived products, prepared or coumpounded medication, rapidly decaying isotopes.","id":"ItemInstance.manufactureDate","isSummary":true,"max":"1","min":0,"path":"ItemInstance.manufactureDate","short":"The manufacture or preparation date and time","type":[{"code":"dateTime"}]},{"definition":"The expiry or preparation date and time.","id":"ItemInstance.expiryDate","isSummary":true,"max":"1","min":0,"path":"ItemInstance.expiryDate","short":"The expiry or preparation date and time","type":[{"code":"dateTime"}]},{"definition":"The Software version associated with the device, typically only used for devices with embedded software or firmware.","id":"ItemInstance.currentSWVersion","isSummary":true,"max":"1","min":0,"path":"ItemInstance.currentSWVersion","short":"The Software version associated with the device","type":[{"code":"string"}]},{"definition":"The lot or batch number.","id":"ItemInstance.lotNumber","isSummary":true,"max":"1","min":0,"path":"ItemInstance.lotNumber","short":"The lot or batch number","type":[{"code":"string"}]},{"definition":"The serial number if available.","id":"ItemInstance.serialNumber","isSummary":true,"max":"1","min":0,"path":"ItemInstance.serialNumber","short":"The serial number if available","type":[{"code":"string"}]},{"definition":"The machine-readable AIDC string in base64 encoding. Can correspond to the UDI pattern in devices.","id":"ItemInstance.carrierAIDC","isSummary":true,"max":"1","min":0,"path":"ItemInstance.carrierAIDC","short":"The machine-readable AIDC string in base64 encoding","type":[{"code":"string"}]},{"definition":"The human-readable barcode string. Can correspond to the UDI pattern in devices.","id":"ItemInstance.carrierHRF","isSummary":true,"max":"1","min":0,"path":"ItemInstance.carrierHRF","short":"The human-readable barcode string","type":[{"code":"string"}]}]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-category","valueString":"Specialized.Medication Definition"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueString":"Trial Use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"oo"}],"fhirVersion":"3.5.0","id":"ItemInstance","kind":"resource","mapping":[{"identity":"v2","name":"HL7 v2 Mapping","uri":"http://hl7.org/v2"},{"identity":"rim","name":"RIM Mapping","uri":"http://hl7.org/v3"},{"identity":"orim","name":"Ontological RIM Mapping","uri":"http://hl7.org/orim"}],"meta":{"lastUpdated":"2018-08-19T21:48:56.559+10:00"},"name":"ItemInstance","publisher":"Health Level Seven International (Orders and Observations)","resourceType":"StructureDefinition","snapshot":{"element":[{"base":{"max":"*","min":0,"path":"ItemInstance"},"constraint":[{"expression":"contained.contained.empty()","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","key":"dom-2","severity":"error","source":"DomainResource","xpath":"not(parent::f:contained and f:contained)"},{"expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","key":"dom-4","severity":"error","source":"DomainResource","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"},{"expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","human":"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","key":"dom-3","severity":"error","source":"DomainResource","xpath":"not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"},{"expression":"text.div.exists()","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman 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."}],"human":"A resource should have narrative for robust management","key":"dom-6","severity":"warning","source":"DomainResource","xpath":"exists(f:text/h:div)"},{"expression":"contained.meta.security.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a security label","key":"dom-5","severity":"error","source":"DomainResource","xpath":"not(exists(f:contained/*/f:meta/f:security))"}],"definition":"A physical, countable instance of an item, for example one box or one unit.","id":"ItemInstance","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"CE/CNE/CWE"},{"identity":"rim","map":"CD"},{"identity":"orim","map":"fhir:CodeableConcept rdfs:subClassOf dt:CD"}],"max":"*","min":0,"path":"ItemInstance","short":"A physical instance of an item"},{"base":{"max":"1","min":0,"path":"Resource.id"},"comment":"The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","id":"ItemInstance.id","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.id","short":"Logical id of this artifact","type":[{"code":"id"}]},{"base":{"max":"1","min":0,"path":"Resource.meta"},"definition":"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.","id":"ItemInstance.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","definition":"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.","id":"ItemInstance.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true,"max":"1","min":0,"path":"ItemInstance.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"description":"A human language.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"comment":"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).","definition":"The base language in which the resource is written.","id":"ItemInstance.language","isModifier":false,"isSummary":false,"max":"1","min":0,"path":"ItemInstance.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"comment":"Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","definition":"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.","id":"ItemInstance.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"path":"ItemInstance.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"comment":"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.","definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","id":"ItemInstance.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"ItemInstance.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.extension"},"comment":"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.","definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"ItemInstance.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"ItemInstance.extension","short":"Additional Content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"comment":"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.","definition":"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. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"ItemInstance.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"ItemInstance.modifierExtension","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"ItemInstance.count"},"definition":"The quantity or amount of instances. For example if several units are being counted for inventory, this quantity can be more than one, provided they are not unique. Seriallized items are considered unique and as such would have a quantity max 1. This element is required and its presence asserts that the reource refers to a physical item.","id":"ItemInstance.count","isModifier":false,"isSummary":true,"max":"1","min":1,"path":"ItemInstance.count","short":"The count of items","type":[{"code":"integer"}]},{"base":{"max":"1","min":0,"path":"ItemInstance.location"},"definition":"The location where the item is phisically located.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable","valueBoolean":true}],"id":"ItemInstance.location","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.location","short":"The physical location of the item","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}]},{"base":{"max":"1","min":0,"path":"ItemInstance.subject"},"definition":"The patient that the item is associated with (implanted in, given to).","id":"ItemInstance.subject","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.subject","short":"The patient that the item is affixed to","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}]},{"base":{"max":"1","min":0,"path":"ItemInstance.manufactureDate"},"definition":"The manufacture or preparation date and time. Times are necessary for several examples - for example biologically derived products, prepared or coumpounded medication, rapidly decaying isotopes.","id":"ItemInstance.manufactureDate","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.manufactureDate","short":"The manufacture or preparation date and time","type":[{"code":"dateTime"}]},{"base":{"max":"1","min":0,"path":"ItemInstance.expiryDate"},"definition":"The expiry or preparation date and time.","id":"ItemInstance.expiryDate","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.expiryDate","short":"The expiry or preparation date and time","type":[{"code":"dateTime"}]},{"base":{"max":"1","min":0,"path":"ItemInstance.currentSWVersion"},"definition":"The Software version associated with the device, typically only used for devices with embedded software or firmware.","id":"ItemInstance.currentSWVersion","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.currentSWVersion","short":"The Software version associated with the device","type":[{"code":"string"}]},{"base":{"max":"1","min":0,"path":"ItemInstance.lotNumber"},"definition":"The lot or batch number.","id":"ItemInstance.lotNumber","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.lotNumber","short":"The lot or batch number","type":[{"code":"string"}]},{"base":{"max":"1","min":0,"path":"ItemInstance.serialNumber"},"definition":"The serial number if available.","id":"ItemInstance.serialNumber","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.serialNumber","short":"The serial number if available","type":[{"code":"string"}]},{"base":{"max":"1","min":0,"path":"ItemInstance.carrierAIDC"},"definition":"The machine-readable AIDC string in base64 encoding. Can correspond to the UDI pattern in devices.","id":"ItemInstance.carrierAIDC","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.carrierAIDC","short":"The machine-readable AIDC string in base64 encoding","type":[{"code":"string"}]},{"base":{"max":"1","min":0,"path":"ItemInstance.carrierHRF"},"definition":"The human-readable barcode string. Can correspond to the UDI pattern in devices.","id":"ItemInstance.carrierHRF","isModifier":false,"isSummary":true,"max":"1","min":0,"path":"ItemInstance.carrierHRF","short":"The human-readable barcode string","type":[{"code":"string"}]}]},"status":"draft","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ItemInstance ΣTUDomainResourceA physical instance of an item
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" count Σ1..1integerThe count of items
\".\"\".\"\".\" location Σ0..1Reference(Location)The physical location of the item
\".\"\".\"\".\" subject Σ0..1Reference(Patient)The patient that the item is affixed to
\".\"\".\"\".\" manufactureDate Σ0..1dateTimeThe manufacture or preparation date and time
\".\"\".\"\".\" expiryDate Σ0..1dateTimeThe expiry or preparation date and time
\".\"\".\"\".\" currentSWVersion Σ0..1stringThe Software version associated with the device
\".\"\".\"\".\" lotNumber Σ0..1stringThe lot or batch number
\".\"\".\"\".\" serialNumber Σ0..1stringThe serial number if available
\".\"\".\"\".\" carrierAIDC Σ0..1stringThe machine-readable AIDC string in base64 encoding
\".\"\".\"\".\" carrierHRF Σ0..1stringThe human-readable barcode string

\"doco\" Documentation for this format
","status":"generated"},"type":"ItemInstance","url":"http://hl7.org/fhir/StructureDefinition/ItemInstance"}