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Contract

Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.

Properties

NameRequiredTypeDescription
identifierIdentifier[]

Contract number

Details

Unique identifier for this Contract or a derivative that references a Source Contract.

urluri

Basal definition

Details

Canonical identifier for this contract, represented as a URI (globally unique).

Used in a domain that uses a supplied contract repository.

versionstring

Business edition

Details

An edition identifier used for business purposes to label business significant variants.

Note - This is a business versionId, not a resource version id (see discussion http://build.fhir.org/resource.html#versions) Comments - There may be different contract instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version].

statuscode

amended | appended | cancelled | disputed | entered-in-error | executable | executed | negotiable | offered | policy | rejected | renewed | revoked | resolved | terminated

Details

The status of the resource instance.

This element is labeled as a modifier because the status contains codes that mark the contract as not currently valid or active.

legalStateCodeableConcept

Negotiation status

Details

Legal states of the formation of a legal instrument, which is a formally executed written document that can be formally attributed to its author, records and formally expresses a legally enforceable act, process, or contractual duty, obligation, or right, and therefore evidences that act, process, or agreement.

instantiatesCanonicalReference<Contract>

Source Contract Definition

Details

The URL pointing to a FHIR-defined Contract Definition that is adhered to in whole or part by this Contract.

instantiatesUriuri

External Contract Definition

Details

The URL pointing to an externally maintained definition that is adhered to in whole or in part by this Contract.

contentDerivativeCodeableConcept

Content derived from the basal information

Details

The minimal content derived from the basal information source at a specific stage in its lifecycle.

issueddateTime

When this Contract was issued

Details

When this Contract was issued.

appliesPeriod

Effective time

Details

Relevant time or time-period when this Contract is applicable.

expirationTypeCodeableConcept

Contract cessation cause

Details

Event resulting in discontinuation or termination of this Contract instance by one or more parties to the contract.

subjectReference<Resource>[]

Contract Target Entity

Details

The target entity impacted by or of interest to parties to the agreement.

The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.

authorityReference<Organization>[]

Authority under which this Contract has standing

Details

A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.

domainReference<Location>[]

A sphere of control governed by an authoritative jurisdiction, organization, or person

Details

Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources.

siteReference<Location>[]

Specific Location

Details

Sites in which the contract is complied with, exercised, or in force.

namestring

Computer friendly designation

Details

A natural language name identifying this Contract definition, derivative, or instance in any legal state. Provides additional information about its content. This name should be usable as an identifier for the module by machine processing applications such as code generation.

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

titlestring

Human Friendly name

Details

A short, descriptive, user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.

subtitlestring

Subordinate Friendly name

Details

An explanatory or alternate user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.

aliasstring[]

Acronym or short name

Details

Alternative representation of the title for this Contract definition, derivative, or instance in any legal state., e.g., a domain specific contract number related to legislation.

authorReference< Patient | Practitioner | PractitionerRole | Organization >

Source of Contract

Details

The individual or organization that authored the Contract definition, derivative, or instance in any legal state.

scopeCodeableConcept

Range of Legal Concerns

Details

A selector of legal concerns for this Contract definition, derivative, or instance in any legal state.

topic[x]CodeableConcept, Reference<Resource>

Focus of contract interest

Details

Narrows the range of legal concerns to focus on the achievement of specific contractual objectives.

typeCodeableConcept

Legal instrument category

Details

A high-level category for the legal instrument, whether constructed as a Contract definition, derivative, or instance in any legal state. Provides additional information about its content within the context of the Contract's scope to distinguish the kinds of systems that would be interested in the contract.

subTypeCodeableConcept[]

Subtype within the context of type

Details

Sub-category for the Contract that distinguishes the kinds of systems that would be interested in the Contract within the context of the Contract's scope.

contentDefinitionContractContentDefinition

Contract precursor content

Details

Precusory content developed with a focus and intent of supporting the formation a Contract instance, which may be associated with and transformable into a Contract.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

typeCodeableConcept

Content structure and use

Details

Precusory content structure and use, i.e., a boilerplate, template, application for a contract such as an insurance policy or benefits under a program, e.g., workers compensation.

subTypeCodeableConcept

Detailed Content Type Definition

Details

Detailed Precusory content type.

publisherReference< Practitioner | PractitionerRole | Organization >

Publisher Entity

Details

The individual or organization that published the Contract precursor content.

publicationDatedateTime

When published

Details

The date (and optionally time) when the contract was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the contract changes.

publicationStatuscode

amended | appended | cancelled | disputed | entered-in-error | executable | executed | negotiable | offered | policy | rejected | renewed | revoked | resolved | terminated

Details

amended | appended | cancelled | disputed | entered-in-error | executable | executed | negotiable | offered | policy | rejected | renewed | revoked | resolved | terminated.

copyrightmarkdown

Publication Ownership

Details

A copyright statement relating to Contract precursor content. Copyright statements are generally legal restrictions on the use and publishing of the Contract precursor content.

termContractTerm[]

Contract Term List

Details

One or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

identifierIdentifier

Contract Term Number

Details

Unique identifier for this particular Contract Provision.

issueddateTime

Contract Term Issue Date Time

Details

When this Contract Provision was issued.

appliesPeriod

Contract Term Effective Time

Details

Relevant time or time-period when this Contract Provision is applicable.

topic[x]CodeableConcept, Reference<Resource>

Term Concern

Details

The entity that the term applies to.

typeCodeableConcept

Contract Term Type or Form

Details

A legal clause or condition contained within a contract that requires one or both parties to perform a particular requirement by some specified time or prevents one or both parties from performing a particular requirement by some specified time.

subTypeCodeableConcept

Contract Term Type specific classification

Details

A specialized legal clause or condition based on overarching contract type.

textstring

Term Statement

Details

Statement of a provision in a policy or a contract.

securityLabelContractTermSecurityLabel[]

Protection for the Term

Details

Security labels that protect the handling of information about the term and its elements, which may be specifically identified..

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

numberunsignedInt[]

Link to Security Labels

Details

Number used to link this term or term element to the applicable Security Label.

classificationCoding

Confidentiality Protection

Details

Security label privacy tag that species the level of confidentiality protection required for this term and/or term elements.

categoryCoding[]

Applicable Policy

Details

Security label privacy tag that species the applicable privacy and security policies governing this term and/or term elements.

controlCoding[]

Handling Instructions

Details

Security label privacy tag that species the manner in which term and/or term elements are to be protected.

offerContractTermOffer

Context of the Contract term

Details

The matter of concern in the context of this provision of the agrement.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

identifierIdentifier[]

Offer business ID

Details

Unique identifier for this particular Contract Provision.

partyContractTermOfferParty[]

Offer Recipient

Details

Offer Recipient.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

referenceReference< Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization >[]

Referenced entity

Details

Participant in the offer.

roleCodeableConcept

Participant engagement type

Details

How the party participates in the offer.

topicReference<Resource>

Negotiable offer asset

Details

The owner of an asset has the residual control rights over the asset: the right to decide all usages of the asset in any way not inconsistent with a prior contract, custom, or law (Hart, 1995, p. 30).

The Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee. The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource. If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.

typeCodeableConcept

Contract Offer Type or Form

Details

Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.

decisionCodeableConcept

Accepting party choice

Details

Type of choice made by accepting party with respect to an offer made by an offeror/ grantee.

decisionModeCodeableConcept[]

How decision is conveyed

Details

How the decision about a Contract was conveyed.

answerContractTermOfferAnswer[]

Response to offer text

Details

Response to offer text.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

value[x]boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference<Resource>

The actual answer response

Details

Response to an offer clause or question text, which enables selection of values to be agreed to, e.g., the period of participation, the date of occupancy of a rental, warrently duration, or whether biospecimen may be used for further research.

textstring

Human readable offer text

Details

Human readable form of this Contract Offer.

linkIdstring[]

Pointer to text

Details

The id of the clause or question text of the offer in the referenced questionnaire/response.

securityLabelNumberunsignedInt[]

Offer restriction numbers

Details

Security labels that protects the offer.

assetContractTermAsset[]

Contract Term Asset List

Details

Contract Term Asset List.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

scopeCodeableConcept

Range of asset

Details

Differentiates the kind of the asset .

typeCodeableConcept[]

Asset category

Details

Target entity type about which the term may be concerned.

typeReferenceReference<Resource>[]

Associated entities

Details

Associated entities.

subtypeCodeableConcept[]

Asset sub-category

Details

May be a subtype or part of an offered asset.

relationshipCoding

Kinship of the asset

Details

Specifies the applicability of the term to an asset resource instance, and instances it refers to orinstances that refer to it, and/or are owned by the offeree.

contextContractTermAssetContext[]

Circumstance of the asset

Details

Circumstance of the asset.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

referenceReference<Resource>

Creator,custodian or owner

Details

Asset context reference may include the creator, custodian, or owning Person or Organization (e.g., bank, repository), location held, e.g., building, jurisdiction.

codeCodeableConcept[]

Codeable asset context

Details

Coded representation of the context generally or of the Referenced entity, such as the asset holder type or location.

textstring

Context description

Details

Context description.

conditionstring

Quality desctiption of asset

Details

Description of the quality and completeness of the asset that imay be a factor in its valuation.

periodTypeCodeableConcept[]

Asset availability types

Details

Type of Asset availability for use or ownership.

periodPeriod[]

Time period of the asset

Details

Asset relevant contractual time period.

usePeriodPeriod[]

Time period

Details

Time period of asset use.

textstring

Asset clause or question text

Details

Clause or question text (Prose Object) concerning the asset in a linked form, such as a QuestionnaireResponse used in the formation of the contract.

linkIdstring[]

Pointer to asset text

Details

Id [identifier??] of the clause or question text about the asset in the referenced form or QuestionnaireResponse.

answer[]

Response to assets

Details

Response to assets.

securityLabelNumberunsignedInt[]

Asset restriction numbers

Details

Security labels that protects the asset.

valuedItemContractTermAssetValuedItem[]

Contract Valued Item List

Details

Contract Valued Item List.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

entity[x]CodeableConcept, Reference<Resource>

Contract Valued Item Type

Details

Specific type of Contract Valued Item that may be priced.

identifierIdentifier

Contract Valued Item Number

Details

Identifies a Contract Valued Item instance.

effectiveTimedateTime

Contract Valued Item Effective Tiem

Details

Indicates the time during which this Contract ValuedItem information is effective.

quantityQuantity

Count of Contract Valued Items

Details

Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.

unitPriceMoney

Contract Valued Item fee, charge, or cost

Details

A Contract Valued Item unit valuation measure.

factordecimal

Contract Valued Item Price Scaling Factor

Details

A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.

pointsdecimal

Contract Valued Item Difficulty Scaling Factor

Details

An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.

netMoney

Total Contract Valued Item Value

Details

Expresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.

paymentstring

Terms of valuation

Details

Terms of valuation.

paymentDatedateTime

When payment is due

Details

When payment is due.

responsibleReference< Organization | Patient | Practitioner | PractitionerRole | RelatedPerson >

Who will make payment

Details

Who will make payment.

recipientReference< Organization | Patient | Practitioner | PractitionerRole | RelatedPerson >

Who will receive payment

Details

Who will receive payment.

linkIdstring[]

Pointer to specific item

Details

Id of the clause or question text related to the context of this valuedItem in the referenced form or QuestionnaireResponse.

securityLabelNumberunsignedInt[]

Security Labels that define affected terms

Details

A set of security labels that define which terms are controlled by this condition.

actionContractTermAction[]

Entity being ascribed responsibility

Details

An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.

Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. For example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

doNotPerformboolean

True if the term prohibits the action

Details

True if the term prohibits the action.

typeCodeableConcept

Type or form of the action

Details

Activity or service obligation to be done or not done, performed or not performed, effectuated or not by this Contract term.

subjectContractTermActionSubject[]

Entity of the action

Details

Entity of the action.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

referenceReference< Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization >[]

Entity of the action

Details

The entity the action is performed or not performed on or for.

roleCodeableConcept

Role type of the agent

Details

Role type of agent assigned roles in this Contract.

intentCodeableConcept

Purpose for the Contract Term Action

Details

Reason or purpose for the action stipulated by this Contract Provision.

linkIdstring[]

Pointer to specific item

Details

Id [identifier??] of the clause or question text related to this action in the referenced form or QuestionnaireResponse.

statusCodeableConcept

State of the action

Details

Current state of the term action.

contextReference<Encounter | EpisodeOfCare>

Episode associated with action

Details

Encounter or Episode with primary association to specified term activity.

contextLinkIdstring[]

Pointer to specific item

Details

Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.

occurrence[x]dateTime, Period, Timing

When action happens

Details

When action happens.

requesterReference< Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization >[]

Who asked for action

Details

Who or what initiated the action and has responsibility for its activation.

requesterLinkIdstring[]

Pointer to specific item

Details

Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.

performerTypeCodeableConcept[]

Kind of service performer

Details

The type of individual that is desired or required to perform or not perform the action.

performerRoleCodeableConcept

Competency of the performer

Details

The type of role or competency of an individual desired or required to perform or not perform the action.

performerReference< RelatedPerson | Patient | Practitioner | PractitionerRole | CareTeam | Device | Substance | Organization | Location >

Actor that wil execute (or not) the action

Details

Indicates who or what is being asked to perform (or not perform) the ction.

performerLinkIdstring[]

Pointer to specific item

Details

Id [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse.

reasonCodeCodeableConcept[]

Why is action (not) needed?

Details

Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited.

reasonReferenceReference< Condition | Observation | DiagnosticReport | DocumentReference | Questionnaire | QuestionnaireResponse >[]

Why is action (not) needed?

Details

Indicates another resource whose existence justifies permitting or not permitting this action.

reasonstring[]

Why action is to be performed

Details

Describes why the action is to be performed or not performed in textual form.

reasonLinkIdstring[]

Pointer to specific item

Details

Id [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse.

noteAnnotation[]

Comments about the action

Details

Comments made about the term action made by the requester, performer, subject or other participants.

securityLabelNumberunsignedInt[]

Action restriction numbers

Details

Security labels that protects the action.

group[]

Nested Contract Term Group

Details

Nested group of Contract Provisions.

supportingInfoReference<Resource>[]

Extra Information

Details

Information that may be needed by/relevant to the performer in their execution of this term action.

relevantHistoryReference<Provenance>[]

Key event in Contract History

Details

Links to Provenance records for past versions of this Contract definition, derivative, or instance, which identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the Contract. The Provence.entity indicates the target that was changed in the update. http://build.fhir.org/provenance-definitions.html#Provenance.entity.

signerContractSigner[]

Contract Signatory

Details

Parties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness.

Signers who are principal parties to the contract are bound by the Contract.activity related to the Contract.topic, and the Contract.term(s), which either extend or restrict the overall action on the topic by, for example, stipulating specific policies or obligations constraining actions, action reason, or agents with respect to some or all of the topic. For example, specifying how policies or obligations shall constrain actions and action reasons permitted or denied on all or a subset of the Contract.topic (e.g., all or a portion of property being transferred by the contract), agents (e.g., who can resell, assign interests, or alter the property being transferred by the contract), actions, and action reasons; or with respect to Contract.terms, stipulating, extending, or limiting the Contract.period of applicability or valuation of items under consideration.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

typeCoding

Contract Signatory Role

Details

Role of this Contract signer, e.g. notary, grantee.

partyReference< Organization | Patient | Practitioner | PractitionerRole | RelatedPerson >

Contract Signatory Party

Details

Party which is a signator to this Contract.

signatureSignature[]

Contract Documentation Signature

Details

Legally binding Contract DSIG signature contents in Base64.

friendlyContractFriendly[]

Contract Friendly Language

Details

The "patient friendly language" versionof the Contract in whole or in parts. "Patient friendly language" means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

content[x]Attachment, Reference< Composition | DocumentReference | QuestionnaireResponse >

Easily comprehended representation of this Contract

Details

Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability.

legalContractLegal[]

Contract Legal Language

Details

List of Legal expressions or representations of this Contract.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

content[x]Attachment, Reference< Composition | DocumentReference | QuestionnaireResponse >

Contract Legal Text

Details

Contract legal text in human renderable form.

ruleContractRule[]

Computable Contract Language

Details

List of Computable Policy Rule Language Representations of this Contract.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

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

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

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).

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.

content[x]Attachment, Reference<DocumentReference>

Computable Contract Rules

Details

Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).

legallyBinding[x]Attachment, Reference< Composition | DocumentReference | QuestionnaireResponse | Contract >

Binding Contract

Details

Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the "source of truth" and which would be the basis for legal action related to enforcement of this Contract.

Search Parameters

NameTypeDescriptionExpression
authorityreferenceThe authority of the contractContract.authority
domainreferenceThe domain of the contractContract.domain
identifiertokenThe identity of the contractContract.identifier
instantiatesuriA source definition of the contractContract.instantiatesUri
issueddateThe date/time the contract was issuedContract.issued
patientreferenceThe identity of the subject of the contract (if a patient)Contract.subject
signerreferenceContract Signatory PartyContract.signer.party
statustokenThe status of the contractContract.status
subjectreferenceThe identity of the subject of the contractContract.subject
urluriThe basal contract definitionContract.url

Inherited Properties

NameRequiredTypeDescription
idstring

Logical id of this artifact

Details

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

metaMeta

Metadata about the resource

Details

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.

implicitRulesuri

A set of rules under which this content was created

Details

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

languagecode

Language of the resource content

Details

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

textNarrative

Text summary of the resource, for human interpretation

Details

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.

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.

containedResource[]

Contained, inline Resources

Details

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.

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.

extensionExtension[]

Additional content defined by implementations

Details

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.

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.

modifierExtensionExtension[]

Extensions that cannot be ignored

Details

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 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.