This page is part of the WHO Digital Documentation of COVID-19 Certificates (DDCC) (v1.0.0: releases Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: DDCC Submission Set

DDCC Submission Set for ITI-65

Usage:

• Use this Resource Profile: DDCC Provide Document Bundle

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from SubmissionSet

Name	Flags	Card.	Type	Description & Constraints
List			SubmissionSet
subject		1..1	Reference(DDCC Patient)	If all resources have the same subject
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry
item		1..1	Reference(DDCC Document Reference | DDCC Folder)	Actual entry
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	SubmissionSet	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
designationType	S	0..1	CodeableConcept	Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
sourceId		1..1	Identifier	Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
intendedRecipient		0..*	Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location)	Intended recipient of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
Slices for identifier		0..*	Identifier	Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId		0..1	SubmissionSetUniqueIdIdentifier	An identifier intended for computation
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: submissionset
subject	SΣ	1..1	Reference(DDCC Patient)	If all resources have the same subject
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
date	Σ	1..1	dateTime	When the list was prepared
source	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
Slices for extension				Content/Rules for all slices
authorOrg		0..1	Reference(Organization)	Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
note		0..1	Annotation	Comments about the list
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	required	Pattern: submissionset https://profiles.ihe.net/ITI/MHD/ValueSet/MHDlistTypesVS

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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 : 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()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	SubmissionSet	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
designationType	S	0..1	CodeableConcept	Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
sourceId		1..1	Identifier	Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
intendedRecipient		0..*	Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location)	Intended recipient of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
Slices for identifier		0..*	Identifier	Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId		0..1	SubmissionSetUniqueIdIdentifier	An identifier intended for computation
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: submissionset
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(DDCC Patient)	If all resources have the same subject
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	Σ	1..1	dateTime	When the list was prepared
source	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
authorOrg		0..1	Reference(Organization)	Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..1	Annotation	Comments about the list
entry	C	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	Reference(DDCC Document Reference | DDCC Folder)	Actual entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
List.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
List.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	required	Pattern: submissionset https://profiles.ihe.net/ITI/MHD/ValueSet/MHDlistTypesVS
List.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
List.source.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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 : 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()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from SubmissionSet

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• DDCC Patient (http://smart.who.int/ddcc/StructureDefinition/DDCCPatient)
• DDCC Document Reference (http://smart.who.int/ddcc/StructureDefinition/DDCCDocumentReference)
• DDCC Folder (http://smart.who.int/ddcc/StructureDefinition/DDCCFolder)

Differential View

This structure is derived from SubmissionSet

Name	Flags	Card.	Type	Description & Constraints
List			SubmissionSet
subject		1..1	Reference(DDCC Patient)	If all resources have the same subject
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
entry
item		1..1	Reference(DDCC Document Reference | DDCC Folder)	Actual entry
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	SubmissionSet	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
designationType	S	0..1	CodeableConcept	Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
sourceId		1..1	Identifier	Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
intendedRecipient		0..*	Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location)	Intended recipient of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
Slices for identifier		0..*	Identifier	Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId		0..1	SubmissionSetUniqueIdIdentifier	An identifier intended for computation
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: submissionset
subject	SΣ	1..1	Reference(DDCC Patient)	If all resources have the same subject
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
date	Σ	1..1	dateTime	When the list was prepared
source	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
Slices for extension				Content/Rules for all slices
authorOrg		0..1	Reference(Organization)	Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
note		0..1	Annotation	Comments about the list
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	required	Pattern: submissionset https://profiles.ihe.net/ITI/MHD/ValueSet/MHDlistTypesVS

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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 : 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()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	SubmissionSet	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
designationType	S	0..1	CodeableConcept	Clinical code of the List URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType
sourceId		1..1	Identifier	Publisher organization identity of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId
intendedRecipient		0..*	Reference(Practitioner | Organization | Patient | RelatedPerson | Group | Device | Location)	Intended recipient of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-intendedRecipient
Slices for identifier		0..*	Identifier	Business identifier Slice: Unordered, Open by value:use
identifier:uniqueId		0..1	SubmissionSetUniqueIdIdentifier	An identifier intended for computation
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Required Pattern: working
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: MHD List Types ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: submissionset
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(DDCC Patient)	If all resources have the same subject
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	Σ	1..1	dateTime	When the list was prepared
source	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
authorOrg		0..1	Reference(Organization)	Author organization of the SubmissionSet URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-authorOrg
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..1	Annotation	Comments about the list
entry	C	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item		1..1	Reference(DDCC Document Reference | DDCC Folder)	Actual entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
List.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
List.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	required	Pattern: submissionset https://profiles.ihe.net/ITI/MHD/ValueSet/MHDlistTypesVS
List.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
List.source.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	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 : 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()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from SubmissionSet

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• DDCC Patient (http://smart.who.int/ddcc/StructureDefinition/DDCCPatient)
• DDCC Document Reference (http://smart.who.int/ddcc/StructureDefinition/DDCCDocumentReference)
• DDCC Folder (http://smart.who.int/ddcc/StructureDefinition/DDCCFolder)

Other representations of profile: CSV, Excel, Schematron