HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build 150

HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions

Resource Profile: Manifest_ImWadoEndpoint - Detailed Descriptions

Draft as of 2025-07-02

Definitions for the Manifest-ImWadoEndpoint resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Endpoint
Definition

The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b, a REST endpoint for another FHIR server, or a s/Mime email address. This may include any security context information.

ShortThe technical details of an endpoint that can be used for electronic services
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Endpoint.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

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

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Endpoint.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

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.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. Endpoint.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Endpoint.identifier
Definition

Identifier for the organization that is used to identify the endpoint across multiple disparate systems.

ShortIdentifies this endpoint across multiple systems
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supportfalse
Obligations
    ObligationsActorDocumentation
    SHALL:populate-if-knownImaging study manifest provider
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Endpoint.status
    Definition

    The endpoint status represents the general expected availability of an endpoint.

    Shortactive | suspended | error | off | entered-in-error | test
    Comments

    This element is labeled as a modifier because the status contains codes that mark the endpoint as not currently valid. Temporary downtimes or other unexpected short-term changes in availability would not be represented in this property.

    Control1..1
    BindingThe codes SHALL be taken from EndpointStatushttp://hl7.org/fhir/ValueSet/endpoint-status|5.0.0
    (required to http://hl7.org/fhir/ValueSet/endpoint-status|5.0.0)

    The status of the endpoint.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Obligations
      ObligationsActorDocumentation
      SHALL:populate-if-knownImaging study manifest provider
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Endpoint.connectionType
      Definition

      A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).

      ShortProtocol/Profile/Standard to be used with this endpoint connection
      Comments

      For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example. If there are multiple payload types or mimetypes they are all applicable for all connection types, and all have the same status.

      Control1..*
      BindingFor example codes, see EndpointConnectionTypehttp://hl7.org/fhir/ValueSet/endpoint-connection-type
      (example to http://hl7.org/fhir/ValueSet/endpoint-connection-type)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Obligations
        ObligationsActorDocumentation
        SHALL:populate-if-knownImaging study manifest provider
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Endpoint.connectionType. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ coding
        • 14. Endpoint.connectionType:wado
          Slice Namewado
          Definition

          A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).

          ShortProtocol/Profile/Standard to be used with this endpoint connection
          Comments

          For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example. If there are multiple payload types or mimetypes they are all applicable for all connection types, and all have the same status.

          Control1..1*
          BindingFor example codes, see EndpointConnectionTypehttp://hl7.org/fhir/ValueSet/endpoint-connection-type
          (example to http://hl7.org/fhir/ValueSet/endpoint-connection-type)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Endpoint.connectionType:wado.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..*
          TypeCoding
          Is Modifierfalse
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Pattern Value{
            "system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
            "code" : "dicom-wado-rs",
            "display" : "DICOM WADO-RS"
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. Endpoint.name
          Definition

          A friendly name that this endpoint can be referred to with.

          ShortA name that this endpoint can be identified by
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Obligations
            ObligationsActorDocumentation
            SHALL:populate-if-knownImaging study manifest provider
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. Endpoint.managingOrganization
            Definition

            The organization that manages this endpoint (even if technically another organization is hosting this in the cloud, it is the organization associated with the data).

            ShortOrganization that manages this endpoint (might not be the organization that exposes the endpoint)
            Comments

            This property is not typically used when searching for Endpoint resources for usage. The typical usage is via the reference from an applicable Organization/Location/Practitioner resource, which is where the context is provided. Multiple Locations may reference a single endpoint, and don't have to be within the same organization resource, but most likely within the same organizational hierarchy.

            Control0..1
            TypeReference(Organization (EU base), Organization)
            Is Modifierfalse
            Must Supportfalse
            Obligations
              ObligationsActorDocumentation
              SHALL:populate-if-knownImaging study manifest provider
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              22. Endpoint.payload
              Definition

              The set of payloads that are provided/available at this endpoint.

              ShortSet of payloads that are provided by this endpoint
              Comments

              Note that not all mimetypes or types will be listed under the one endpoint resource, there may be multiple instances that information for cases where other header data such as the endpoint address, active status/period etc. is different.

              Control10..*
              TypeBackboneElement
              Is Modifierfalse
              Must Supportfalse
              Obligations
                ObligationsActorDocumentation
                SHALL:populate-if-knownImaging study manifest provider
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Endpoint.payload. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ type
                • 24. Endpoint.payload.modifierExtension
                  Definition

                  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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  26. Endpoint.payload.type
                  Definition

                  The payload type describes the acceptable content that can be communicated on the endpoint.

                  ShortThe type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
                  Comments

                  The mimeType describes the serialization format of the data, where the payload.type indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.

                  Control0..*
                  BindingFor example codes, see EndpointPayloadTypehttp://hl7.org/fhir/ValueSet/endpoint-payload-type
                  (example to http://hl7.org/fhir/ValueSet/endpoint-payload-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Obligations
                    ObligationsActorDocumentation
                    SHALL:populate-if-knownImaging study manifest provider
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    28. Endpoint.payload.mimeType
                    Definition

                    The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                    ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                    Comments

                    Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                    Control0..*
                    BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                    (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                    BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Obligations
                      ObligationsActorDocumentation
                      SHALL:populate-if-knownImaging study manifest provider
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      30. Endpoint.payload:wadors
                      Slice Namewadors
                      Definition

                      The set of payloads that are provided/available at this endpoint.

                      ShortSet of payloads that are provided by this endpoint
                      Comments

                      Note that not all mimetypes or types will be listed under the one endpoint resource, there may be multiple instances that information for cases where other header data such as the endpoint address, active status/period etc. is different.

                      Control10..1*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      32. Endpoint.payload:wadors.modifierExtension
                      Definition

                      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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      34. Endpoint.payload:wadors.type
                      Definition

                      The payload type describes the acceptable content that can be communicated on the endpoint.

                      ShortThe type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
                      Comments

                      The mimeType describes the serialization format of the data, where the payload.type indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.

                      Control10..1*
                      BindingFor example codes, see EndpointPayloadTypehttp://hl7.org/fhir/ValueSet/endpoint-payload-type
                      (example to http://hl7.org/fhir/ValueSet/endpoint-payload-type)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summarytrue
                      Pattern Value{
                        "coding" : [{
                          "system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
                          "code" : "dicom-wado-rs",
                          "display" : "DICOM WADO-RS"
                        }]
                      }
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      36. Endpoint.payload:wadors.mimeType
                      Definition

                      The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                      ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                      Comments

                      Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                      Control170..*
                      BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                      (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                      BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on Endpoint.payload.mimeType. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ $this
                      • 38. Endpoint.payload:wadors.mimeType:dicom
                        Slice Namedicom
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueapplication/dicom
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        40. Endpoint.payload:wadors.mimeType:dicom-octet
                        Slice Namedicom-octet
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueapplication/octet-stream
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        42. Endpoint.payload:wadors.mimeType:dicom-xml
                        Slice Namedicom-xml
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueapplication/dicom+xml
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        44. Endpoint.payload:wadors.mimeType:dicom-json
                        Slice Namedicom-json
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueapplication/json
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        46. Endpoint.payload:wadors.mimeType:image-jpg
                        Slice Nameimage-jpg
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueimage/jpg
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        48. Endpoint.payload:wadors.mimeType:image-gif
                        Slice Nameimage-gif
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueimage/gif
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        50. Endpoint.payload:wadors.mimeType:image-jp2
                        Slice Nameimage-jp2
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueimage/jp2
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        52. Endpoint.payload:wadors.mimeType:image-jph
                        Slice Nameimage-jph
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueimage/jph
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        54. Endpoint.payload:wadors.mimeType:image-jxl
                        Slice Nameimage-jxl
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueimage/jxl
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        56. Endpoint.payload:wadors.mimeType:video-mpeg
                        Slice Namevideo-mpeg
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valuevideo/mpeg
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        58. Endpoint.payload:wadors.mimeType:video-mp4
                        Slice Namevideo-mp4
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valuevideo/mp4
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        60. Endpoint.payload:wadors.mimeType:video-H265
                        Slice Namevideo-H265
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valuevideo/H265
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        62. Endpoint.payload:wadors.mimeType:text-html
                        Slice Nametext-html
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valuetext/html
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        64. Endpoint.payload:wadors.mimeType:text-plain
                        Slice Nametext-plain
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valuetext/plain
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        66. Endpoint.payload:wadors.mimeType:text-xml
                        Slice Nametext-xml
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valuetext/xml
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        68. Endpoint.payload:wadors.mimeType:text-rtf
                        Slice Nametext-rtf
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valuetext/rtf
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        70. Endpoint.payload:wadors.mimeType:application-pdf
                        Slice Nameapplication-pdf
                        Definition

                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                        Comments

                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                        Control10..1*
                        BindingThe codes SHALL be taken from MimeTypeshttp://hl7.org/fhir/ValueSet/mimetypes|5.0.0
                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summarytrue
                        Pattern Valueapplication/pdf
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        72. Endpoint.address
                        Definition

                        The uri that describes the actual end-point to connect to.

                        ShortThe technical base address for connecting to this endpoint
                        Comments

                        For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)

                        This address will be to the service base, without any parameters, or sub-services or resources tacked on.

                        E.g. for a WADO-RS endpoint, the url should be "https://pacs.hospital.org/wado-rs"

                        and not "https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345678.678910/series/1.2.250.1.59.40211.789001276.14556172.67789/instances/...".

                        Control1..1
                        Typeurl
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Obligations
                          ObligationsActorDocumentation
                          SHALL:populate-if-knownImaging study manifest provider
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          74. Endpoint.header
                          Definition

                          Additional headers / information to send as part of the notification.

                          ShortUsage depends on the channel type
                          Comments

                          Exactly what these mean depends on the channel type. The can convey additional information to the recipient and/or meet security requirements.

                          Control0..*
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Obligations
                            ObligationsActorDocumentation
                            SHALL:populate-if-knownImaging study manifest provider
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                            Guidance on how to interpret the contents of this table can be foundhere

                            0. Endpoint
                            2. Endpoint.identifier
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Obligations
                              ObligationsActorDocumentation
                              SHALL:populate-if-knownImaging study manifest provider
                              4. Endpoint.status
                              Obligations
                                ObligationsActorDocumentation
                                SHALL:populate-if-knownImaging study manifest provider
                                6. Endpoint.connectionType
                                Obligations
                                  ObligationsActorDocumentation
                                  SHALL:populate-if-knownImaging study manifest provider
                                  8. Endpoint.name
                                  Obligations
                                    ObligationsActorDocumentation
                                    SHALL:populate-if-knownImaging study manifest provider
                                    10. Endpoint.managingOrganization
                                    Obligations
                                      ObligationsActorDocumentation
                                      SHALL:populate-if-knownImaging study manifest provider
                                      12. Endpoint.payload
                                      Obligations
                                        ObligationsActorDocumentation
                                        SHALL:populate-if-knownImaging study manifest provider
                                        14. Endpoint.payload.type
                                        Obligations
                                          ObligationsActorDocumentation
                                          SHALL:populate-if-knownImaging study manifest provider
                                          16. Endpoint.payload.mimeType
                                          Obligations
                                            ObligationsActorDocumentation
                                            SHALL:populate-if-knownImaging study manifest provider
                                            18. Endpoint.address
                                            Obligations
                                              ObligationsActorDocumentation
                                              SHALL:populate-if-knownImaging study manifest provider
                                              20. Endpoint.header
                                              Obligations
                                                ObligationsActorDocumentation
                                                SHALL:populate-if-knownImaging study manifest provider

                                                Guidance on how to interpret the contents of this table can be foundhere

                                                0. Endpoint
                                                Definition

                                                The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b, a REST endpoint for another FHIR server, or a s/Mime email address. This may include any security context information.

                                                ShortThe technical details of an endpoint that can be used for electronic services
                                                Control0..*
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                                dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                2. Endpoint.id
                                                Definition

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

                                                ShortLogical id of this artifact
                                                Comments

                                                Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

                                                Control0..1
                                                Typeid
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summarytrue
                                                4. Endpoint.meta
                                                Definition

                                                The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                ShortMetadata about the resource
                                                Control0..1
                                                TypeMeta
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                6. Endpoint.implicitRules
                                                Definition

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

                                                ShortA set of rules under which this content was created
                                                Comments

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

                                                Control0..1
                                                Typeuri
                                                Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                8. Endpoint.language
                                                Definition

                                                The base language in which the resource is written.

                                                ShortLanguage of the resource content
                                                Comments

                                                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).

                                                Control0..1
                                                BindingThe codes SHALL be taken from AllLanguages
                                                (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

                                                IETF language tag for a human language

                                                Typecode
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                10. Endpoint.text
                                                Definition

                                                A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                ShortText summary of the resource, for human interpretation
                                                Comments

                                                Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                Control0..1
                                                This element is affected by the following invariants: dom-6
                                                TypeNarrative
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Alternate Namesnarrative, html, xhtml, display
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                12. Endpoint.contained
                                                Definition

                                                These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

                                                ShortContained, inline Resources
                                                Comments

                                                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.

                                                Control0..*
                                                This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                                                TypeResource
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Alternate Namesinline resources, anonymous resources, contained resources
                                                14. Endpoint.extension
                                                Definition

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

                                                ShortAdditional content defined by implementations
                                                Comments

                                                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.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                16. Endpoint.modifierExtension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

                                                ShortExtensions that cannot be ignored
                                                Comments

                                                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.

                                                Control0..*
                                                TypeExtension
                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                Must Supportfalse
                                                Summarytrue
                                                Requirements

                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                18. Endpoint.identifier
                                                Definition

                                                Identifier for the organization that is used to identify the endpoint across multiple disparate systems.

                                                ShortIdentifies this endpoint across multiple systems
                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                Control0..*
                                                TypeIdentifier
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Obligations
                                                  ObligationsActorDocumentation
                                                  SHALL:populate-if-knownImaging study manifest provider
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  20. Endpoint.status
                                                  Definition

                                                  The endpoint status represents the general expected availability of an endpoint.

                                                  Shortactive | suspended | error | off | entered-in-error | test
                                                  Comments

                                                  This element is labeled as a modifier because the status contains codes that mark the endpoint as not currently valid. Temporary downtimes or other unexpected short-term changes in availability would not be represented in this property.

                                                  Control1..1
                                                  BindingThe codes SHALL be taken from EndpointStatus
                                                  (required to http://hl7.org/fhir/ValueSet/endpoint-status|5.0.0)

                                                  The status of the endpoint.

                                                  Typecode
                                                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supportfalse
                                                  Obligations
                                                    ObligationsActorDocumentation
                                                    SHALL:populate-if-knownImaging study manifest provider
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    22. Endpoint.connectionType
                                                    Definition

                                                    A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).

                                                    ShortProtocol/Profile/Standard to be used with this endpoint connection
                                                    Comments

                                                    For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example. If there are multiple payload types or mimetypes they are all applicable for all connection types, and all have the same status.

                                                    Control1..*
                                                    BindingFor example codes, see EndpointConnectionType
                                                    (example to http://hl7.org/fhir/ValueSet/endpoint-connection-type)
                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Obligations
                                                      ObligationsActorDocumentation
                                                      SHALL:populate-if-knownImaging study manifest provider
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on Endpoint.connectionType. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ coding
                                                      • 24. Endpoint.connectionType:wado
                                                        Slice Namewado
                                                        Definition

                                                        A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).

                                                        ShortProtocol/Profile/Standard to be used with this endpoint connection
                                                        Comments

                                                        For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example. If there are multiple payload types or mimetypes they are all applicable for all connection types, and all have the same status.

                                                        Control1..1
                                                        BindingFor example codes, see EndpointConnectionType
                                                        (example to http://hl7.org/fhir/ValueSet/endpoint-connection-type)
                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        26. Endpoint.connectionType:wado.id
                                                        Definition

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

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        This element is affected by the following invariants: ele-1
                                                        Typeid
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        28. Endpoint.connectionType:wado.extension
                                                        Definition

                                                        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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        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.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Endpoint.connectionType.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 30. Endpoint.connectionType:wado.coding
                                                          Definition

                                                          A reference to a code defined by a terminology system.

                                                          ShortCode defined by a terminology system
                                                          Comments

                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                          Control1..*
                                                          TypeCoding
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                          Pattern Value{
                                                            "system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
                                                            "code" : "dicom-wado-rs",
                                                            "display" : "DICOM WADO-RS"
                                                          }
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          32. Endpoint.connectionType:wado.text
                                                          Definition

                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                          ShortPlain text representation of the concept
                                                          Comments

                                                          Very often the text is the same as a displayName of one of the codings.

                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          34. Endpoint.name
                                                          Definition

                                                          A friendly name that this endpoint can be referred to with.

                                                          ShortA name that this endpoint can be identified by
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Must Supportfalse
                                                          Obligations
                                                            ObligationsActorDocumentation
                                                            SHALL:populate-if-knownImaging study manifest provider
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            36. Endpoint.description
                                                            Definition

                                                            The description of the endpoint and what it is for (typically used as supplemental information in an endpoint directory describing its usage/purpose).

                                                            ShortAdditional details about the endpoint that could be displayed as further information to identify the description beyond its name
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            38. Endpoint.environmentType
                                                            Definition

                                                            The type of environment(s) exposed at this endpoint (dev, prod, test, etc.).

                                                            ShortThe type of environment(s) exposed at this endpoint
                                                            Control0..*
                                                            BindingUnless not suitable, these codes SHALL be taken from EndpointEnvironment
                                                            (extensible to http://hl7.org/fhir/ValueSet/endpoint-environment)
                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            40. Endpoint.managingOrganization
                                                            Definition

                                                            The organization that manages this endpoint (even if technically another organization is hosting this in the cloud, it is the organization associated with the data).

                                                            ShortOrganization that manages this endpoint (might not be the organization that exposes the endpoint)
                                                            Comments

                                                            This property is not typically used when searching for Endpoint resources for usage. The typical usage is via the reference from an applicable Organization/Location/Practitioner resource, which is where the context is provided. Multiple Locations may reference a single endpoint, and don't have to be within the same organization resource, but most likely within the same organizational hierarchy.

                                                            Control0..1
                                                            TypeReference(Organization (EU base))
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Obligations
                                                              ObligationsActorDocumentation
                                                              SHALL:populate-if-knownImaging study manifest provider
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              42. Endpoint.contact
                                                              Definition

                                                              Contact details for a human to contact about the endpoint. The primary use of this for system administrator troubleshooting.

                                                              ShortContact details for source (e.g. troubleshooting)
                                                              Control0..*
                                                              TypeContactPoint
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              44. Endpoint.period
                                                              Definition

                                                              The interval during which the endpoint is expected to be operational.

                                                              ShortInterval the endpoint is expected to be operational
                                                              Comments

                                                              Temporary downtimes or other short-term changes in availability would not be represented in this property.

                                                              Control0..1
                                                              TypePeriod
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              46. Endpoint.payload
                                                              Definition

                                                              The set of payloads that are provided/available at this endpoint.

                                                              ShortSet of payloads that are provided by this endpoint
                                                              Comments

                                                              Note that not all mimetypes or types will be listed under the one endpoint resource, there may be multiple instances that information for cases where other header data such as the endpoint address, active status/period etc. is different.

                                                              Control1..*
                                                              TypeBackboneElement
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Obligations
                                                                ObligationsActorDocumentation
                                                                SHALL:populate-if-knownImaging study manifest provider
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                SlicingThis element introduces a set of slices on Endpoint.payload. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ type
                                                                • 48. Endpoint.payload.id
                                                                  Definition

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

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  50. Endpoint.payload.extension
                                                                  Definition

                                                                  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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  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.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  52. Endpoint.payload.modifierExtension
                                                                  Definition

                                                                  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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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).

                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                  Comments

                                                                  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.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                  Summarytrue
                                                                  Requirements

                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                  Alternate Namesextensions, user content, modifiers
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  54. Endpoint.payload.type
                                                                  Definition

                                                                  The payload type describes the acceptable content that can be communicated on the endpoint.

                                                                  ShortThe type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
                                                                  Comments

                                                                  The mimeType describes the serialization format of the data, where the payload.type indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.

                                                                  Control0..*
                                                                  BindingFor example codes, see EndpointPayloadType
                                                                  (example to http://hl7.org/fhir/ValueSet/endpoint-payload-type)
                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Obligations
                                                                    ObligationsActorDocumentation
                                                                    SHALL:populate-if-knownImaging study manifest provider
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    56. Endpoint.payload.mimeType
                                                                    Definition

                                                                    The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                    ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                    Comments

                                                                    Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                    Control0..*
                                                                    BindingThe codes SHALL be taken from MimeTypes
                                                                    (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                    BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                    Typecode
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supportfalse
                                                                    Obligations
                                                                      ObligationsActorDocumentation
                                                                      SHALL:populate-if-knownImaging study manifest provider
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      58. Endpoint.payload:wadors
                                                                      Slice Namewadors
                                                                      Definition

                                                                      The set of payloads that are provided/available at this endpoint.

                                                                      ShortSet of payloads that are provided by this endpoint
                                                                      Comments

                                                                      Note that not all mimetypes or types will be listed under the one endpoint resource, there may be multiple instances that information for cases where other header data such as the endpoint address, active status/period etc. is different.

                                                                      Control1..1
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Must Supportfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      60. Endpoint.payload:wadors.id
                                                                      Definition

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

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      62. Endpoint.payload:wadors.extension
                                                                      Definition

                                                                      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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      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.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      64. Endpoint.payload:wadors.modifierExtension
                                                                      Definition

                                                                      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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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).

                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                      Comments

                                                                      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.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                      Summarytrue
                                                                      Requirements

                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                      Alternate Namesextensions, user content, modifiers
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      66. Endpoint.payload:wadors.type
                                                                      Definition

                                                                      The payload type describes the acceptable content that can be communicated on the endpoint.

                                                                      ShortThe type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
                                                                      Comments

                                                                      The mimeType describes the serialization format of the data, where the payload.type indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.

                                                                      Control1..1
                                                                      BindingFor example codes, see EndpointPayloadType
                                                                      (example to http://hl7.org/fhir/ValueSet/endpoint-payload-type)
                                                                      TypeCodeableConcept
                                                                      Is Modifierfalse
                                                                      Must Supportfalse
                                                                      Summarytrue
                                                                      Pattern Value{
                                                                        "coding" : [{
                                                                          "system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
                                                                          "code" : "dicom-wado-rs",
                                                                          "display" : "DICOM WADO-RS"
                                                                        }]
                                                                      }
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      68. Endpoint.payload:wadors.mimeType
                                                                      Definition

                                                                      The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                      ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                      Comments

                                                                      Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                      Control17..*
                                                                      BindingThe codes SHALL be taken from MimeTypes
                                                                      (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                      BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supportfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      SlicingThis element introduces a set of slices on Endpoint.payload.mimeType. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ $this
                                                                      • 70. Endpoint.payload:wadors.mimeType:dicom
                                                                        Slice Namedicom
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueapplication/dicom
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        72. Endpoint.payload:wadors.mimeType:dicom-octet
                                                                        Slice Namedicom-octet
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueapplication/octet-stream
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        74. Endpoint.payload:wadors.mimeType:dicom-xml
                                                                        Slice Namedicom-xml
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueapplication/dicom+xml
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        76. Endpoint.payload:wadors.mimeType:dicom-json
                                                                        Slice Namedicom-json
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueapplication/json
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        78. Endpoint.payload:wadors.mimeType:image-jpg
                                                                        Slice Nameimage-jpg
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueimage/jpg
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        80. Endpoint.payload:wadors.mimeType:image-gif
                                                                        Slice Nameimage-gif
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueimage/gif
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        82. Endpoint.payload:wadors.mimeType:image-jp2
                                                                        Slice Nameimage-jp2
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueimage/jp2
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        84. Endpoint.payload:wadors.mimeType:image-jph
                                                                        Slice Nameimage-jph
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueimage/jph
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        86. Endpoint.payload:wadors.mimeType:image-jxl
                                                                        Slice Nameimage-jxl
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueimage/jxl
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        88. Endpoint.payload:wadors.mimeType:video-mpeg
                                                                        Slice Namevideo-mpeg
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valuevideo/mpeg
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        90. Endpoint.payload:wadors.mimeType:video-mp4
                                                                        Slice Namevideo-mp4
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valuevideo/mp4
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        92. Endpoint.payload:wadors.mimeType:video-H265
                                                                        Slice Namevideo-H265
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valuevideo/H265
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        94. Endpoint.payload:wadors.mimeType:text-html
                                                                        Slice Nametext-html
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valuetext/html
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        96. Endpoint.payload:wadors.mimeType:text-plain
                                                                        Slice Nametext-plain
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valuetext/plain
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        98. Endpoint.payload:wadors.mimeType:text-xml
                                                                        Slice Nametext-xml
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valuetext/xml
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        100. Endpoint.payload:wadors.mimeType:text-rtf
                                                                        Slice Nametext-rtf
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valuetext/rtf
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        102. Endpoint.payload:wadors.mimeType:application-pdf
                                                                        Slice Nameapplication-pdf
                                                                        Definition

                                                                        The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).

                                                                        ShortMimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
                                                                        Comments

                                                                        Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from MimeTypes
                                                                        (required to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0)

                                                                        BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

                                                                        Typecode
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Summarytrue
                                                                        Pattern Valueapplication/pdf
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        104. Endpoint.address
                                                                        Definition

                                                                        The uri that describes the actual end-point to connect to.

                                                                        ShortThe technical base address for connecting to this endpoint
                                                                        Comments

                                                                        For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)

                                                                        This address will be to the service base, without any parameters, or sub-services or resources tacked on.

                                                                        E.g. for a WADO-RS endpoint, the url should be "https://pacs.hospital.org/wado-rs"

                                                                        and not "https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345678.678910/series/1.2.250.1.59.40211.789001276.14556172.67789/instances/...".

                                                                        Control1..1
                                                                        Typeurl
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supportfalse
                                                                        Obligations
                                                                          ObligationsActorDocumentation
                                                                          SHALL:populate-if-knownImaging study manifest provider
                                                                          Summarytrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          106. Endpoint.header
                                                                          Definition

                                                                          Additional headers / information to send as part of the notification.

                                                                          ShortUsage depends on the channel type
                                                                          Comments

                                                                          Exactly what these mean depends on the channel type. The can convey additional information to the recipient and/or meet security requirements.

                                                                          Control0..*
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Must Supportfalse
                                                                          Obligations
                                                                            ObligationsActorDocumentation
                                                                            SHALL:populate-if-knownImaging study manifest provider
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))