Tiro.health Implementation Guide
0.1.0 - ci-build

Tiro.health Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Extension: Narrative Alternative Format

Official URL: http://fhir.tiro.health/StructureDefinition/narrative-alternative-format Version: 0.1.0
Draft as of 2026-04-30 Computable Name: NarrativeAlternativeFormat

Provides the narrative content in an alternative format such as RTF or plain text.

Context of Use

    This extension may be used on the following element(s)

Usage info

Usages:

  • This Extension is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

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

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Narrative Alternative Format
... extension 0..0 Extension
... url 1..1 uri "http://fhir.tiro.health/StructureDefinition/narrative-alternative-format"
... value[x] 1..1 Attachment Value of extension
.... contentType 1..1 code Mime type of the content, with charset etc.
Binding: Narrative Alternative Format MIME Types (required)
.... data 1..1 base64Binary Data inline, base64ed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Narrative Alternative Format
... id 0..1 id Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://fhir.tiro.health/StructureDefinition/narrative-alternative-format"
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType ΣC 1..1 code Mime type of the content, with charset etc.
Binding: Narrative Alternative Format MIME Types (required)
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.
Additional BindingsPurpose
CommonLanguages Starter

Example General: en-AU
.... data C 1..1 base64Binary Data inline, base64ed
.... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size Σ 0..1 integer64 Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created
.... height 0..1 positiveInt Height of the image in pixels (photo/video)
.... width 0..1 positiveInt Width of the image in pixels (photo/video)
.... frames 0..1 positiveInt Number of frames if > 1 (photo)
.... duration 0..1 decimal Length in seconds (audio / video)
.... pages 0..1 positiveInt Number of printed pages

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Attachment: Provides the narrative content in an alternative format such as RTF or plain text.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Narrative Alternative Format
... extension 0..0 Extension
... url 1..1 uri "http://fhir.tiro.health/StructureDefinition/narrative-alternative-format"
... value[x] 1..1 Attachment Value of extension
.... contentType 1..1 code Mime type of the content, with charset etc.
Binding: Narrative Alternative Format MIME Types (required)
.... data 1..1 base64Binary Data inline, base64ed

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Narrative Alternative Format
... id 0..1 id Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://fhir.tiro.health/StructureDefinition/narrative-alternative-format"
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType ΣC 1..1 code Mime type of the content, with charset etc.
Binding: Narrative Alternative Format MIME Types (required)
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.
Additional BindingsPurpose
CommonLanguages Starter

Example General: en-AU
.... data C 1..1 base64Binary Data inline, base64ed
.... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size Σ 0..1 integer64 Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created
.... height 0..1 positiveInt Height of the image in pixels (photo/video)
.... width 0..1 positiveInt Width of the image in pixels (photo/video)
.... frames 0..1 positiveInt Number of frames if > 1 (photo)
.... duration 0..1 decimal Length in seconds (audio / video)
.... pages 0..1 positiveInt Number of printed pages

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Attachment: Provides the narrative content in an alternative format such as RTF or plain text.

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x].contentType Base required Narrative Alternative Format MIME Types 📦0.1.0 This IG
Extension.value[x].language Base required All Languages 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()