Soigneur FHIR Implementation Guide
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: Soigneur Internal Meta Tags - XML Representation

Active as of 2026-09-08

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="cc-meta"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem cc-meta</b></p><a name="cc-meta"> </a><a name="hccc-meta"> </a><p>This case-sensitive code system <code>https://fhir.soigneur.coach/fhir/CodeSystem/cc-meta</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">content-hash<a name="cc-meta-content-hash"> </a></td><td>Content hash</td><td>Marker for resources stamped with a content hash. The SHA-256 itself is carried in the cc-ext-content-hash meta extension (ADR 0055, as revised); pipelines compare the stored hash against a newly-computed one and skip the PUT when they match, avoiding version churn.</td></tr><tr><td style="white-space:nowrap">icu-push-hash<a name="cc-meta-icu-push-hash"> </a></td><td>Intervals push fingerprint</td><td>Marker for ServiceRequests carrying an Intervals push fingerprint. The SHA-256 of the last Intervals.icu events/bulk upsert body is carried in the cc-ext-icu-push-hash meta extension (ADR 0081, as revised); the plan-push worker skips the live Intervals call when the fingerprint still matches.</td></tr></table></div>
  </text>
  <url value="https://fhir.soigneur.coach/fhir/CodeSystem/cc-meta"/>
  <version value="0.1.0"/>
  <name value="CcMeta"/>
  <title value="Soigneur Internal Meta Tags"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-09-08T13:20:35+00:00"/>
  <publisher value="Soigneur"/>
  <contact>
    <name value="Soigneur"/>
    <telecom>
      <system value="url"/>
      <value value="https://soigneur.coach"/>
    </telecom>
  </contact>
  <description
               value="Internal meta-tag codes stamped on FHIR resources by Soigneur ingress pipelines. These are machine-managed tags (not user-facing) that support ingress idempotency and provenance. The codes are display-less markers: the per-resource VALUES ride in the cc-ext-content-hash / cc-ext-icu-push-hash meta extensions, because a value in a tag's display is not round-trip-safe — FHIR R4 fixes tag identity at system+code and lets servers merge tag displays on update (fire-arrow-server issue #713; ADR 0055 as revised)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="DE"/>
      <display value="Germany"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Copyright (c) Soigneur. Licensed under CC0-1.0 (public domain dedication). FHIR(R) is the registered trademark of HL7 and is used with permission."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="2"/>
  <concept>
    <code value="content-hash"/>
    <display value="Content hash"/>
    <definition
                value="Marker for resources stamped with a content hash. The SHA-256 itself is carried in the cc-ext-content-hash meta extension (ADR 0055, as revised); pipelines compare the stored hash against a newly-computed one and skip the PUT when they match, avoiding version churn."/>
  </concept>
  <concept>
    <code value="icu-push-hash"/>
    <display value="Intervals push fingerprint"/>
    <definition
                value="Marker for ServiceRequests carrying an Intervals push fingerprint. The SHA-256 of the last Intervals.icu events/bulk upsert body is carried in the cc-ext-icu-push-hash meta extension (ADR 0081, as revised); the plan-push worker skips the live Intervals call when the fingerprint still matches."/>
  </concept>
</CodeSystem>