NHS England FHIR Implementation Guide (deprecated)

Extensions

Extension-ParticipantType

Usage

An extension to replicate the changes within R5 allowing to expand the options of types of participants for the element RequestGroup.action.participant.

Context of Use:

Profile England-RequestGroup

Canonical_URL Status Current_Version Last_Updated Description Profile_Purpose
http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference draft 0.1.0 2025-04-03
An extension use to record the type of a participant designated to perform an action.

An extension use to record additional details(type) about a dispenser organisation... This is an EPS use case

Tree View

ExtensionParticipantType (Extension) C Extension
There are no (further) constraints on this element
Element id
Extension
Short description
Optional Extensions Element
Definition
Optional Extension Element - found in all resources.

Data type
Extension
Conditions
The cardinality or value of this element may be affected by these constraints: ele-1
Constraints
ele-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()
Mappings
rim: n/a
rim: N/A
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..0 Extension
There are no (further) constraints on this element
Element id
Extension.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference
Mappings
rim: N/A
value[x] 0..1 Element id
Extension.value[x]
Short description
An extension use to record additional details(type) about a dispenser organisation.
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueReference Reference() Data type
Reference()

Detailed Descriptions

Extension
Short Optional Extensions Element
Definition
Optional Extension Element - found in all resources.

Cardinality 0..*
Conditions The cardinality or value of this element may be affected by these constraints: ele-1
Constraints
ele-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()
Mappings
rim: n/a
rim: N/A
Extension.id
Short Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Cardinality 0..1
Type string
Mappings
rim: n/a
Extension.extension
Short Additional content defined by implementations
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality 0..0
Type Extension
Alias extensions, user content
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.

Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
Extension.url
Short identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Cardinality 1..1
Type uri
Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Value
http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference
Mappings
rim: N/A
Extension.value[x]
Short An extension use to record additional details(type) about a dispenser organisation.
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Cardinality 0..1
Type Reference()
Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A

Table View

Extension ..
Extension.extension ..0
Extension.url ..
Extension.value[x] Reference() ..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">

<id value="Extension-ParticipantType" />

<url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference" />

<version value="0.1.0" />

<name value="ExtensionParticipantType" />

<title value="Extension Participant Type" />

<status value="draft" />

<date value="2025-04-03" />

<publisher value="NHS England" />

<contact>

<name value="NHS England" />

<telecom>

<system value="email" />

<value value="interoperabilityteam@nhs.net" />

<use value="work" />

<rank value="1" />

</telecom>

</contact>

<description value="An extension use to record the type of a participant designated to perform an action." />

<purpose value="An extension use to record additional details(type) about a dispenser organisation... This is an EPS use case" />

<copyright value="Copyright © 2025+ NHS England Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." />

<fhirVersion value="4.0.1" />

<kind value="complex-type" />

<abstract value="false" />

<context>

<type value="element" />

<expression value="RequestGroup.action.participant" />

</context>

<type value="Extension" />

<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />

<derivation value="constraint" />

<differential>

<element id="Extension.extension">

<path value="Extension.extension" />

<max value="0" />

</element>

<element id="Extension.url">

<path value="Extension.url" />

<fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference" />

</element>

<element id="Extension.value[x]">

<path value="Extension.value[x]" />

<short value="An extension use to record additional details(type) about a dispenser organisation." />

<type>

<code value="Reference" />

</type>

</element>

</differential>

</StructureDefinition>

JSON View

{

"resourceType": "StructureDefinition",

"id": "Extension-ParticipantType",

"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference",

"version": "0.1.0",

"name": "ExtensionParticipantType",

"title": "Extension Participant Type",

"status": "draft",

"date": "2025-04-03",

"publisher": "NHS England",

"contact": [

{

"name": "NHS England",

"telecom": [

{

"system": "email",

"value": "interoperabilityteam@nhs.net",

"use": "work",

"rank": 1

}

]

}

],

"description": "An extension use to record the type of a participant designated to perform an action.",

"purpose": "An extension use to record additional details(type) about a dispenser organisation... This is an EPS use case",

"copyright": "Copyright © 2025+ NHS England Licensed under the Apache License, Version 2.0 (the \\"License\\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \\"AS IS\\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html.",

"fhirVersion": "4.0.1",

"kind": "complex-type",

"abstract": false,

"context": [

{

"type": "element",

"expression": "RequestGroup.action.participant"

}

],

"type": "Extension",

"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",

"derivation": "constraint",

"differential": {

"element": [

{

"id": "Extension.extension",

"path": "Extension.extension",

"max": "0"

},

{

"id": "Extension.url",

"path": "Extension.url",

"fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference"

},

{

"id": "Extension.value[x]",

"path": "Extension.value[x]",

"short": "An extension use to record additional details(type) about a dispenser organisation.",

"type": [

{

"code": "Reference"

}

]

}

]

}

}

Canonical_URL	Status	Current_Version	Last_Updated	Description	Profile_Purpose
http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference	draft	0.1.0	2025-04-03	An extension use to record the type of a participant designated to perform an action.	An extension use to record additional details(type) about a dispenser organisation... This is an EPS use case

Extension-SDS-ReliabilityConfiguration

Conformance url

https://fhir.nhs.uk/StructureDefinition/Extension-SDS-ReliabilityConfiguration

Structure
from Device

ExtensionSDSReliabilityConfiguration (Extension) C Extension
There are no (further) constraints on this element
Element id
Extension
Short description
Optional Extensions Element
Definition
Optional Extension Element - found in all resources.

Data type
Extension
Conditions
The cardinality or value of this element may be affected by these constraints: ele-1
Constraints
ele-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()
Mappings
rim: n/a
rim: N/A
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension Element id
Extension.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
nhsMHSSyncReplyMode C 0..1 Extension Element id
Extension.extension:nhsMHSSyncReplyMode
Short description
NHS Message Handling Service Synchronous Reply Mode
Alternate names
extensions, user content
Definition
Synchronous Reply Mode

Comments

Data type
Extension
Constraints
ele-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()
Mappings
rim: n/a
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSSyncReplyMode.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSSyncReplyMode.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.extension:nhsMHSSyncReplyMode.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
nhsMHSSyncReplyMode
Mappings
rim: N/A
value[x] 1..1
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSSyncReplyMode.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueString string Data type
string
nhsMHSRetryInterval C 0..1 Extension Element id
Extension.extension:nhsMHSRetryInterval
Short description
NHS Message Handling Service Retry Interval
Alternate names
extensions, user content
Definition
Retry Interval

Comments

Data type
Extension
Constraints
ele-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()
Mappings
rim: n/a
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSRetryInterval.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSRetryInterval.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.extension:nhsMHSRetryInterval.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
nhsMHSRetryInterval
Mappings
rim: N/A
value[x] 1..1
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSRetryInterval.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueString string Data type
string
nhsMHSRetries C 0..1 Extension Element id
Extension.extension:nhsMHSRetries
Short description
NHS Message Handling Service number of retries
Alternate names
extensions, user content
Definition
Number of retries

Comments

Data type
Extension
Constraints
ele-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()
Mappings
rim: n/a
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSRetries.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSRetries.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.extension:nhsMHSRetries.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
nhsMHSRetries
Mappings
rim: N/A
value[x] 1..1
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSRetries.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueInteger integer Data type
integer
nhsMHSPersistDuration C 0..1 Extension Element id
Extension.extension:nhsMHSPersistDuration
Short description
NHS Message Handling Service Persist Duration
Alternate names
extensions, user content
Definition
Persist Duration

Comments

Data type
Extension
Constraints
ele-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()
Mappings
rim: n/a
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSPersistDuration.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSPersistDuration.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.extension:nhsMHSPersistDuration.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
nhsMHSPersistDuration
Mappings
rim: N/A
value[x] 1..1
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSPersistDuration.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueString string Data type
string
nhsMHSDuplicateElimination C 0..1 Extension Element id
Extension.extension:nhsMHSDuplicateElimination
Short description
NHS Message Handling Service Duplicate Elimination
Alternate names
extensions, user content
Definition
Duplicate Elimination

Comments

Data type
Extension
Constraints
ele-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()
Mappings
rim: n/a
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSDuplicateElimination.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSDuplicateElimination.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.extension:nhsMHSDuplicateElimination.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
nhsMHSDuplicateElimination
Mappings
rim: N/A
value[x] 1..1
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSDuplicateElimination.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueString string Data type
string
nhsMHSAckRequested C 0..1 Extension Element id
Extension.extension:nhsMHSAckRequested
Short description
NHS Message Handling Service Acknowledgement Requested
Alternate names
extensions, user content
Definition
Acknowledgement Requested

Comments

Data type
Extension
Constraints
ele-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()
Mappings
rim: n/a
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSAckRequested.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSAckRequested.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.extension:nhsMHSAckRequested.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
nhsMHSAckRequested
Mappings
rim: N/A
value[x] 1..1
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSAckRequested.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueString string Data type
string
nhsMHSActor C 0..1 Extension Element id
Extension.extension:nhsMHSActor
Short description
NHS Message Handling Service Actor
Alternate names
extensions, user content
Definition
NHS NHS Message Handling Service Actor.

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.

Data type
Extension
Constraints
ele-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()
Mappings
rim: n/a
id 0..1 string
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSActor.id
Short description
Unique id for inter-element referencing
Definition
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type
string
Mappings
rim: n/a
extension C 0..* Extension
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSActor.extension
Short description
Additional content defined by implementations
Alternate names
extensions, user content
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Data type
Extension
Slicing
Unordered, Open, by url(Value)
Extensions are always sliced by (at least) url
Constraints
ele-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()
Mappings
rim: n/a
url 1..1 uriFixed Value Element id
Extension.extension:nhsMHSActor.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
nhsMHSActor
Mappings
rim: N/A
value[x] 1..1
There are no (further) constraints on this element
Element id
Extension.extension:nhsMHSActor.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A
valueString string Data type
string
url 1..1 uriFixed Value Element id
Extension.url
Short description
identifies the meaning of the extension
Definition
Source of the definition for the extension code - a logical name or a URL.

Comments
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type
uri
Fixed value
https://fhir.nhs.uk/StructureDefinition/Extension-SDS-ReliabilityConfiguration
Mappings
rim: N/A
value[x] 0..0
There are no (further) constraints on this element
Element id
Extension.value[x]
Short description
Value of extension
Definition
Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Constraints
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Mappings
rim: N/A

Examples

Extension-Spine-ActorRoleServiceOrSpecialty

Conformance url

https://fhir.nhs.uk/StructureDefinition/Extension-Spine-ActorRoleServiceOrSpecialty

ExtensionSpineActorRoleServiceOrSpecialty (Extension) Extension
There are no (further) constraints on this element
Element id
Extension
Short description
Role of an actor
Definition
The preferred use of this is to record Clinical Specialty (or Hospital Service). It may also be used to record the SDS Role (for Practitioner and PractitionerRole references) or SNOMED Service code (for Organization references).

Data type
Extension
url Fixed Value
There are no (further) constraints on this element
Element id
Extension.url
Fixed value
https://fhir.nhs.uk/StructureDefinition/Extension-Spine-ActorRoleServiceOrSpecialty
value[x] 1.. Binding
There are no (further) constraints on this element
Element id
Extension.value[x]
Binding
NHSDataDictionaryMainClinicalSpecialty (preferred)
valueCodeableConcept CodeableConcept
There are no (further) constraints on this element
Data type
CodeableConcept

Examples

ExtensionParticipantType (Extension)	C		Extension	There are no (further) constraints on this element Element id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data type Extension Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-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()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content 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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Data type Extension Slicing Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-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()` Mappings rim: n/a
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference Mappings rim: N/A
value[x]		0..1		Element id Extension.value[x] Short description An extension use to record additional details(type) about a dispenser organisation. Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueReference			Reference()	Data type Reference()

Extension
Short	Optional Extensions Element
Definition	Optional Extension Element - found in all resources.
Cardinality	0..*
Conditions	The cardinality or value of this element may be affected by these constraints: ele-1
Constraints	ele-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()`
Mappings	rim: n/a rim: N/A
Extension.id
Short	Unique id for inter-element referencing
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension
Short	Additional content defined by implementations
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0..0
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value) Extensions are always sliced by (at least) url
Constraints	ele-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()`
Mappings	rim: n/a
Extension.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://hl7.org/fhir/5.0/StructureDefinition/extension-RequestOrchestration.action.participant.typeReference
Mappings	rim: N/A
Extension.value[x]
Short	An extension use to record additional details(type) about a dispenser organisation.
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality	0..1
Type	Reference()
Constraints	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A

ExtensionSpineActorRoleServiceOrSpecialty (Extension)		Extension	There are no (further) constraints on this element Element id Extension Short description Role of an actor Definition The preferred use of this is to record Clinical Specialty (or Hospital Service). It may also be used to record the SDS Role (for Practitioner and PractitionerRole references) or SNOMED Service code (for Organization references). Data type Extension
url		Fixed Value	There are no (further) constraints on this element Element id Extension.url Fixed value https://fhir.nhs.uk/StructureDefinition/Extension-Spine-ActorRoleServiceOrSpecialty
value[x]	1..	Binding	There are no (further) constraints on this element Element id Extension.value[x] Binding NHSDataDictionaryMainClinicalSpecialty (preferred)
valueCodeableConcept		CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept