Extension-SHD-MedicallyFitDetails

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/Extension-SHD-MedicallyFitDetails

id0..1string
id0..1string
extension0..*Extension
url1..1uriFixed Value
id0..1string
extension0..*Extension
systemΣ1..1uriFixed Value
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extension0..*Extension
url1..1uriFixed Value
valueDateTime1..1dateTime
url1..1uriFixed Value


Extension
ShortOptional Extensions Element
Definition

Optional Extension Element - found in all resources.

Cardinality0..1
ConditionsThe 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() | (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
  • MedFit-1: dateDeemedMedicallyFit SHALL be provided if medicallyFitStatus=Medically Fit', and SHALL NOT be provided when medicallyFitStatus='Medically Unfit' or 'Unknown'
    extension.where(url = 'dateDeemedMedicallyFit').exists() != ((extension.where(url = 'medicallyFitStatus').valueCoding.code = '02') or (extension.where(url = 'medicallyFitStatus').valueCoding.code = '03'))
Mappings
  • rim: n/a
  • rim: N/A
Extension.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Mappings
  • rim: n/a
Extension.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality0..*
TypeExtension
Aliasextensions, 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

Mappings
  • rim: n/a
Extension.extension:medicallyFitStatus
ShortWhether the patient is medically optimised and ready/safe for discharge
Definition

medicallyFitStatus will be determined by checking whether whether meets any of the criteria to reside in hospital.

Cardinality1..1
TypeExtension
Aliasextensions, 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.

Mappings
  • rim: n/a
Extension.extension:medicallyFitStatus.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Mappings
  • rim: n/a
Extension.extension:medicallyFitStatus.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality0..*
TypeExtension
Aliasextensions, 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

Mappings
  • rim: n/a
Extension.extension:medicallyFitStatus.url
Shortidentifies the meaning of the extension
Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality1..1
Typeuri
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
medicallyFitStatus
Mappings
  • rim: N/A
Extension.extension:medicallyFitStatus.value[x]:valueCoding
ShortValue of extension
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Cardinality1..1
TypeCoding
Binding

SHD Safe for Discharge Status (required)

Mappings
  • rim: N/A
Extension.extension:medicallyFitStatus.value[x]:valueCoding.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Mappings
  • rim: n/a
Extension.extension:medicallyFitStatus.value[x]:valueCoding.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality0..*
TypeExtension
Aliasextensions, 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

Mappings
  • rim: n/a
Extension.extension:medicallyFitStatus.value[x]:valueCoding.system
ShortIdentity of the terminology system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Cardinality1..1
Typeuri
SummaryTrue
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Fixed Value
https://fhir.nottinghamshire.gov.uk/STU3/codesystem/SHD-MedicallyFitStatus
Mappings
  • v2: C*E.3
  • rim: ./codeSystem
  • orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Extension.extension:medicallyFitStatus.value[x]:valueCoding.version
ShortVersion of the system - if relevant
Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Cardinality0..1
Typestring
SummaryTrue
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Mappings
  • v2: C*E.7
  • rim: ./codeSystemVersion
  • orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
Extension.extension:medicallyFitStatus.value[x]:valueCoding.code
ShortSymbol in syntax defined by the system
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Cardinality1..1
Typecode
SummaryTrue
Requirements

Need to refer to a particular code in the system.

Mappings
  • v2: C*E.1
  • rim: ./code
  • orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Extension.extension:medicallyFitStatus.value[x]:valueCoding.display
ShortRepresentation defined by the system
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Cardinality0..1
Typestring
SummaryTrue
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Mappings
  • v2: C*E.2 - but note this is not well followed
  • rim: CV.displayName
  • orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Extension.extension:medicallyFitStatus.value[x]:valueCoding.userSelected
ShortIf this coding was chosen directly by the user
Definition

Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

Cardinality0..1
Typeboolean
SummaryTrue
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Mappings
  • v2: Sometimes implied by being first
  • rim: CD.codingRationale
  • orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
Extension.extension:dateDeemedMedicallyFit
ShortDate and Time deemed safe for discharge
Definition

dateDeemedMedicallyFit is the date and time that the hospital reviewed the patient and identified that they no longer meet any of the criteria to reside in hospital.

Cardinality0..1
TypeExtension
Aliasextensions, user content
Comments

MUST be provided if medicallyFitStatus.valueCoding.code=01 (i.e. 'Medically Fit')

Mappings
  • rim: n/a
Extension.extension:dateDeemedMedicallyFit.id
Shortxml:id (or equivalent in JSON)
Definition

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

Cardinality0..1
Typestring
Mappings
  • rim: n/a
Extension.extension:dateDeemedMedicallyFit.extension
ShortAdditional Content defined by implementations
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Cardinality0..*
TypeExtension
Aliasextensions, 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

Mappings
  • rim: n/a
Extension.extension:dateDeemedMedicallyFit.url
Shortidentifies the meaning of the extension
Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality1..1
Typeuri
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
dateDeemedMedicallyFit
Mappings
  • rim: N/A
Extension.extension:dateDeemedMedicallyFit.value[x]:valueDateTime
ShortValue of extension
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Cardinality1..1
TypedateTime
Mappings
  • rim: N/A
Extension.url
Shortidentifies the meaning of the extension
Definition

Source of the definition for the extension code - a logical name or a URL.

Cardinality1..1
Typeuri
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
https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/Extension-SHD-MedicallyFitDetails
Mappings
  • rim: N/A
Extension.value[x]
ShortValue of extension
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Cardinality0..0
TypeReference(), base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, SampledData, Signature, Timing
Mappings
  • rim: N/A