Notice

This version of the NHS England Implementation Guide is currently under development.
This is a 'pre-release' version and exists for the purpose ofinternal review of the Clinical and Technical Assurance Sprint 1, and is not suitable for development purposes.

Organisation Data Service (ODS)

Data Manager

As a Data Manager:

I need access to a single source of data, so that I can assure that the information sourced is correct.
I need to bring data together from different sources, so that I get meaningful insights to improve patient care and drive change.
I need help deciding if the API is right for me, so that I get resources or use alternative methods.
I need to understand at a glance what fields are called, so that I can save time and confusion.
I need data on a regular basis (at least monthly), so that I can create reports that are up to date.
I need clearer definitions of roles and relationships so that my reports can track which organisations are operated, commissioned, directed etc and understand impacts of mergers.

Use Case Flows

Actors

Data Managers
Data Analysts

Frequency of Use

Daily, Weekly, Monthly

Triggers

Reporting requirements

Pre-conditions

Access to clear documentation on how to access and call the API.
Accurate and contemporaneous data available.
The Data Consumer's system is functional and has required space and mechanisms available for data import.

Post-conditions

Database is populated with data from ODS.
Reports created and run.
Data integrated into data visualisation tools such as Power BI.

Main Course

Send a request to ODS API for required data.
ODS API processes the request and initiates the data transfer.
Receive and store data in database.
Parse and validate the data.
If any data mismatches or errors are found, they will be logged for further review and action.

Alternative Course

If the initial data request is denied or doesn't go through due to issues like network problems or system failure, there must be a mechanism set in place to retry the request after a specific timeframe. 
Data can be manually updated in the directory to match what is published in the ODS database if needed.

Exception

If the ODS API is not accessible or new data is not available, the issue should be logged and attempt to connect again after a specific interval.

Clinical Systems Developer

As a Clinical Systems Developer:

I need a persistent organisation code identifier, so that I can be confident in the data I integrate to downstream systems.
I need a FHIR API, so that I can more easily integrate the data with other NHS systems.
I need to have access to good technical documentation, so that I can assess if the API is applicable for us and how it works.
I need clearer signposting to clearer information, so that I can save time.
I need easy access to relationship data, so that I can be confident that commissioning outcomes are correct.
I need to query intersections of organisation and geographical boundaries so that I can query for all the GP Practices in a statistical geography e.g., local authority.

Use Case Flows

Actors

Clinical Systems Developer

Frequency of Use

Daily, Weekly, Monthly

Triggers

Integration with downstream systems.

Pre-conditions

The ODS API is stable and populated with correct data.
Information on the data model and schemas is available.
Good technical documentation is available.

Post-conditions

Data is sent to downstream systems.
Data integrity checks.

Main Course

Write code for making scheduled calls to the API.
Write code to integrate ODS data with downstream systems.

Alternative Course

If the initial data request is denied or doesn't go through due to issues like network problems or system failure, there must be a mechanism set in place to retry the request after a specific timeframe. 
Data can be manually updated in the directory to match what is published in the ODS database if needed.

Exception

If the ODS API is not accessible or new data is not available, the issue should be logged and attempt to connect again after a specific interval.

Commissioner

As a Clinical Commissioner:

I need access to a single source of data, so that I can have complete confidence that the data is consistent and contemporaneous.
I need to know where the data comes from and when it was last changed, so that I no longer have to call to check or do extra work to verify data (last change data).
I need to be able to take data from one system and use it in another easily, so that I can save time cleaning and reformatting the data.
I need to have an easy 'look up' tool for codes – or to be able to tell at a glance what a code is for, so that I can check organisation codes don't already exist if I think I need a new one.
I need clear information on how to use the API, so that I can use it effectively.

Use Case Flows

Actors

Commissioners

Frequency of Use

Daily, Weekly, Monthly

Triggers

Payment requirements.

Pre-conditions

The payment system directory is updated with the new data from ODS.
Payments are calculated and sent for processing.
The system is ready for the next update from the ODS API

Post-conditions

The payment system directory is updated with the new data from ODS.
Payments are calculated and sent for processing.
The system is ready for the next update from the ODS API.

Main Course

Payment System sends a request to ODS API to check for new/amended data.
If new data is available, Payment System sends a request to import the new data.
ODS API processes the request and initiates the data transfer.
Payment System receives and stores the new data.
Payment System will then parse and validate the new data.
If any data mismatches or errors are found, they will be logged for further review and action.

Alternative Course

If the initial data request is denied or doesn't go through due to issues like network problems or system failure, there must be a mechanism set in place to retry the request after a specific timeframe. 
Data can be manually updated in the directory to match what is published in the ODS database if needed.

Exception

If the ODS API is not accessible or new data is not available, the issue should be logged and attempt to connect again after a specific interval.

Head Clinician

As a Head Clinician:

I need a persistent identifier, or unambiguous data, so that I can keep track of how well services are performing.
I need to match ODS codes to people, so that I can say ‘Dr X’ works at this practice – trends and patterns linked to Clinicians.
I need to compare geographic data, so that I can look into variations of patient care and reduce 'postcode lottery', compare Practices and Trusts.
I need to be able to spot patterns and trends in aggregated data, so that we can accelerate improvements to patient care.
I need to be able to visualise data, so that I can more quickly spot trends or anomalies.

Use Case Flows

Actors

Technically skilled clinicians

Frequency of Use

Daily

Triggers

Data for research and forecasting.

Pre-conditions

The ODS API is stable and populated with correct data.
Information on the data model and schemas is available.
Relationship, location, and organisation data is readily available.
Data is in interoperable formats.
Good technical documentation is available.

Post-conditions

Systems are updated with ODS data.
Systems data can integrate with upstream systems for research, forecasting and modelling purposes.

Main Course

Request sent to ODS API(s) for data.
ODS API should authenticate the user.
ODS API acknowledges and processes the request and initiates the data transfer.
ODS data is received and integrated with our systems.

Alternative Course

If the initial data request is denied or doesn't go through due to issues like network problems or system failure, there must be a mechanism set in place to retry the request after a specific timeframe. 
Data can be manually updated in the directory to match what is published in the ODS database if needed.

Exception

If the ODS API is not accessible or new data is not available, the issue should be logged and attempt to connect again after a specific interval.

Data Consumer

As a Data Consumer:

I need access to a single source of data, so that I can ensure that the information sourced is correct..
I need to query for recent changes so I can update my directory in an efficient manner without needing to sync the whole unchanged dataset.
I need help deciding if the API is right for me, so that I get resources or use alternative methods.
I need to understand at a glance what fields are called, so that I can save time and confusion when importing the data into the directory.
I need data on a regular basis (at least daily), so that the directory is always up to date.
I need clearer definitions of roles and relationships so that my directory can create a hierarchy of parent/child relationships between organisations.

Use Case Flows

Actors

Data Consumer

Frequency of Use

Daily

Triggers

Data source updates.

Pre-conditions

The Data Consumer has the necessary clearance and permissions to access the ODS API.
The ODS API must be accessible to the Data Consumer.
The ODS API should have the required and up-to-date data available.
The Data Consumer's system is functional and has the required space and mechanisms available for data import.

Post-conditions

The Data Consumer's directory is updated with the new data from ODS.
In case of any data mismatches or errors during the import process, they should be logged and corrective actions need to be taken.
The system is ready for the next update from the ODS API.

Main Course

Data Consumer sends a request to ODS API to check for new data.
ODS API authenticates and authorizes the Data Consumer.
ODS API sends a response indicating whether there's new data available.
If new data is available, Data Consumer sends a request to import the new data.
ODS API processes the request and initiates the data transfer.
Data Consumer receives and stores the new data in the directory.
Data Consumer will then parse and validate the new data.
If any data mismatches or errors are found, they will be logged for further review and action.

Alternative Course

If the initial data request from the Data Consumer is denied or doesn't go through due to issues like network problems or system failure, the data consumer must have a mechanism set in place to retry the request after a specific timeframe. 
Data can be manually updated in the directory to match what is published in the ODS database if needed.

Exception

If the ODS API is not accessible or new data is not available, the Data Consumer should log the issue and attempt to connect again after a specific interval.

National Payments System

As a National Payments System:

I need to obtain an accurate list of PCNs (Primary Care Networks) so that I can instigate payment processes for those entities
I need to identify which GP practices are partner to which PCN with associated dates, so that I can use the data to calculate the level of payment due to each PCN
I need to obtain confirmation of who the commissioner is for the PCN, so that I can ensure payments are made from the correct budget
I need to be able to identify who the nominated payee is for the PCN, so that payments can be made to the correct bank accounts
I need PCN relationship data to be reliable and timely, so that payments are made correctly

Use Case Flows

Actors

Technical/Solutions Architects and System Developers

Frequency of Use

Daily

Triggers

Payment requirements.

Pre-conditions

The ODS API must be accessible to the Payment System
The ODS API should have the required and up-to-date data available
The payment system is functional and has required space and mechanisms available for data import
Every PCN has an ODS code and associated reference data

Post-conditions

The payment system directory is updated with the new data from ODS
In case of any data mismatches or errors during the import process, they should be logged and corrective actions need to be taken
PCN payments calculated and sent for processing
The system is ready for the next update from the ODS API

Main Course

Payment System sends a request to ODS API to check for new/amended data
ODS API sends a response indicating whether there's new data available
If new data is available, Payment System sends a request to import the new data
ODS API processes the request and initiates the data transfer
Payment System receives and stores the new data in the directory
Payment System will then parse and validate the new data
If any data mismatches or errors are found, they will be logged for further review and action

Alternative Course

If the initial data request from the Payment System is denied or doesn't go through due to issues like network problems or system failure, the Payment System must have a mechanism set in place to retry the request after a specific timeframe
Data can be manually updated in the directory to match what is published in the ODS database if needed

Exception

If the ODS API is not accessible or new data is not available, the Payment System should log the issue and attempt to connect again after a specific interval

FHIR Assets for Sprint 1

StructureDefinition Extension-England-OrganisationRole

Canonical_URL	Description	Profile_Purpose
https://fhir.nhs.uk/England/StructureDefinition/Extension-England-OrganisationRole	An extension to describe the role of the organisation and whether this is it's primary role.	This extension extends the Organization resource to support the NHS England requirement for additional information about organisational roles.

Context of Use:

Organization

Tree View

Extension	I		Extension	Element Id Extension Short description An Extension to describe what an Organisation does and whether this is the primary role of the Organisation. Definition Optional Extension Element - found in all resources. 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 rim:N/A
extension	I	5..*	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 Sliced: Unordered, Open, by url(Value) 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
primaryRole	I	1..1	Extension	Element Id Extension.extension:primaryRole Short description This describes the type of role of the organisation. Alternate names extensions, user content Definition This denotes whether the specific role is primary or non primary. Where the Boolean value is true then this is a primary role. Conversely, if the Boolean value is false then this indicates this is a non primary role. 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 rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.extension:primaryRole.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 System.String Fixed Value primaryRole Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id Extension.extension:primaryRole.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 rim:N/A
valueBoolean			boolean	Data Type boolean
instanceID	I	1..1	Extension	Element Id Extension.extension:instanceID Short description Unique ID for each instance of an organisation role (organisation roles can be ended and then the organisation later undertakes same role again). 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 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
url		1..1	System.StringFixed Value	Element Id Extension.extension:instanceID.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 System.String Fixed Value instanceID Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id Extension.extension:instanceID.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 rim:N/A
valueInteger			integer	Data Type integer
code	I	1..1	ExtensionBinding	Element Id Extension.extension:code 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 Binding A ValueSet to identify the Organisation Data Service (ODS) role codes EnglandOrganisationRole (extensible) 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
url		1..1	System.StringFixed Value	Element Id Extension.extension:code.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 System.String Fixed Value code Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id Extension.extension:code.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 rim:N/A
valueCodeableConcept			CodeableConcept	Data Type CodeableConcept
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Extension.extension:code.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Extension.extension:code.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.extension:code.value[x].coding.version Short description Version 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. 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element Id Extension.extension:code.value[x].coding.code Short description Symbol 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.extension:code.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Extension.extension:code.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a 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 ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Extension.extension:code.value[x].text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
period	I	1..*	Extension	Element Id Extension.extension:period Short description Period of the role 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 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
url		1..1	System.StringFixed Value	Element Id Extension.extension:period.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 System.String Fixed Value period Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id Extension.extension:period.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 rim:N/A
valuePeriod			Period	Data Type Period
active	I	1..1	Extension	Element Id Extension.extension:active Short description Roles are either active or inactive Alternate names extensions, user content Definition Where the Boolean value is true, this means that the role is active. Conversely if the Boolean value is false, then this means that the role is inactive. 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 rim:N/A
url		1..1	System.StringFixed Value	Element Id Extension.extension:active.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 System.String Fixed Value active Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id Extension.extension:active.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 rim:N/A
valueBoolean			boolean	Data Type boolean
url		1..1	System.StringFixed 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 System.String Fixed Value https://fhir.nhs.uk/England/StructureDefinition/Extension-England-OrganisationRole 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 rim:N/A

Table View

Extension		..
Extension.extension		5..
Extension.extension		1..1
Extension.extension.url		..
Extension.extension.value[x]	boolean	1..
Extension.extension		1..1
Extension.extension.url		..
Extension.extension.value[x]	integer	1..
Extension.extension		1..1
Extension.extension.url		..
Extension.extension.value[x]	CodeableConcept	1..
Extension.extension.value[x].coding		..
Extension.extension.value[x].coding.code		1..
Extension.extension		1..
Extension.extension.url		..
Extension.extension.value[x]	Period	1..
Extension.extension		1..1
Extension.extension.url		..
Extension.extension.value[x]	boolean	1..
Extension.url		..
Extension.value[x]		..0

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-England-OrganisationRole" />
    <url value="https://fhir.nhs.uk/England/StructureDefinition/Extension-England-OrganisationRole" />
    <version value="1.0.0" />
    <name value="ExtensionEnglandOrganisationRole" />
    <title value="Extension England Organisation Role" />
    <status value="draft" />
    <date value="2023-10-18" />
    <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 to describe the role of the organisation and whether this is it&#39;s primary role." />
    <purpose value="This extension extends the Organization resource to support the NHS England requirement for additional information about organisational roles." />
    <copyright value="Copyright &#169; 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \&quot;License\&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at&#160; 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 \&quot;AS IS\&quot; 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&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at&#160; 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="Organization" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="An Extension to describe what an Organisation does and whether this is the primary role of the Organisation." />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <min value="5" />
        </element>
        <element id="Extension.extension:primaryRole">
            <path value="Extension.extension" />
            <sliceName value="primaryRole" />
            <short value="This describes the type of role of the organisation." />
            <definition value="This denotes whether the specific role is primary or non primary. Where the Boolean value is true then this is a primary role. Conversely, if the Boolean value is false then this indicates this is a non primary role." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:primaryRole.url">
            <path value="Extension.extension.url" />
            <fixedUri value="primaryRole" />
        </element>
        <element id="Extension.extension:primaryRole.value[x]">
            <path value="Extension.extension.value[x]" />
            <min value="1" />
            <type>
                <code value="boolean" />
            </type>
        </element>
        <element id="Extension.extension:instanceID">
            <path value="Extension.extension" />
            <sliceName value="instanceID" />
            <short value="Unique ID for each instance of an organisation role (organisation roles can be ended and then the organisation later undertakes same role again)." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:instanceID.url">
            <path value="Extension.extension.url" />
            <fixedUri value="instanceID" />
        </element>
        <element id="Extension.extension:instanceID.value[x]">
            <path value="Extension.extension.value[x]" />
            <min value="1" />
            <type>
                <code value="integer" />
            </type>
        </element>
        <element id="Extension.extension:code">
            <path value="Extension.extension" />
            <sliceName value="code" />
            <min value="1" />
            <max value="1" />
            <binding>
                <strength value="extensible" />
                <description value="A ValueSet to identify the Organisation Data Service (ODS) role codes" />
                <valueSet value="https://fhir.nhs.uk/England/ValueSet/England-OrganisationRole" />
            </binding>
        </element>
        <element id="Extension.extension:code.url">
            <path value="Extension.extension.url" />
            <fixedUri value="code" />
        </element>
        <element id="Extension.extension:code.value[x]">
            <path value="Extension.extension.value[x]" />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
        </element>
        <element id="Extension.extension:code.value[x].coding.code">
            <path value="Extension.extension.value[x].coding.code" />
            <min value="1" />
        </element>
        <element id="Extension.extension:period">
            <path value="Extension.extension" />
            <sliceName value="period" />
            <short value="Period of the role" />
            <min value="1" />
        </element>
        <element id="Extension.extension:period.url">
            <path value="Extension.extension.url" />
            <fixedUri value="period" />
        </element>
        <element id="Extension.extension:period.value[x]">
            <path value="Extension.extension.value[x]" />
            <min value="1" />
            <type>
                <code value="Period" />
            </type>
        </element>
        <element id="Extension.extension:active">
            <path value="Extension.extension" />
            <sliceName value="active" />
            <short value="Roles are either active or inactive" />
            <definition value="Where the Boolean value is true, this means that the role is active.  Conversely if the Boolean value is false, then this means that the role is inactive." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:active.url">
            <path value="Extension.extension.url" />
            <fixedUri value="active" />
        </element>
        <element id="Extension.extension:active.value[x]">
            <path value="Extension.extension.value[x]" />
            <min value="1" />
            <type>
                <code value="boolean" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.nhs.uk/England/StructureDefinition/Extension-England-OrganisationRole" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-England-OrganisationRole",
    "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-OrganisationRole",
    "version": "1.0.0",
    "name": "ExtensionEnglandOrganisationRole",
    "title": "Extension England Organisation Role",
    "status": "draft",
    "date": "2023-10-18",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "An extension to describe the role of the organisation and whether this is it's primary role.",
    "purpose": "This extension extends the Organization resource to support the NHS England requirement for additional information about organisational roles.",
    "copyright": "Copyright © 2023+ 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": "Organization"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An Extension to describe what an Organisation does and whether this is the primary role of the Organisation."
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "min": 5
            },
            {
                "id": "Extension.extension:primaryRole",
                "path": "Extension.extension",
                "sliceName": "primaryRole",
                "short": "This describes the type of role of the organisation.",
                "definition": "This denotes whether the specific role is primary or non primary. Where the Boolean value is true then this is a primary role. Conversely, if the Boolean value is false then this indicates this is a non primary role.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:primaryRole.url",
                "path": "Extension.extension.url",
                "fixedUri": "primaryRole"
            },
            {
                "id": "Extension.extension:primaryRole.value[x]",
                "path": "Extension.extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            },
            {
                "id": "Extension.extension:instanceID",
                "path": "Extension.extension",
                "sliceName": "instanceID",
                "short": "Unique ID for each instance of an organisation role (organisation roles can be ended and then the organisation later undertakes same role again).",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:instanceID.url",
                "path": "Extension.extension.url",
                "fixedUri": "instanceID"
            },
            {
                "id": "Extension.extension:instanceID.value[x]",
                "path": "Extension.extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "integer"
                    }
                ]
            },
            {
                "id": "Extension.extension:code",
                "path": "Extension.extension",
                "sliceName": "code",
                "min": 1,
                "max": "1",
                "binding": {
                    "strength": "extensible",
                    "description": "A ValueSet to identify the Organisation Data Service (ODS) role codes",
                    "valueSet": "https://fhir.nhs.uk/England/ValueSet/England-OrganisationRole"
                }
            },
            {
                "id": "Extension.extension:code.url",
                "path": "Extension.extension.url",
                "fixedUri": "code"
            },
            {
                "id": "Extension.extension:code.value[x]",
                "path": "Extension.extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ]
            },
            {
                "id": "Extension.extension:code.value[x].coding.code",
                "path": "Extension.extension.value[x].coding.code",
                "min": 1
            },
            {
                "id": "Extension.extension:period",
                "path": "Extension.extension",
                "sliceName": "period",
                "short": "Period of the role",
                "min": 1
            },
            {
                "id": "Extension.extension:period.url",
                "path": "Extension.extension.url",
                "fixedUri": "period"
            },
            {
                "id": "Extension.extension:period.value[x]",
                "path": "Extension.extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "Period"
                    }
                ]
            },
            {
                "id": "Extension.extension:active",
                "path": "Extension.extension",
                "sliceName": "active",
                "short": "Roles are either active or inactive",
                "definition": "Where the Boolean value is true, this means that the role is active.  Conversely if the Boolean value is false, then this means that the role is inactive.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:active.url",
                "path": "Extension.extension.url",
                "fixedUri": "active"
            },
            {
                "id": "Extension.extension:active.value[x]",
                "path": "Extension.extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-OrganisationRole"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

Examples

Note:There is currently no example that uses this extension. An example will be added in a future release.

Extension Specific Guidance

There is a binding within this extension to ValueSet-England-OrganisationRole.

England ODS Organisation Role

Description
A set of codes that define the role of an organisation using the Organisation Data Service (ODS).

HTML View

This code system https://fhir.nhs.uk/England/CodeSystem/England-ODSOrganisationRole defines many codes, but they are not represented here

Table View

CodeSystem.id[0]	England-ODSOrganisationRole
CodeSystem.url[0]	https://fhir.nhs.uk/England/CodeSystem/England-ODSOrganisationRole
CodeSystem.version[0]	1.0.0
CodeSystem.name[0]	EnglandODSOrganisationRole
CodeSystem.title[0]	England ODS Organisation Role
CodeSystem.status[0]	draft
CodeSystem.date[0]	2023-10-18
CodeSystem.publisher[0]	NHS England
CodeSystem.contact[0].name[0]	NHS England
CodeSystem.contact[0].telecom[0].system[0]	email
CodeSystem.contact[0].telecom[0].value[0]	interoperabilityteam@nhs.net
CodeSystem.contact[0].telecom[0].use[0]	work
CodeSystem.contact[0].telecom[0].rank[0]	1
CodeSystem.description[0]	A set of codes that define the role of an organisation using the Organisation Data Service (ODS).
CodeSystem.copyright[0]	Copyright © 2023+ 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.
CodeSystem.content[0]	not-present

XML View

<CodeSystem xmlns="http://hl7.org/fhir">
    <id value="England-ODSOrganisationRole" />
    <url value="https://fhir.nhs.uk/England/CodeSystem/England-ODSOrganisationRole" />
    <version value="1.0.0" />
    <name value="EnglandODSOrganisationRole" />
    <title value="England ODS Organisation Role" />
    <status value="draft" />
    <date value="2023-10-18" />
    <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="A set of codes that define the role of an organisation using the Organisation Data Service (ODS)." />
    <copyright value="Copyright &#169; 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \&quot;License\&quot;); 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 \&quot;AS IS\&quot; 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&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <content value="not-present" />
</CodeSystem>

JSON View

{
    "resourceType": "CodeSystem",
    "id": "England-ODSOrganisationRole",
    "url": "https://fhir.nhs.uk/England/CodeSystem/England-ODSOrganisationRole",
    "version": "1.0.0",
    "name": "EnglandODSOrganisationRole",
    "title": "England ODS Organisation Role",
    "status": "draft",
    "date": "2023-10-18",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "A set of codes that define the role of an organisation using the Organisation Data Service (ODS).",
    "copyright": "Copyright © 2023+ 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.",
    "content": "not-present"
}

England Organisation Role

HTML View

ValueSet 'EnglandOrganisationRole'

Version	1.0.0
Published by	NHS England
Status	Draft (since 2023-10-18)

This valueset defines the codes used to identify the role of an organisation.

Contact Information

NHS England

Email: interoperabilityteam@nhs.net

This value set includes codes from the following code systems:

Import all codes from CodeSystem EnglandODSOrganisationRole

Table View

ValueSet.id[0]	England-OrganisationRole
ValueSet.url[0]	https://fhir.nhs.uk/England/ValueSet/England-OrganisationRole
ValueSet.version[0]	1.0.0
ValueSet.name[0]	EnglandOrganisationRole
ValueSet.title[0]	England Organisation Role
ValueSet.status[0]	draft
ValueSet.date[0]	2023-10-18
ValueSet.publisher[0]	NHS England
ValueSet.contact[0].name[0]	NHS England
ValueSet.contact[0].telecom[0].system[0]	email
ValueSet.contact[0].telecom[0].value[0]	interoperabilityteam@nhs.net
ValueSet.contact[0].telecom[0].use[0]	work
ValueSet.contact[0].telecom[0].rank[0]	1
ValueSet.description[0]	This valueset defines the codes used to identify the role of an organisation.
ValueSet.copyright[0]	Copyright © 2023+ 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.
ValueSet.compose[0].include[0].system[0]	https://fhir.nhs.uk/England/CodeSystem/England-ODSOrganisationRole

XML View

<ValueSet xmlns="http://hl7.org/fhir">
    <id value="England-OrganisationRole" />
    <url value="https://fhir.nhs.uk/England/ValueSet/England-OrganisationRole" />
    <version value="1.0.0" />
    <name value="EnglandOrganisationRole" />
    <title value="England Organisation Role" />
    <status value="draft" />
    <date value="2023-10-18" />
    <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="This valueset defines the codes used to identify the role of an organisation." />
    <copyright value="Copyright &#169; 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \&quot;License\&quot;); 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 \&quot;AS IS\&quot; 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&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <compose>
        <include>
            <system value="https://fhir.nhs.uk/England/CodeSystem/England-ODSOrganisationRole" />
        </include>
    </compose>
</ValueSet>

JSON View

{
    "resourceType": "ValueSet",
    "id": "England-OrganisationRole",
    "url": "https://fhir.nhs.uk/England/ValueSet/England-OrganisationRole",
    "version": "1.0.0",
    "name": "EnglandOrganisationRole",
    "title": "England Organisation Role",
    "status": "draft",
    "date": "2023-10-18",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This valueset defines the codes used to identify the role of an organisation.",
    "copyright": "Copyright © 2023+ 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.",
    "compose": {
        "include":  [
            {
                "system": "https://fhir.nhs.uk/England/CodeSystem/England-ODSOrganisationRole"
            }
        ]
    }
}

StructureDefinition Extension-England-DateTime

Canonical_URL	Description	Profile_Purpose
https://fhir.nhs.uk/England/StructureDefinition/Extension-England-DateTime	This supports the exchange of non-clinical business dates and times. The extension date and/or time is carried along with a code to identify the type of date and/or time.	This extension extends the Encounter, the Communication, the Organization and the OrganizationAffiliation resources to support the exchange of information describing the specific business related date and/or time.

Context of Use:

Organization, OrganizationAffiliation

Tree View

Extension	I		Extension	Element Id Extension Short description This supports the exchange of dates and/or times. Definition This supports the exchange of dates and/or times. The extension date and/or time is carried along with a code to identify the type of date and/or time. 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 rim:N/A
extension	I	2..*	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 Sliced: Unordered, Open, by url(Value) 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
type	I	1..1	Extension	Element Id Extension.extension:type Short description Code to identify the type of time/date. 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 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
url		1..1	System.StringFixed Value	Element Id Extension.extension:type.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 System.String Fixed Value type Mappings rim:N/A
value[x]		1..1	Binding	Element Id Extension.extension:type.value[x] Short description A ValueSet to identify the type of business date time. Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding The type of business date time. EnglandTypedDateTime (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCoding			Coding	Data Type Coding
dateTime	I	1..1	Extension	Element Id Extension.extension:dateTime Short description The specific business related date and/or time. 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 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
url		1..1	System.StringFixed Value	Element Id Extension.extension:dateTime.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 System.String Fixed Value dateTime Mappings rim:N/A
value[x]		1..1		Element Id Extension.extension:dateTime.value[x] Short description The date and/or time. 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 rim:N/A
valueDateTime			dateTime	Data Type dateTime
url		1..1	System.StringFixed 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 System.String Fixed Value https://fhir.nhs.uk/England/StructureDefinition/Extension-England-DateTime 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 rim:N/A

Table View

Extension		..
Extension.extension		2..
Extension.extension		1..1
Extension.extension.url		..
Extension.extension.value[x]	Coding	1..
Extension.extension		1..1
Extension.extension.url		..
Extension.extension.value[x]	dateTime	1..
Extension.url		..
Extension.value[x]		..0

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-England-DateTime" />
    <url value="https://fhir.nhs.uk/England/StructureDefinition/Extension-England-DateTime" />
    <version value="1.0.0" />
    <name value="ExtensionEnglandDateTime" />
    <title value="Extension England Date Time" />
    <status value="draft" />
    <date value="2023-10-24" />
    <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="This supports the exchange of non-clinical business dates and times.  The extension date and/or time is carried along with a code to identify the type of date and/or time." />
    <purpose value="This extension extends the Encounter, the Communication, the Organization and the OrganizationAffiliation resources to support the exchange of information describing the specific business related date and/or time." />
    <copyright value="Copyright &#169; 2023+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); 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 &quot;AS IS&quot; 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&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; 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" />
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <kind value="complex-type" />
    <abstract value="false" />
    <context>
        <type value="element" />
        <expression value="Organization" />
    </context>
    <context>
        <type value="element" />
        <expression value="OrganizationAffiliation" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="This supports the exchange of dates and/or times." />
            <definition value="This supports the exchange of dates and/or times.  The extension date and/or time is carried along with a code to identify the type of date and/or time." />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <min value="2" />
        </element>
        <element id="Extension.extension:type">
            <path value="Extension.extension" />
            <sliceName value="type" />
            <short value="Code to identify the type of time/date." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:type.url">
            <path value="Extension.extension.url" />
            <fixedUri value="type" />
        </element>
        <element id="Extension.extension:type.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="A ValueSet to identify the type of business date time." />
            <min value="1" />
            <type>
                <code value="Coding" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="The type of business date time." />
                <valueSet value="https://fhir.nhs.uk/England/ValueSet/England-TypedDateTime" />
            </binding>
        </element>
        <element id="Extension.extension:dateTime">
            <path value="Extension.extension" />
            <sliceName value="dateTime" />
            <short value="The specific business related date and/or time." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:dateTime.url">
            <path value="Extension.extension.url" />
            <fixedUri value="dateTime" />
        </element>
        <element id="Extension.extension:dateTime.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="The date and/or time." />
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.nhs.uk/England/StructureDefinition/Extension-England-DateTime" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-England-DateTime",
    "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-DateTime",
    "version": "1.0.0",
    "name": "ExtensionEnglandDateTime",
    "title": "Extension England Date Time",
    "status": "draft",
    "date": "2023-10-24",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This supports the exchange of non-clinical business dates and times.  The extension date and/or time is carried along with a code to identify the type of date and/or time.",
    "purpose": "This extension extends the Encounter, the Communication, the Organization and the OrganizationAffiliation resources to support the exchange of information describing the specific business related date and/or time.",
    "copyright": "Copyright © 2023+ HL7 UK 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",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Organization"
        },
        {
            "type": "element",
            "expression": "OrganizationAffiliation"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "This supports the exchange of dates and/or times.",
                "definition": "This supports the exchange of dates and/or times.  The extension date and/or time is carried along with a code to identify the type of date and/or time."
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "min": 2
            },
            {
                "id": "Extension.extension:type",
                "path": "Extension.extension",
                "sliceName": "type",
                "short": "Code to identify the type of time/date.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:type.url",
                "path": "Extension.extension.url",
                "fixedUri": "type"
            },
            {
                "id": "Extension.extension:type.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "A ValueSet to identify the type of business date time.",
                "min": 1,
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "The type of business date time.",
                    "valueSet": "https://fhir.nhs.uk/England/ValueSet/England-TypedDateTime"
                }
            },
            {
                "id": "Extension.extension:dateTime",
                "path": "Extension.extension",
                "sliceName": "dateTime",
                "short": "The specific business related date and/or time.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:dateTime.url",
                "path": "Extension.extension.url",
                "fixedUri": "dateTime"
            },
            {
                "id": "Extension.extension:dateTime.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "The date and/or time.",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-DateTime"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

Examples

Note:There is currently no example that uses this extension. An example will be added in a future release.

Extension Specific Guidance

There is a binding within this extension to ValueSet-England-TypedDateTime

England ORD Date Time

Description
A set of codes that define the type of Organisation Reference Data (ORD) date and time being recorded, for the Organisation Data Service (ODS).

HTML View

This code system https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime defines the following codes:

Code	Display	Definition
last-change-date	Last Change Date	The date and time that the ORD data was last changed

Table View

CodeSystem.id[0]	England-ORDDateTime
CodeSystem.url[0]	https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime
CodeSystem.version[0]	1.0.0
CodeSystem.name[0]	EnglandORDDateTime
CodeSystem.title[0]	England ORD Date Time
CodeSystem.status[0]	draft
CodeSystem.date[0]	2023-10-24
CodeSystem.publisher[0]	NHS England
CodeSystem.contact[0].name[0]	NHS England
CodeSystem.contact[0].telecom[0].system[0]	email
CodeSystem.contact[0].telecom[0].value[0]	interoperabilityteam@nhs.net
CodeSystem.contact[0].telecom[0].use[0]	work
CodeSystem.contact[0].telecom[0].rank[0]	1
CodeSystem.description[0]	A set of codes that define the type of Organisation Reference Data (ORD) date and time being recorded, for the Organisation Data Service (ODS).
CodeSystem.copyright[0]	Copyright © 2023+ 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.
CodeSystem.caseSensitive[0]	True
CodeSystem.content[0]	complete
CodeSystem.concept[0].code[0]	last-change-date
CodeSystem.concept[0].display[0]	Last Change Date
CodeSystem.concept[0].definition[0]	The date and time that the ORD data was last changed

XML View

<CodeSystem xmlns="http://hl7.org/fhir">
    <id value="England-ORDDateTime" />
    <url value="https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime" />
    <version value="1.0.0" />
    <name value="EnglandORDDateTime" />
    <title value="England ORD Date Time" />
    <status value="draft" />
    <date value="2023-10-24" />
    <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="A set of codes that define the type of Organisation Reference Data (ORD) date and time being recorded, for the Organisation Data Service (ODS)." />
    <copyright value="Copyright &#169; 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \&quot;License\&quot;); 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 \&quot;AS IS\&quot; 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&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <caseSensitive value="true" />
    <content value="complete" />
    <concept>
        <code value="last-change-date" />
        <display value="Last Change Date" />
        <definition value="The date and time that the ORD data was last changed" />
    </concept>
</CodeSystem>

JSON View

{
    "resourceType": "CodeSystem",
    "id": "England-ORDDateTime",
    "url": "https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime",
    "version": "1.0.0",
    "name": "EnglandORDDateTime",
    "title": "England ORD Date Time",
    "status": "draft",
    "date": "2023-10-24",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "A set of codes that define the type of Organisation Reference Data (ORD) date and time being recorded, for the Organisation Data Service (ODS).",
    "copyright": "Copyright © 2023+ 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.",
    "caseSensitive": true,
    "content": "complete",
    "concept":  [
        {
            "code": "last-change-date",
            "display": "Last Change Date",
            "definition": "The date and time that the ORD data was last changed"
        }
    ]
}

England Typed Date Time

HTML View

ValueSet 'EnglandTypedDateTime'

Version	1.0.0
Published by	NHS England
Status	Draft (since 2023-10-24)

This ValueSet defines the set of codes that can be used to describe the type of business date and time being recorded.

Contact Information

NHS England

Email: interoperabilityteam@nhs.net

This value set includes codes from the following code systems:

Import all codes from CodeSystem EnglandORDDateTime

Expansion

This expansion was generated on 2023-10-24T17:45:44+00:00

This value set contains 1 concepts

Code	System	Display
last-change-date	https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime	Last Change Date

Table View

ValueSet.id[0]	England-TypedDateTime
ValueSet.url[0]	https://fhir.nhs.uk/England/ValueSet/England-TypedDateTime
ValueSet.version[0]	1.0.0
ValueSet.name[0]	EnglandTypedDateTime
ValueSet.title[0]	England Typed Date Time
ValueSet.status[0]	draft
ValueSet.date[0]	2023-10-24
ValueSet.publisher[0]	NHS England
ValueSet.contact[0].name[0]	NHS England
ValueSet.contact[0].telecom[0].system[0]	email
ValueSet.contact[0].telecom[0].value[0]	interoperabilityteam@nhs.net
ValueSet.contact[0].telecom[0].use[0]	work
ValueSet.contact[0].telecom[0].rank[0]	1
ValueSet.description[0]	This ValueSet defines the set of codes that can be used to describe the type of business date and time being recorded.
ValueSet.copyright[0]	Copyright © 2023+ 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.
ValueSet.compose[0].include[0].system[0]	https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime
ValueSet.expansion[0].identifier[0]	0782b2cc-5813-434e-bb6c-1cf79f2ca01d
ValueSet.expansion[0].timestamp[0]	2023-10-24T17:45:44+00:00
ValueSet.expansion[0].total[0]	1
ValueSet.expansion[0].offset[0]	0
ValueSet.expansion[0].contains[0].system[0]	https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime
ValueSet.expansion[0].contains[0].code[0]	last-change-date
ValueSet.expansion[0].contains[0].display[0]	Last Change Date

XML View

<ValueSet xmlns="http://hl7.org/fhir">
    <id value="England-TypedDateTime" />
    <url value="https://fhir.nhs.uk/England/ValueSet/England-TypedDateTime" />
    <version value="1.0.0" />
    <name value="EnglandTypedDateTime" />
    <title value="England Typed Date Time" />
    <status value="draft" />
    <date value="2023-10-24" />
    <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="This ValueSet defines the set of codes that can be used to describe the type of business date and time being recorded." />
    <copyright value="Copyright &#169; 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \&quot;License\&quot;); 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 \&quot;AS IS\&quot; 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&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <compose>
        <include>
            <system value="https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime" />
        </include>
    </compose>
    <expansion>
        <identifier value="0782b2cc-5813-434e-bb6c-1cf79f2ca01d" />
        <timestamp value="2023-10-24T17:45:44+00:00" />
        <total value="1" />
        <offset value="0" />
        <contains>
            <system value="https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime" />
            <code value="last-change-date" />
            <display value="Last Change Date" />
        </contains>
    </expansion>
</ValueSet>

JSON View

{
    "resourceType": "ValueSet",
    "id": "England-TypedDateTime",
    "url": "https://fhir.nhs.uk/England/ValueSet/England-TypedDateTime",
    "version": "1.0.0",
    "name": "EnglandTypedDateTime",
    "title": "England Typed Date Time",
    "status": "draft",
    "date": "2023-10-24",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This ValueSet defines the set of codes that can be used to describe the type of business date and time being recorded.",
    "copyright": "Copyright © 2023+ 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.",
    "compose": {
        "include":  [
            {
                "system": "https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime"
            }
        ]
    },
    "expansion": {
        "identifier": "0782b2cc-5813-434e-bb6c-1cf79f2ca01d",
        "timestamp": "2023-10-24T17:45:44+00:00",
        "total": 1,
        "offset": 0,
        "contains":  [
            {
                "system": "https://fhir.nhs.uk/England/CodeSystem/England-ORDDateTime",
                "code": "last-change-date",
                "display": "Last Change Date"
            }
        ]
    }
}