Notice

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

All Extensions

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.

Propose a change to Extension-England-DateTime

Extension Specific Guidance

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

StructureDefinition Extension-England-FlagRemovalReason

Canonical_URL	Description	Profile_Purpose
https://fhir.nhs.uk/England/StructureDefinition/Extension-England-FlagRemovalReason	An extension used to allow the removal of a Flag and to indicate the reason why the Flag needs removal or has been removed.	The extension extends the Flag resource to support the NHS England requirements for removal of Flags with a stated reason.

Context of Use:

Flag

Tree View

Extension	I		Extension	There are no (further) constraints on this element Element Id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data Type Extension 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.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-FlagRemovalReason Mappings rim:N/A
value[x]		1..1	Binding	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). Binding EnglandFlagRemovalReason (required) 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
system	Σ	1..1	uri	There are no (further) constraints on this element Element Id Extension.value[x].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.value[x].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.value[x].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.value[x].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.value[x].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 ]

Table View

Extension		..
Extension.url		..
Extension.value[x]	Coding	1..
Extension.value[x].system		1..
Extension.value[x].code		1..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-England-FlagRemovalReason" />
    <url value="https://fhir.nhs.uk/England/StructureDefinition/Extension-England-FlagRemovalReason" />
    <version value="1.0.0" />
    <name value="ExtensionEnglandFlagRemovalReason" />
    <title value="Extension England Flag Removal Reason" />
    <status value="draft" />
    <date value="2023-08-18" />
    <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 used to allow the removal of a Flag and to indicate the reason why the Flag needs removal or has been removed." />
    <purpose value="The extension extends the Flag resource to support the NHS England requirements for removal of Flags with a stated reason." />
    <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." />
    <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="Flag" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.nhs.uk/England/StructureDefinition/Extension-England-FlagRemovalReason" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="Coding" />
            </type>
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.nhs.uk/England/ValueSet/England-FlagRemovalReason" />
            </binding>
        </element>
        <element id="Extension.value[x].system">
            <path value="Extension.value[x].system" />
            <min value="1" />
        </element>
        <element id="Extension.value[x].code">
            <path value="Extension.value[x].code" />
            <min value="1" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-England-FlagRemovalReason",
    "url": "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-FlagRemovalReason",
    "version": "1.0.0",
    "name": "ExtensionEnglandFlagRemovalReason",
    "title": "Extension England Flag Removal Reason",
    "status": "draft",
    "date": "2023-08-18",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "An extension used to allow the removal of a Flag and to indicate the reason why the Flag needs removal or has been removed.",
    "purpose": "The extension extends the Flag resource to support the NHS England requirements for removal of Flags with a stated reason.",
    "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",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Flag"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-FlagRemovalReason"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.nhs.uk/England/ValueSet/England-FlagRemovalReason"
                }
            },
            {
                "id": "Extension.value[x].system",
                "path": "Extension.value[x].system",
                "min": 1
            },
            {
                "id": "Extension.value[x].code",
                "path": "Extension.value[x].code",
                "min": 1
            }
        ]
    }
}

Examples

Note:Various Examples to illustrate the outcome of an attempted system operation on flag status,error or warning codes in response to a request

Propose a change to Extension-England-FlagRemovalReason

Extension Specific Guidance

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

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.

Propose a change to Extension-England-OrganisationRole

Extension Specific Guidance

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

NHS England Implementation Guide STU1 - Sprint 1 Review

1.0.0-sprint-1-review

All Extensions

StructureDefinition Extension-England-DateTime

Tree View

Table View

XML View

JSON View

Examples

Propose a change to Extension-England-DateTime

Extension Specific Guidance

StructureDefinition Extension-England-FlagRemovalReason

Tree View

Table View

XML View

JSON View

Examples

Propose a change to Extension-England-FlagRemovalReason

Extension Specific Guidance

StructureDefinition Extension-England-OrganisationRole

Tree View

Table View

XML View

JSON View

Examples

Propose a change to Extension-England-OrganisationRole

Extension Specific Guidance