UK Core Implementation Guide STU3 Sequence

Please note:

This version of the UK Core is for C&TA Sprint 7 Review.
This version is not suitable for implementation. Other versions are available on the UK Core Version History Guide
Please follow the guidance on the Contact Us page if you need any assistance.
A summary of changes is available on the STU3 Sequence Change Log

An example to illustrate the extension which is used to indicate a patient's legal status on admission or discharge

Table View

Encounter.id[0]	UKCore-Extension-LegalStatus-Example
Encounter.extension[0].extension[0].url[0]	legalStatusContext
Encounter.extension[0].extension[0].value[0].coding[0].system[0]	https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusContext
Encounter.extension[0].extension[0].value[0].coding[0].code[0]	admission
Encounter.extension[0].extension[0].value[0].coding[0].display[0]	Admission
Encounter.extension[0].extension[1].url[0]	legalStatusClassification
Encounter.extension[0].extension[1].value[0].coding[0].system[0]	https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusClassificationWales
Encounter.extension[0].extension[1].value[0].coding[0].code[0]	02
Encounter.extension[0].extension[1].value[0].coding[0].display[0]	Formally detained under Mental Health Act Section 2 (Admission for assessment)
Encounter.extension[0].url[0]	https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus
Encounter.status[0]	finished
Encounter.class[0].system[0]	http://terminology.hl7.org/CodeSystem/v3-ActCode
Encounter.class[0].code[0]	IMP
Encounter.class[0].display[0]	inpatient encounter

XML View

<Encounter xmlns="http://hl7.org/fhir">
    <id value="UKCore-Extension-LegalStatus-Example" />
    <!--  **************extension start**************  -->
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus">
        <extension url="legalStatusContext">
            <valueCodeableConcept>
                <coding>
                    <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusContext" />
                    <code value="admission" />
                    <display value="Admission" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="legalStatusClassification">
            <valueCodeableConcept>
                <coding>
                    <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusClassificationWales" />
                    <code value="02" />
                    <display value="Formally detained under Mental Health Act Section 2 (Admission for assessment)" />
                </coding>
            </valueCodeableConcept>
        </extension>
    </extension>
    <!--  **************extension end**************  -->
    <status value="finished" />
    <class>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
        <code value="IMP" />
        <display value="inpatient encounter" />
    </class>
</Encounter>

JSON View

{
    "resourceType": "Encounter",
    "id": "UKCore-Extension-LegalStatus-Example",
    "extension":  [
        {
            "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus",
            "extension":  [
                {
                    "url": "legalStatusContext",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusContext",
                                "code": "admission",
                                "display": "Admission"
                            }
                        ]
                    }
                },
                {
                    "url": "legalStatusClassification",
                    "valueCodeableConcept": {
                        "coding":  [
                            {
                                "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusClassificationWales",
                                "code": "02",
                                "display": "Formally detained under Mental Health Act Section 2 (Admission for assessment)"
                            }
                        ]
                    }
                }
            ]
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    }
}