UK Core Implementation Guide STU3 Sequence - Sprint 6 Review

StructureDefinition Extension-UKCoreAnaestheticIssues

An extension to support recording of details of any adverse reaction to any anaesthetic agents including local anaesthesia and problematic intubation, transfusion reaction, etc.

Purpose

This extension extends the Procedure Resource to support the exchange of information supporting the recording of details of any adverse reaction to any anaesthetic agents (including local anaesthesia and problematic intubation, transfusion reaction, etc.), which is currently not supported by the FHIR standard.

Context of Use
Use on element Procedure

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
valueReferenceReference(UK Core Condition)

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
valueReferenceReference(UK Core Condition)

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
valueReferenceReference(UK Core Condition)

Table View

Extension..
Extension.url..
Extension.value[x]CodeableConcept, Reference(UK Core Condition)1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-AnaestheticIssues" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AnaestheticIssues" />
    <version value="2.2.0" />
    <name value="ExtensionUKCoreAnaestheticIssues" />
    <title value="Extension UK Core Anaesthetic Issues" />
    <status value="active" />
    <date value="2022-12-16" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="ukcore@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <description value="An extension to support recording of details of any adverse reaction to any anaesthetic agents including local anaesthesia and problematic intubation, transfusion reaction, etc." />
    <purpose value="This extension extends the Procedure Resource to support the exchange of information supporting the recording of details of any adverse reaction to any anaesthetic agents (including local anaesthesia and problematic intubation, transfusion reaction, etc.), which is currently not supported by the FHIR standard." />
    <copyright value="Copyright &#169; 2021+ 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="Procedure" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Details of any adverse reaction to any anaesthetic agents" />
            <definition value="Details of any adverse reaction to any anaesthetic agents." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AnaestheticIssues" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Snomed Concept or a link to the Condition resource" />
            <definition value="Snomed Concept or a link to the Condition resource." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
            </type>
            <binding>
                <strength value="preferred" />
                <description value="A code from the SNOMED Clinical Terminology UK with the expression (&lt;404684003 |Clinical finding| OR &amp;lt; 413350009 |Finding with explicit context| OR &lt;272379006 |Event|)" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-AnaestheticIssues",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AnaestheticIssues",
    "version": "2.2.0",
    "name": "ExtensionUKCoreAnaestheticIssues",
    "title": "Extension UK Core Anaesthetic Issues",
    "status": "active",
    "date": "2022-12-16",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "An extension to support recording of details of any adverse reaction to any anaesthetic agents including local anaesthesia and problematic intubation, transfusion reaction, etc.",
    "purpose": "This extension extends the Procedure Resource to support the exchange of information supporting the recording of details of any adverse reaction to any anaesthetic agents (including local anaesthesia and problematic intubation, transfusion reaction, etc.), which is currently not supported by the FHIR standard.",
    "copyright": "Copyright © 2021+ 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": "Procedure"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Details of any adverse reaction to any anaesthetic agents",
                "definition": "Details of any adverse reaction to any anaesthetic agents."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AnaestheticIssues"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Snomed Concept or a link to the Condition resource",
                "definition": "Snomed Concept or a link to the Condition resource.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    },
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition"
                        ]
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "description": "A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR &lt; 413350009 |Finding with explicit context| OR <272379006 |Event|)",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode"
                }
            }
        ]
    }
}

Examples

Anaesthetic Issues- An example to illustrate the extension which is used to indicate details of any adverse reaction to any anaesthetic agents including local anaesthesia and problematic intubation, transfusion reaction, etc.
Example UKCore-Procedure-Extension-AnaestheticIssues


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