UK Core Implementation Guide STU3 Sequence - Sprint 6 Review

StructureDefinition Extension-UKCore-LegalStatus

Information relating to a patient's legal status on admission or discharge.

Purpose

This extension extends the Encounter resource to support the exchange of information relating to a patient's legal status on admission or discharge, which is currently not supported by the FHIR standard.

Context of Use
Use on element Encounter

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value

Table View

Extension..
Extension.extension2..
Extension.extension1..1
Extension.extension.url..
Extension.extension.value[x]CodeableConcept1..
Extension.extension1..1
Extension.extension.url..
Extension.extension.value[x]CodeableConcept1..
Extension.url..
Extension.value[x]..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-LegalStatus" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus" />
    <version value="1.1.0" />
    <name value="ExtensionUKCoreLegalStatus" />
    <title value="Extension UK Core Legal Status" />
    <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="Information relating to a patient&#39;s legal status on admission or discharge." />
    <purpose value="This extension extends the Encounter Resource to support the exchange of information relating to a patient&#39;s legal status on admission or discharge, 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="Encounter" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="2" />
        </element>
        <element id="Extension.extension:legalStatusContext">
            <path value="Extension.extension" />
            <sliceName value="legalStatusContext" />
            <short value="The context of the legal status." />
            <definition value="The context of the legal status in which a mental health legal status is being used." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:legalStatusContext.url">
            <path value="Extension.extension.url" />
            <fixedUri value="legalStatusContext" />
        </element>
        <element id="Extension.extension:legalStatusContext.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="The context in which a mental health legal status is being used." />
            <definition value="The context in which a mental health legal status is being used." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="A set of codes that define the context in which a mental health legal status is being used." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-LegalStatusContext" />
            </binding>
        </element>
        <element id="Extension.extension:legalStatusClassification">
            <path value="Extension.extension" />
            <sliceName value="legalStatusClassification" />
            <short value="The classification of a patient&#39;s legal status." />
            <definition value="The classification of a patient&#39;s legal status, which is either informal or as designated in the Mental Health Act 1983 or other acts." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:legalStatusClassification.url">
            <path value="Extension.extension.url" />
            <fixedUri value="legalStatusClassification" />
        </element>
        <element id="Extension.extension:legalStatusClassification.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Codes that define the classification of a patient&#39;s legal status" />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <description value="A set of codes that define the classification of a patient&#39;s legal status which is either informal or as designated in the Mental Health Act 1983 or other acts." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-LegalStatusClassification" />
            </binding>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-LegalStatus",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus",
    "version": "1.1.0",
    "name": "ExtensionUKCoreLegalStatus",
    "title": "Extension UK Core Legal Status",
    "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": "Information relating to a patient's legal status on admission or discharge.",
    "purpose": "This extension extends the Encounter Resource to support the exchange of information relating to a patient's legal status on admission or discharge, 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": "Encounter"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 2
            },
            {
                "id": "Extension.extension:legalStatusContext",
                "path": "Extension.extension",
                "sliceName": "legalStatusContext",
                "short": "The context of the legal status.",
                "definition": "The context of the legal status in which a mental health legal status is being used.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:legalStatusContext.url",
                "path": "Extension.extension.url",
                "fixedUri": "legalStatusContext"
            },
            {
                "id": "Extension.extension:legalStatusContext.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "The context in which a mental health legal status is being used.",
                "definition": "The context in which a mental health legal status is being used.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "A set of codes that define the context in which a mental health legal status is being used.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-LegalStatusContext"
                }
            },
            {
                "id": "Extension.extension:legalStatusClassification",
                "path": "Extension.extension",
                "sliceName": "legalStatusClassification",
                "short": "The classification of a patient's legal status.",
                "definition": "The classification of a patient's legal status, which is either informal or as designated in the Mental Health Act 1983 or other acts.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:legalStatusClassification.url",
                "path": "Extension.extension.url",
                "fixedUri": "legalStatusClassification"
            },
            {
                "id": "Extension.extension:legalStatusClassification.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Codes that define the classification of a patient's legal status",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "description": "A set of codes that define the classification of a patient's legal status which is either informal or as designated in the Mental Health Act 1983 or other acts.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-LegalStatusClassification"
                }
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

Examples

Legal Status- An example to illustrate the extension which is used to indicate a patient's legal status on admission or discharge.
Example UKCore-Encounter-Extension-LegalStatus


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