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

StructureDefinition Extension-UKCore-Participant

Canonical_URL	Description	Profile_Purpose
http://hl7.org/fhir/5.0/StructureDefinition/extension-FamilyMemberHistory.participant	An extension to indicate who or what participated in the activities related to the family member history and how they were involved.	This extension is a Genomics use case to replicate the R5 FamilyMemberHistory.participant functionality in R4, and is to be used to indicate who or what participated in the activities related to the family member history and how they were involved.

Context of Use

FamilyMemberHistory

Tree View

Extension	I		Extension	Element Id Extension Short description Who or what participated in the activities related to the family member history. Definition An extension to record who or what participated in the activities related to the family member history. 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	1..*	Extension	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
function	I	0..1	ExtensionBinding	Element Id Extension.extension:function Short description The type of involvement in the activities related to the family member history. Alternate names extensions, user content Definition Distinguishes the type of involvement of the actor in the activities related to the family member history. 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 ParticipationRoleType (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:function.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 function Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id Extension.extension:function.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
actor	I	1..1	Extension	Element Id Extension.extension:actor Short description Who or what participated in the activities related to the family member history. Alternate names extensions, user content Definition Indicates who or what participated in the activities related to the family member history. 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:actor.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 actor Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id Extension.extension:actor.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
valueReference			Reference(UK Core Patient \| UK Core Practitioner \| UK Core PractitionerRole \| UK Core RelatedPerson \| UK Core Device \| UK Core Organization \| UK Core CareTeam)	Data Type Reference(UK Core Patient \| UK Core Practitioner \| UK Core PractitionerRole \| UK Core RelatedPerson \| UK Core Device \| UK Core Organization \| UK Core CareTeam)
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 http://hl7.org/fhir/5.0/StructureDefinition/extension-FamilyMemberHistory.participant 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		1..
Extension.extension		0..1
Extension.extension.url		..
Extension.extension.value[x]	CodeableConcept	1..
Extension.extension		1..1
Extension.extension.url		..
Extension.extension.value[x]	Reference(UK Core Patient \| UK Core Practitioner \| UK Core PractitionerRole \| UK Core RelatedPerson \| UK Core Device \| UK Core Organization \| UK Core CareTeam)	1..
Extension.url		..
Extension.value[x]		..0

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-Participant" />
    <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-FamilyMemberHistory.participant" />
    <version value="1.0.0" />
    <name value="ExtensionUKCoreParticipant" />
    <title value="Extension UKCore Participant" />
    <status value="active" />
    <date value="2023-04-28" />
    <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 indicate who or what participated in the activities related to the family member history and how they were involved." />
    <purpose value="This extension is a Genomics use case to replicate the R5 FamilyMemberHistory.participant functionality in R4, and is to be used to indicate who or what participated in the activities related to the family member history and how they were involved." />
    <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="FamilyMemberHistory" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Who or what participated in the activities related to the family member history." />
            <definition value="An extension to record who or what participated in the activities related to the family member history." />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="Extension.extension:function">
            <path value="Extension.extension" />
            <sliceName value="function" />
            <short value="The type of involvement in the activities related to the family member history." />
            <definition value="Distinguishes the type of involvement of the actor in the activities related to the family member history." />
            <min value="0" />
            <max value="1" />
            <binding>
                <strength value="extensible" />
                <valueSet value="http://hl7.org/fhir/ValueSet/participation-role-type" />
            </binding>
        </element>
        <element id="Extension.extension:function.url">
            <path value="Extension.extension.url" />
            <fixedUri value="function" />
        </element>
        <element id="Extension.extension:function.value[x]">
            <path value="Extension.extension.value[x]" />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
        </element>
        <element id="Extension.extension:actor">
            <path value="Extension.extension" />
            <sliceName value="actor" />
            <short value="Who or what participated in the activities related to the family member history." />
            <definition value="Indicates who or what participated in the activities related to the family member history." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:actor.url">
            <path value="Extension.extension.url" />
            <fixedUri value="actor" />
        </element>
        <element id="Extension.extension:actor.value[x]">
            <path value="Extension.extension.value[x]" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-FamilyMemberHistory.participant" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-Participant",
    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-FamilyMemberHistory.participant",
    "version": "1.0.0",
    "name": "ExtensionUKCoreParticipant",
    "title": "Extension UKCore Participant",
    "status": "active",
    "date": "2023-04-28",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "An extension to indicate who or what participated in the activities related to the family member history and how they were involved.",
    "purpose": "This extension is a Genomics use case to replicate the R5 FamilyMemberHistory.participant functionality in R4, and is to be used to indicate who or what participated in the activities related to the family member history and how they were involved.",
    "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": "FamilyMemberHistory"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Who or what participated in the activities related to the family member history.",
                "definition": "An extension to record who or what participated in the activities related to the family member history."
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "Extension.extension:function",
                "path": "Extension.extension",
                "sliceName": "function",
                "short": "The type of involvement in the activities related to the family member history.",
                "definition": "Distinguishes the type of involvement of the actor in the activities related to the family member history.",
                "min": 0,
                "max": "1",
                "binding": {
                    "strength": "extensible",
                    "valueSet": "http://hl7.org/fhir/ValueSet/participation-role-type"
                }
            },
            {
                "id": "Extension.extension:function.url",
                "path": "Extension.extension.url",
                "fixedUri": "function"
            },
            {
                "id": "Extension.extension:function.value[x]",
                "path": "Extension.extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ]
            },
            {
                "id": "Extension.extension:actor",
                "path": "Extension.extension",
                "sliceName": "actor",
                "short": "Who or what participated in the activities related to the family member history.",
                "definition": "Indicates who or what participated in the activities related to the family member history.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:actor.url",
                "path": "Extension.extension.url",
                "fixedUri": "actor"
            },
            {
                "id": "Extension.extension:actor.value[x]",
                "path": "Extension.extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-FamilyMemberHistory.participant"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

Examples

Participant Reference - An example to illustrate the pre-adopted R5 element via an extension, which is used to indicate the performer of the family member history related activity.
Example UKCore-Extension-Participant