UK Core Implementation Guide 0.4.0 - STU1

Extension Library

This extension library contains all the extensions Clinically and Technically assured for use with UK Core. The profiles are found in the Profiles Index. The table below lists all the current extensions and the context of use. The context of use column indicates the profile and /or element where the extension may be applied. The type column indicates whether the extension is a modifierExtension or not. The general rule is extensions can be ignored by receivers*. When a modifierExtension is received it MUST NOT be ignored as it modifies the meaning of the element or elements that contains it. Typically, this means information that qualifies or negates the primary meaning of the element that contains it.

For more information from HL7 about FHIR extensions.

For more information from HL7 about FHIR modifierExtensions.

*There may be specific use cases where this is not the case and the Domain Implementation Guidance associated with the use case should be consulted.

All the extensions have been assured as suitable for inclusion in the UK Core, however all extensions have been assigned a maturity level similar to the maturity levels described in the FHIR standard. This is intended to indicate how stable the extension is deemed to be, this is in addition to the publication status of the profile HL7 FHIR statuses of draft, active, retired and unknown.


Maturity level Definition
0 The Extension has been published on the current build. This Extension has had no formal review and therefore may have quality issues. It is published only to allow the review process to start
1 The Extension produces no warnings during the build process and has had a formal internal review by the UK Core development team
2 The Extension has been released for review to the UK FHIR community, any feedback received has been addressed as far as possible
3 The Extension has been presented for inclusion in the Clinical and Technical Assurance process
4 The Extension has completed the Clinical and Technical Assurance process and the status has been changed to active
5 The Extension has been presented for inclusion in the HL7 UK Ballot Process
6 The Extension has completed the HL7 UK Ballot process and is now deemed to be Normative



Extensions Status Maturity Context of Use Related Profile modifierExtension C&TA Sprint
Extension UKCore-ActualProblem
active 4 Condition Profile UKCore-Condition NO 4
Extension UKCore-AddressKey
active 5 Address Profile UKCore-Patient NO 1
Extension UKCore-AdmissionMethod
active 4 Encounter Profile UKCore-Encounter NO 4
Extension UKCore-AllergyIntoleranceEnd
active 5 AllergyIntolerance ProfileUKCore-AllergyIntolerance-Index NO 2
Extension UKCore-AnaestheticIssues
active 4 Procedure Profile UKCore-Procedure NO 4
Extension UKCore-BirthSex
active 5 Patient Profile UKCore-Patient NO 1
Extension UKCore-CareSettingType
active 4 Composition
List
Profile UKCore-Composition
Profile UKCore-List
NO 4
Extension UKCore-CodingSCTDescId
active 5 CodeableConcept All clinical profiles that can use SNOMED CT. See the extension page for information about how this is used in profiles. NO 2
Extension UKCore-ConditionEpisode
active 4 Condition Profile UKCore-Condition NO 4
Extension UKCore-ContactPreference
active 5 Patient,
RelatedPerson
Profile UKCore-Patient
Profile UKCore-RelatedPerson
NO 1
Extension UKCore-ContactRank
active 5 Patient.contact,
RelatedPerson
Profile UKCore-Patient
Profile UKCore-RelatedPerson
NO 1
Extension UKCore-CopyCorrespondenceIndicator
active 5 Patient.contact
RelatedPerson
Profile UKCore-Patient
Profile UKCore-RelatedPerson
NO 1
Extension UKCore-DeathNotificationStatus
active 5 Patient Profile UKCore-Patient NO 1
Extension UKCore-DischargeMethod
active 4 Encounter Profile UKCore-Encounter NO 4
Extension UKCore-EmergencyCareDischargeStatus
active 4 Encounter Profile UKCore-Encounter NO 4
Extension UKCore-EthnicCategory
active 5 Patient Profile UKCore-Patient NO 1
Extension UKCore-Evidence
active 5 AllergyIntolerance ProfileUKCore-AllergyIntolerance-Index NO 2
Extension UKCore-LegalStatus
active 4 Encounter Profile UKCore-Encounter NO 4
Extension UKCore-ListWarningCode
active 4 List Profile UKCore-List NO 4
Extension UKCore-MainLocation
active 5 Organization Profile UKCore-Organization NO 1
Extension UKCore-MedicationPrescribingOrganization
active 5 MedicationStatement Profile UKCore-MedicationStatement NO 3
Extension UKCore-MedicationStatementLastissueDate
active 5 MedicationStatement Profile UKCore-MedicationStatement NO 3
Extension UKCore-MedicationRepeatInformation
active 5 MedicationRequest Profile UKCore-MedicationRequest NO 3
Extension UKCore-MedicationTradeFamily
active 5 Medication Profile UKCore-Medication NO 3
Extension UKCore-MessageHeaderInstruction
active 4 MessageHeader Profile UKCore-MessageHeader NO 4
Extension UKCore-NHSNumberVerificationStatus
active 5 Patient.identifier Profile UKCore-Patient NO 1
Extension UKCore-OtherContactSystem
active 5 ContactPoint.system Profile UKCore-Patient
Profile UKCore-RelatedPerson
NO 1
Extension UKCore-OutcomeofAttendance
active 4 Encounter Profile UKCore-Encounter NO 4
Extension UKCore-ParentPresent
active 5 Immunization Profile UKCore-Immunization NO 3
Extension UKCore-PharmacistVerifiedIndicator
active 5 MedicationStatement Profile UKCore-MedicationStatement NO 3
Extension UKCore-ProblemSignificance
active 4 Condition Profile UKCore-Condition NO 4
Extension UKCore-RelatedClinicalContent
active 4 Condition Profile UKCore-Condition NO 4
Extension UKCore-RelatedProblemHeader
active 4 Condition,
List
Profile UKCore-Condition
Profile UKCore-List
NO 4
Extension UKCore-ResidentialStatus
active 5 Patient Profile UKCore-Patient NO 1
Extension UKCore-VaccinationProcedure
active 5 Immunization Profile UKCore-Immunization NO 3

StructureDefinition Extension-UKCoreActualProblem

A reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem.

Purpose

This extension extends the Condition Resource to support the exchange of information referencing a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem, which is currently not supported by the FHIR standard.

Context of Use
Use on element Condition

Snapshot View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core AllergyIntolerance | UK Core Condition | UK Core Observation | FamilyMemberHistory)

Differential View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core AllergyIntolerance | UK Core Condition | UK Core Observation | FamilyMemberHistory)

Hybrid View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core AllergyIntolerance | UK Core Condition | UK Core Observation | FamilyMemberHistory)

Table View

Extension..
Extension.url..
Extension.value[x]Reference(UK Core AllergyIntolerance | UK Core Condition | UK Core Observation | FamilyMemberHistory)..
Extension.value[x].identifier..
Extension.value[x].identifier.assignerReference(UK Core Organization)..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-ActualProblem" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ActualProblem" />
    <version value="1.1.0" />
    <name value="ExtensionUKCoreActualProblem" />
    <title value="Extension UK Core Actual Problem" />
    <status value="active" />
    <date value="2022-03-01" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="A reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem." />
    <purpose value="This extension extends the Condition Resource to support the exchange of information referencing a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem, 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="Condition" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="A reference to a resource that is the actual problem" />
            <definition value="A reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ActualProblem" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A reference to a resource that is the actual problem." />
            <definition value="A reference to a resource that is the actual problem." />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-AllergyIntolerance" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" />
            </type>
        </element>
        <element id="Extension.value[x].identifier.assigner">
            <path value="Extension.value[x].identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ActualProblem",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ActualProblem",
    "version": "1.1.0",
    "name": "ExtensionUKCoreActualProblem",
    "title": "Extension UK Core Actual Problem",
    "status": "active",
    "date": "2022-03-01",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "A reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem.",
    "purpose": "This extension extends the Condition Resource to support the exchange of information referencing a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem, 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": "Condition"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "A reference to a resource that is the actual problem",
                "definition": "A reference to a Condition, Observation, FamilyMemberHistory, or AllergyIntolerance that is the actual problem."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ActualProblem"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A reference to a resource that is the actual problem.",
                "definition": "A reference to a resource that is the actual problem.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-AllergyIntolerance",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition",
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation",
                            "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.value[x].identifier.assigner",
                "path": "Extension.value[x].identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCoreAddressKey

This carries an address key which will be included in an address.

Purpose

This extension extends the Address datatype to support the exchange of the type of address key and the address key value, which are currently not supported by the FHIR standard.

Context of Use
Use on element Address

Snapshot View

url1..1System.StringFixed Value
valueCodingCoding
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Differential View

url1..1System.StringFixed Value
valueCodingCoding
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Hybrid View

url1..1System.StringFixed Value
valueCodingCoding
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Table View

Extension..
Extension.extension..
Extension.extension1..1
Extension.extension.url..
Extension.extension.value[x]Coding1..
Extension.extension1..1
Extension.extension.url..
Extension.extension.value[x]string1..
Extension.url..
Extension.value[x]..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-AddressKey" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreAddressKey" />
    <title value="Extension UK Core Address Key" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This carries an address identifier which will be included in an address." />
    <purpose value="This extension extends the Address datatype to support the exchange of the type of address identifier and the address identifier value, which are 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="Address" />
    </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 carrying the address key and type" />
            <definition value="An extension carrying the address key and type." />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
        </element>
        <element id="Extension.extension:type">
            <path value="Extension.extension" />
            <sliceName value="type" />
            <short value="Address Key Type" />
            <definition value="To identify the type of Address Key recorded." />
            <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="Address Key Type" />
            <definition value="To identify the type of Address Key recorded." />
            <min value="1" />
            <type>
                <code value="Coding" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="To identify the type of Address Key recorded" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-AddressKeyType" />
            </binding>
        </element>
        <element id="Extension.extension:value">
            <path value="Extension.extension" />
            <sliceName value="value" />
            <short value="Address key value" />
            <definition value="To record the value for the address key." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:value.url">
            <path value="Extension.extension.url" />
            <fixedUri value="value" />
        </element>
        <element id="Extension.extension:value.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Address key value" />
            <definition value="To record the value for the address key." />
            <min value="1" />
            <type>
                <code value="string" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-AddressKey",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey",
    "version": "2.1.0",
    "name": "ExtensionUKCoreAddressKey",
    "title": "Extension UK Core Address Key",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This carries an address identifier which will be included in an address.",
    "purpose": "This extension extends the Address datatype to support the exchange of the type of address identifier and the address identifier value, which are 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": "Address"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension carrying the address key and type",
                "definition": "An extension carrying the address key and type."
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                }
            },
            {
                "id": "Extension.extension:type",
                "path": "Extension.extension",
                "sliceName": "type",
                "short": "Address Key Type",
                "definition": "To identify the type of Address Key recorded.",
                "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": "Address Key Type",
                "definition": "To identify the type of Address Key recorded.",
                "min": 1,
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "To identify the type of Address Key recorded",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-AddressKeyType"
                }
            },
            {
                "id": "Extension.extension:value",
                "path": "Extension.extension",
                "sliceName": "value",
                "short": "Address key value",
                "definition": "To record the value for the address key.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:value.url",
                "path": "Extension.extension.url",
                "fixedUri": "value"
            },
            {
                "id": "Extension.extension:value.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Address key value",
                "definition": "To record the value for the address key.",
                "min": 1,
                "type":  [
                    {
                        "code": "string"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

Examples

Richard Smith - An example to illustrate how the address key information is carried in a patient example.
Example UKCore-Patient-AddressKey

StructureDefinition Extension-UKCoreAdmissionMethod

An extension to support the method by which an individual was admitted into hospital.

Purpose

This extension extends the Encounter Resource to support the exchange of information representating the method by which a patient was admitted to hospital, which is currently not supported by the FHIR standard.

Context of Use
Use on element Encounter

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-AdmissionMethod" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreAdmissionMethod" />
    <title value="Extension UK Core Admission Method" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support the method by which an individual was admitted into hospital." />
    <purpose value="This extension extends the Encounter Resource to support the exchange of information representating the method by which a patient was admitted to hospital, 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">
            <path value="Extension" />
            <short value="An extension to record how a patient was admitted to hospital" />
            <definition value="An extension to record how a patient was admitted to hospital." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The method by which a patient was admitted to hospital" />
            <definition value="The method by which a patient was admitted to hospital." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <description value="The method by which a patient was admitted to hospital" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-AdmissionMethod" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-AdmissionMethod",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod",
    "version": "2.1.0",
    "name": "ExtensionUKCoreAdmissionMethod",
    "title": "Extension UK Core Admission Method",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support the method by which an individual was admitted into hospital.",
    "purpose": "This extension extends the Encounter Resource to support the exchange of information representating the method by which a patient was admitted to hospital, 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",
                "path": "Extension",
                "short": "An extension to record how a patient was admitted to hospital",
                "definition": "An extension to record how a patient was admitted to hospital.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The method by which a patient was admitted to hospital",
                "definition": "The method by which a patient was admitted to hospital.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "description": "The method by which a patient was admitted to hospital",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-AdmissionMethod"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-AllergyIntoleranceEnd

Supports the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid.

Purpose

This extension extends the AllergyIntolerance resource to support the exchange of information describing the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid, which is currently not supported by the FHIR standard.

Guidance

An optional extension to record the date and reason when the allergy was no longer clinically active.
If the clinicalStatus is active then this extension MUST be omitted.
If the clinicalStatus is inactive or resolved then the date and reason when the allergy was identified as no longer active should be populated.

Context of Use
Use on element AllergyIntolerance

Snapshot View

url1..1System.StringFixed Value
valueDateTimedateTime
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Differential View

url1..1System.StringFixed Value
valueDateTimedateTime
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Hybrid View

url1..1System.StringFixed Value
valueDateTimedateTime
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Table View

Extension..1
Extension.extension..
Extension.extension..1
Extension.extension.url..
Extension.extension.value[x]dateTime1..
Extension.extension..1
Extension.extension.url..
Extension.extension.value[x]string1..
Extension.url..
Extension.value[x]..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-AllergyIntoleranceEnd" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AllergyIntoleranceEnd" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreAllergyIntoleranceEnd" />
    <title value="Extension UK Core Allergy Intolerance End" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Supports the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid." />
    <purpose value="This extension extends the AllergyIntolerance resource to support the exchange of information describing the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid, 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="AllergyIntolerance" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Supports the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid." />
            <definition value="Supports the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid." />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
        </element>
        <element id="Extension.extension:endDate">
            <path value="Extension.extension" />
            <sliceName value="endDate" />
            <short value="The date the allergy or intolerance was recorded as no longer valid" />
            <definition value="The date the allergy or intolerance was recorded as no longer valid." />
            <max value="1" />
        </element>
        <element id="Extension.extension:endDate.url">
            <path value="Extension.extension.url" />
            <fixedUri value="endDate" />
        </element>
        <element id="Extension.extension:endDate.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="The date the allergy was recorded as no longer valid" />
            <definition value="The date the allergy was recorded as no longer valid." />
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
        </element>
        <element id="Extension.extension:reasonEnded">
            <path value="Extension.extension" />
            <sliceName value="reasonEnded" />
            <short value="The reason why the allergy or intolerance has been resolved" />
            <definition value="The reason why the allergy or intolerance has been resolved." />
            <max value="1" />
        </element>
        <element id="Extension.extension:reasonEnded.url">
            <path value="Extension.extension.url" />
            <fixedUri value="reasonEnded" />
        </element>
        <element id="Extension.extension:reasonEnded.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="The reason why the allergy or intolerance has been resolved" />
            <definition value="The reason why the allergy or intolerance has been resolved." />
            <min value="1" />
            <type>
                <code value="string" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AllergyIntoleranceEnd" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-AllergyIntoleranceEnd",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AllergyIntoleranceEnd",
    "version": "2.1.0",
    "name": "ExtensionUKCoreAllergyIntoleranceEnd",
    "title": "Extension UK Core Allergy Intolerance End",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Supports the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid.",
    "purpose": "This extension extends the AllergyIntolerance resource to support the exchange of information describing the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid, 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": "AllergyIntolerance"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Supports the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid.",
                "definition": "Supports the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid.",
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                }
            },
            {
                "id": "Extension.extension:endDate",
                "path": "Extension.extension",
                "sliceName": "endDate",
                "short": "The date the allergy or intolerance was recorded as no longer valid",
                "definition": "The date the allergy or intolerance was recorded as no longer valid.",
                "max": "1"
            },
            {
                "id": "Extension.extension:endDate.url",
                "path": "Extension.extension.url",
                "fixedUri": "endDate"
            },
            {
                "id": "Extension.extension:endDate.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "The date the allergy was recorded as no longer valid",
                "definition": "The date the allergy was recorded as no longer valid.",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ]
            },
            {
                "id": "Extension.extension:reasonEnded",
                "path": "Extension.extension",
                "sliceName": "reasonEnded",
                "short": "The reason why the allergy or intolerance has been resolved",
                "definition": "The reason why the allergy or intolerance has been resolved.",
                "max": "1"
            },
            {
                "id": "Extension.extension:reasonEnded.url",
                "path": "Extension.extension.url",
                "fixedUri": "reasonEnded"
            },
            {
                "id": "Extension.extension:reasonEnded.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "The reason why the allergy or intolerance has been resolved",
                "definition": "The reason why the allergy or intolerance has been resolved.",
                "min": 1,
                "type":  [
                    {
                        "code": "string"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AllergyIntoleranceEnd"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

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="2.1.0" />
    <name value="ExtensionUKCoreAnaestheticIssues" />
    <title value="Extension UK Core Anaesthetic Issues" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </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="extensible" />
                <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": "2.1.0",
    "name": "ExtensionUKCoreAnaestheticIssues",
    "title": "Extension UK Core Anaesthetic Issues",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "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": "extensible",
                    "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"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-BirthSex

An extension to support the patient's phenotypic sex at birth.

Purpose

This extension extends the Patient resource to support the exchange of the patient's phenotypic sex at birth information as a Code, which is currently not supported by the FHIR standard.

Context of Use
Use on element Patient

Snapshot View

url1..1System.StringFixed Value
valueCodecode

Differential View

url1..1System.StringFixed Value
valueCodecode

Hybrid View

url1..1System.StringFixed Value
valueCodecode

Table View

Extension..1
Extension.url..
Extension.value[x]code1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-BirthSex" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex" />
    <version value="1.0.0" />
    <name value="ExtensionUKCoreBirthSex" />
    <title value="Extension UK Core Birth Sex" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support the patient&#39;s phenotypic sex at birth." />
    <purpose value="This extension extends the Patient resource to support the exchange of the patient&#39;s phenotypic sex at birth information, as a Codeable Concept, 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="Patient" />
    </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 support the patient&#39;s phenotypic sex at birth." />
            <definition value="An extension to support the patient&#39;s phenotypic sex at birth." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A code that defines a patient&#39;s phenotypic sex at birth." />
            <definition value="A code that defines a patient&#39;s phenotypic sex at birth." />
            <min value="1" />
            <type>
                <code value="code" />
            </type>
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-BirthSex" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-BirthSex",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
    "version": "1.0.0",
    "name": "ExtensionUKCoreBirthSex",
    "title": "Extension UK Core Birth Sex",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support the patient's phenotypic sex at birth.",
    "purpose": "This extension extends the Patient resource to support the exchange of the patient's phenotypic sex at birth information, as a Codeable Concept, 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": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension to support the patient's phenotypic sex at birth.",
                "definition": "An extension to support the patient's phenotypic sex at birth.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A code that defines a patient's phenotypic sex at birth.",
                "definition": "A code that defines a patient's phenotypic sex at birth.",
                "min": 1,
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-BirthSex"
                }
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-BirthSex",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
    "version": "1.0.0",
    "name": "ExtensionUKCoreBirthSex",
    "title": "Extension UK Core Birth Sex",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support the patient's phenotypic sex at birth.",
    "purpose": "This extension extends the Patient resource to support the exchange of the patient's phenotypic sex at birth information, as a Codeable Concept, 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": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension to support the patient's phenotypic sex at birth.",
                "definition": "An extension to support the patient's phenotypic sex at birth.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A code that defines a patient's phenotypic sex at birth.",
                "definition": "A code that defines a patient's phenotypic sex at birth.",
                "min": 1,
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-BirthSex"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCoreCareSettingType

An extension to support the type of care setting associated with a composition or a list.

Purpose

This extension extends the Composition and List resources to support the exchange of information about the type of care setting associated with the resource being extended, which is currently not supported by the FHIR standard.

Context of Use
Use on element Composition
List

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-CareSettingType" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreCareSettingType" />
    <title value="Extension UK Core Care Setting Type" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support the type of care setting associated with a composition or a list." />
    <purpose value="This extension extends the Composition and List resources to support the exchange of information about the type of care setting associated with the resource being extended, 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="Composition" />
    </context>
    <context>
        <type value="element" />
        <expression value="List" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The type of care setting associated with a composition or a list." />
            <definition value="The type of care setting associated with a composition or a list." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The type of care setting." />
            <definition value="The type of care setting expressed as a code and display value defined in the SNOMED CT UK Refset of the valueSet used." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="Correspondence care setting type" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-CareSettingType",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType",
    "version": "2.1.0",
    "name": "ExtensionUKCoreCareSettingType",
    "title": "Extension UK Core Care Setting Type",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support the type of care setting associated with a composition or a list.",
    "purpose": "This extension extends the Composition and List resources to support the exchange of information about the type of care setting associated with the resource being extended, 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": "Composition"
        },
        {
            "type": "element",
            "expression": "List"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The type of care setting associated with a composition or a list.",
                "definition": "The type of care setting associated with a composition or a list."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The type of care setting.",
                "definition": "The type of care setting expressed as a code and display value defined in the SNOMED CT UK Refset of the valueSet used.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "Correspondence care setting type",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-CareSettingType"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-CodingSCTDescId

The description ID and display term for a SNOMED CT concept. The descriptionId and its associated display term are important to enable the representation of the exact term that was entered by the clinician that recorded the data, or the exact term that a legacy code e.g. a Read v2 code has been translated to using an assured mapping table.

Purpose

This extension extends the Coding datatype to support the exchange of the selected description ID and display term for a SNOMED CT concept, which is currently not supported by the FHIR standard.

Guidance

Context of Use
Use on data type CodeableConcept

Snapshot View

url1..1System.StringFixed Value
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Differential View

url1..1System.StringFixed Value
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Hybrid View

url1..1System.StringFixed Value
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
url1..1System.StringFixed Value
valueStringstring
url1..1System.StringFixed Value

Table View

Extension..
Extension.extension..
Extension.extension..1
Extension.extension.url..
Extension.extension.value[x]Identifier1..
Extension.extension.value[x].assignerReference(UK Core Organization)..
Extension.extension..1
Extension.extension.url..
Extension.extension.value[x]string1..
Extension.url..
Extension.value[x]..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-CodingSCTDescId" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreCodingSCTDescId" />
    <title value="Extension UK Core Coding SCT DescId" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="The description ID and display term for a SNOMED CT concept.  The descriptionId and its associated display term are important to enable the representation of the exact term that was entered by the clinician that recorded the data, or the exact term that a legacy code e.g. a Read v2 code has been translated to using an assured mapping table." />
    <purpose value="This extension extends the Coding datatype to support the exchange of the selected description ID and display term for a SNOMED CT concept, 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="Coding" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="SNOMED CT description ID and display term" />
            <definition value="The SNOMED CT description ID and display term" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
        </element>
        <element id="Extension.extension:descriptionId">
            <path value="Extension.extension" />
            <sliceName value="descriptionId" />
            <short value="SNOMED CT description ID" />
            <definition value="The SNOMED CT description ID" />
            <max value="1" />
        </element>
        <element id="Extension.extension:descriptionId.url">
            <path value="Extension.extension.url" />
            <fixedUri value="descriptionId" />
        </element>
        <element id="Extension.extension:descriptionId.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="SNOMED CT description ID" />
            <definition value="The SNOMED CT description ID" />
            <min value="1" />
            <type>
                <code value="Identifier" />
            </type>
        </element>
        <element id="Extension.extension:descriptionId.value[x].assigner">
            <path value="Extension.extension.value[x].assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Extension.extension:descriptionDisplay">
            <path value="Extension.extension" />
            <sliceName value="descriptionDisplay" />
            <short value="SNOMED CT display term" />
            <definition value="The SNOMED CT display term" />
            <max value="1" />
        </element>
        <element id="Extension.extension:descriptionDisplay.url">
            <path value="Extension.extension.url" />
            <fixedUri value="descriptionDisplay" />
        </element>
        <element id="Extension.extension:descriptionDisplay.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="SNOMED CT display term" />
            <definition value="The SNOMED CT display term" />
            <min value="1" />
            <type>
                <code value="string" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-CodingSCTDescId",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId",
    "version": "2.1.0",
    "name": "ExtensionUKCoreCodingSCTDescId",
    "title": "Extension UK Core Coding SCT DescId",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "The description ID and display term for a SNOMED CT concept.  The descriptionId and its associated display term are important to enable the representation of the exact term that was entered by the clinician that recorded the data, or the exact term that a legacy code e.g. a Read v2 code has been translated to using an assured mapping table.",
    "purpose": "This extension extends the Coding datatype to support the exchange of the selected description ID and display term for a SNOMED CT concept, 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": "Coding"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "SNOMED CT description ID and display term",
                "definition": "The SNOMED CT description ID and display term"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                }
            },
            {
                "id": "Extension.extension:descriptionId",
                "path": "Extension.extension",
                "sliceName": "descriptionId",
                "short": "SNOMED CT description ID",
                "definition": "The SNOMED CT description ID",
                "max": "1"
            },
            {
                "id": "Extension.extension:descriptionId.url",
                "path": "Extension.extension.url",
                "fixedUri": "descriptionId"
            },
            {
                "id": "Extension.extension:descriptionId.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "SNOMED CT description ID",
                "definition": "The SNOMED CT description ID",
                "min": 1,
                "type":  [
                    {
                        "code": "Identifier"
                    }
                ]
            },
            {
                "id": "Extension.extension:descriptionId.value[x].assigner",
                "path": "Extension.extension.value[x].assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.extension:descriptionDisplay",
                "path": "Extension.extension",
                "sliceName": "descriptionDisplay",
                "short": "SNOMED CT display term",
                "definition": "The SNOMED CT display term",
                "max": "1"
            },
            {
                "id": "Extension.extension:descriptionDisplay.url",
                "path": "Extension.extension.url",
                "fixedUri": "descriptionDisplay"
            },
            {
                "id": "Extension.extension:descriptionDisplay.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "SNOMED CT display term",
                "definition": "The SNOMED CT display term",
                "min": 1,
                "type":  [
                    {
                        "code": "string"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

Examples

An example to illustrate the extension of adding a SNOMED CT description Id.
Example UKCore-Condition-CodingSCTDescId

Extension Additional Guidance

This extension to the base CodeableConcept data type has been introduced to carry information chosen by the end user (or held in the end user’s system) that originated from the SNOMED CT terminology and cannot be expressed using just the SNOMED CT preferred term and concept id.

Aimed at FHIR developers, this guidance will show how to process the CodeableConcept, including:

  • How to populate the code
  • How to receive the code
  • How to render the code to a user
  • How to deal with multiple codes
  • What to do if the coded data is not understood by receiving systems

The extent of the CodeableConcept data type (including the Extension-coding-sctdescid extension) is as follows:

XML

<code>
	<coding>
		<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId">
			<extension url="descriptionId">
				<valueId value=""/>
			</extension>
			<extension url="descriptionDisplay">
				<valueString value=""/>
			</extension>
		</extension>
		<code value=""/>
		<display value=""/>
		<system value=""/>
		<version value=""/>
		<userSelected value=""/>
	</coding>
	<text/>
</code

Description of elements (in terms of SNOMED CT)

Element Description
code The wrapper element for the CodeableConcept.
coding The wrapper element for the coded part of the CodeableConcept.
extension The wrapper element for the SNOMED description extension.
extension url="descriptionId" The wrapper for the SNOMED CT description identifier.
valueId Holds the SNOMED CT description identifier.
extension url="descriptionDisplay" The wrapper for the SNOMED CT description display.
valueString Holds the SNOMED CT description display.
code Holds the SNOMED CT concept identifier.
display Holds the SNOMED CT concept display.
system Holds the SNOMED CT system identifier http://snomed.info/sct
version Is not used for SNOMED CT.
userSelected Indicates that this concept was chosen by the user.
text Represents the text that was originally displayed to the user when the code was recorded.

Populating the CodeableConcept

This section shows you how to populate each field where the code carried is a SNOMED CT code and where it’s not a SNOMED CT code. It also includes population scenarios with examples.

Field by field population guidance
Level Element Directions
1 coding (SNOMED CT) Populate this group if a SNOMED CT concept id is stored for the item.
2 system Set to http://snomed.info/sct.
2 code The SNOMED CT concept id stored for the item.
2 display The text of the current preferred term of the SNOMED CT concept id according to the current NHS Realm Language Reference Sets.
The text of the preferred term of the SNOMED CT concept id.
The preferred term is the description specified for the concept in the NHS realm description subset. The preferred term for a concept may change over time. The sending system should determine the current preferred term for the concept.
2 extension url="descriptionId" The SNOMED CT descriptionId recorded with the item. Only populated if a descriptionId exists.
2 extension url="descriptionDisplay" The text of the description id. Only populated if a descriptionId exists and there is no need to populate this field if the text is lexically identical to the text in coding.display.
2 userSelected Set to true if a user selected the SNOMED CT Code when creating/updating this item. If this is false then this element MUST not be populated by the supplying system.
For consuming systems the absence of this element therefore indicates that it is false.
1 coding (other) Populate this group if a clinical code other than SNOMED CT is stored for the item. If there are multiple codes (that is,. the item has been translated multiple times) there is a group entry per code.
2 system The identification of the code system that defines the meaning of the symbol in the code.
2 code The clinical code associated with the item.
2 display The longest character length variant text associated with the current preferred term for the clinical code.
2 extension url="descriptionId" Do not populate (SNOMED CT only).
2 extension url="descriptionDisplay" Do not populate (SNOMED CT only).
2 userSelected Set to true if a user selected this code when creating/updating this item. If this is false then this element MUST not be populated by the supplying system.
For consuming systems the absence of this element therefore indicates that it is false.
1 text The original text selected/manually entered by the user for the item. Only populate when there is no user selected translation set with a display or descriptionDisplay recorded.
If the text displayed to the user when they entered the code on the system is not lexically identical to the term of the code then the displayed text must be populated here.
Note: This occurs when either the original entry was not coded or the original coding has been lost.

Sending dm+d codes

Where a supplier is using the dm+d codes which does not contain any data at the descriptionId level, then we would not expect the descriptionId extension to be populated. Where the descriptionId is available then this SHALL be included.

The example below demonstrates how a dm+d code should be sent where there is no descriptionId available.

XML

<code>
  <coding>
   <code value="323509004"/>                     
   <display value="Amoxicillin 250mg capsules"/>     
   <system value="https://dmd.nhs.uk/"/>
   <userSelected value="true"/>
  </coding>
</code>

JSON

{
    "code": {
        "coding": [{
            "code": "323509004",
            "display": "Amoxicillin 250mg capsules",
            "system": "https://dmd.nhs.uk/",
            "userSelected": true
        }]
    }
}


Sending a SNOMED CT concept with its associated preferred term

When sending a SNOMED CT concept id with its preferred term and the descriptionId is known, then code.coding.code, code.coding.system and code.coding.extension.descriptionId SHALL be populated. Where the descriptionId is not known then the codeable concept MAY be sent without the descriptionId.

In the example below, the descriptionId is populated with the descriptionId for the preferred term, but there is no descriptionDisplay as the concept id was entered by the user and the preferred term was displayed to them when it was added.

XML

<code>
  <coding>
      <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId">
        <extension url="descriptionId">
          <valueId value="37436014"/>
        </extension>
      </extension>
    <code value="22298006"/>                     
    <display value="Myocardial infarction"/>     
    <system value="http://snomed.info/sct"/>
    <userSelected value="true"/>
  </coding>
</code>

JSON

{
    "code": {
        "coding": [{
            "extension": [{
				"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId",
				"extension": [{
					"url": "descriptionId",
					"valueId": "37436014"
				}]
			}],
            "code": "22298006",
            "display": "Myocardial infarction",
            "system": "http://snomed.info/sct",
            "userSelected": true

        }]
    }
}


Sending a concept where the coding system and code is unknown

In the exceptional case that the code is not known, then the code.text element can be populated without the need to populate a coding element.

XML

<code>
   <text>Myocardial infarction</text> 
</code>


JSON

{
	"code": {
		"text": "Myocardial infarction"
	}
}


Sending a description id that is not the preferred term

In this case, the description id represents a term that is different from the preferred term and therefore the description will be different from that used to populate the code.coding.display element. Therefore the extension for descriptionDisplay shall be populated with the term corresponding to the descriptionId.

XML

<code>
   <coding>
     <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId">
       <extension url="descriptionId">
         <valueId value="37443015"/>
       </extension>
       <extension url="descriptionDisplay">
         <valueString value="Heart attack"/>
       </extension>
     </extension>
     <code value="22298006"/>
     <display value="Myocardial infarction"/>
     <system value="http://snomed.info/sct"/>
     <userSelected value="true"/>
   </coding>
</code>

JSON

{
    "code": {
        "coding": [{
            "extension": {
                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId",
                "extension": [{
                        "url": "descriptionId",
                        "valueId": "37443015"
                    },
                    {
                        "url": "descriptionDisplay",
                        "valueString": "Heart attack"
                    }
                ]
            },
            "code": "22298006",
            "display": "Myocardial infarction",
            "system": "http://snomed.info/sct",
            "userSelected": true

        }]
    }
}

Sending a translation set

In the case where the code was entered into the clinical system using a legacy coding system, the code will have been mapped to a SNOMED CT translation.

However, in SNOMED CT, all concept ids always have more than one associated description: all have at least one fully specified name and at least one additional associated synonym. Of these, exactly one fully specified name and one synonym will be declared to be “preferred” at any point in time within a Realm Language Reference Set, but which terms are designated “preferred” can and does change over time.

Therefore, in most cases where such mappings have been created, they will have been mapped to an explicit pairing of one SNOMED CT concept id and one of its legitimate description ids. The particular descriptionId selected may also correspond to the preferred term but often does not.

Exceptionally, mappings may correspond to a SNOMED CT concept id only and so no particular description is declared in the map. In these cases the description originally entered by the clinician in the legacy coding system is considered to be the clinically relevant text.

XML

<code>
  <coding>
      <code value="44I4.00"/>
      <display value="Serum potassium"/>
      <system value="http://read.info/readv2"/>
      <userSelected value="true"/>
      <!--flags the coding originally actually selected by the user -->
  </coding>
  <coding>
    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId">
      <extension url="descriptionId">
        <valueId value="2573011000000117"/>
      </extension>
    </extension>
    <system value="http://snomed.info/sct"/>
    <code value="1000651000000109”/>
    <display value="Serum potassium level"/>
  </coding>
  <text>Serum potassium</text>
  <!-- what the user saw on screen, from a data entry template -->
</code>


JSON

{
   "code": {
       "coding": [{
		    "extension": [{
				"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId",
				"extension": [{
					"url": "descriptionId",
				 	"valueId": "2573011000000117"
			    	  }]
			    }],
                  }
              ],

               "code": "44I4.00",
               "display": "Serum potassium",
               "system": "http://read.info/readv2",
               "userSelected": true
           },
           {
               "system": "http://snomed.info/sct",
               "code": "1000651000000109"
	          "display": "Serum potassium level",
       "text": "Serum potassium"
   }
}


XML

<code>
   <coding>
       <code value="B76..14"/> <!— term code = 14 ie not V2 Preferred term -->
       <display value="Mole of skin"/> <!— text for V2 term code = 14 -->
       <system value="http://read.info/readv2"/>
       <userSelected value="true"/>  <!-- coding actually selected by user -->
   </coding>
   <coding>
       <code value="X78Uv"/> <!— no term code, so CTV3 PT is implied? -->
       <display value="Benign melanocytic naevus of skin"/> <!— text of V3 PT -->
       <system value="http://read.info/ctv3"/>
   </coding>
   <coding>
     <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId">
        <extension url="descriptionId">
           <valueId value="1787065011"/> <!— not the SNOMED PT -->
        </extension>
       <extension url="descriptionDisplay">
         <valueString value="Mole of skin"/> <!— text for id = 1787065011 -->
       </extension>
     </extension>
     <system value="http://snomed.info/sct"/>
     <code value="400010006”/> <!— SNOMED conceptId -->
     <display value="Melanocytic naevus of skin"/> <!— text of SNOMED PT -->
   </coding>
   <text>Moles</text> <!-- what user saw on screen, from data entry template -->
</code>


JSON

{
    "code": {
        "coding": [{
                "code": "B76..14",
                "display": "Mole of skin",
                "system": "http://read.info/readv2",
                "userSelected": true
            },
            {
                "code": "X78Uv",
                "display": "Benign melanocytic naevus of skin",
                "system": "http://read.info/ctv3",
            },
            {
                "system": "http://snomed.info/sct",
                "code": "400010006"
	          "display": " Melanocytic naevus of skin",
		    "extension": [{
				"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId",
				"extension": [{
					"url": "descriptionId",
					"valueId": "1787065011"				},
                    {
                        "url": "descriptionDisplay",
                        "valueString": "Mole of skin"
                    }]
			}],
            }
        ],
        "text": "Moles"
    }
}


Rules for populating legacy coding

Read Code

All Read Codes should be represented using a full five characters.

  • Where 4-byte codes are used these must be preceded by a full-stop as in the NHS Clinical Terms superset (e.g. 4-byte code "6521" is represented as ".6521").
  • Trailing full-stops are significant and must be included (e.g. "H43" is not a valid Read Code and must be represented in full as "H43..").
    • Care should be taken in any environment where a Read Code may have been subjected to auto-correction because:
      • Upper/lower case is significant
      • Conversion of a sequence of three full-stops "..." to a single "…" (ASCII Hex "85" Unicode Hex "2026") special character occurs in some environments and creates invalid Read Codes.
Read Code version 2 term code

Read Codes Version 2 uses a "Term Code" to distinguish between some alternative terms associated with the same Read Code. A Term Code is represented as a two digit string and is only unique within the context of a single Read Code.

It is now widely recognised that many of the terms associated with a Read Code are not true synonyms. This issue was partially resolved in NHS Clinical Terms Version 3 and further disambiguation has occurred in development of SNOMED Clinical Terms. However, in the meantime where Term Codes are stored these should be communicated with the Read Code.

A Read Code + Term Code combination is communicated as a single seven character code. Thus the code "7001200" represents the Term Code "00" associated with the Read Code "70012".

Note that this specification requires the term to be conveyed in the message in addition to any coded representation. Therefore, safe communication is not dependent on use of the Term Code in all systems. Therefore, a sending system that does not support Term Codes for a particular item of information should not send a Term Code. Similarly a receiving system that does not support Term Code storage may ignore the Term Code when constructing a record entry. However, where a sending system stores the Term Code this should be included in the message and where a receiving system stores the Term Code this should be retrieved from the message.

NHS Clinical Terms Version 3 – Term Id

In NHS Clinical Terms Version 3 the TermId is a five character string that uniquely identifies an associated term (or set of two or three terms of alternative lengths). Although it is globally unique it says nothing about the associated concept and thus must be combined with the Read Code. There are no plans to use the TermID in NHS Clinical Terms Version 3 and thus inclusion of TermId is not permitted.

Sending a description id NOT in the UK Edition, but for a concept id that IS in the UK Edition

Includes the case where the description id is locally declared to be the preferred term.

XML

<code>
   <coding>
     <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId">
       <extension url="descriptionId”>
         <valueId value="787121000006116"/> 
         <!-- descriptionId from EMIS namespace -->
       </extension>
       <extension url="descriptionDisplay">
          <valueString value="Ideal weight"/>
       </extension>
     </extension>
     <code value="170804003"/>
     <!-- conceptId from SNOMED International CORE -->
     <display value="Ideal body weight"/>
     <system value="http://snomed.info/sct"/>
     <userSelected value="true"/>
   </coding>
</code>


JSON

{
    "code": {
        "coding": {
            "extension": [{
                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId",
                "extension": [{
                    "url": "descriptionId",
                    "valueId": "787121000006116"
                }, {
                    "url": "descriptionDisplay",
                    "valueString": "Ideal weight"
                }]
            }],
            "code": "170804003",
            "display": "Ideal body weight",
            "system": "http://snomed.info/sct",
            "userSelected": true
        }
    }
}


Sending a description id and concept id where NEITHER is in the UK Edition

XML

<code>
   <coding>
     <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId">
       <extension url="descriptionId">
          <valueId value="253790221000087110"/>  
          <!— from Canadian extension -->
       </extension>
       <extension url="descriptionDisplay”>
          <valueString value="Use of illicit drugs unknown"/>   
          <!-- synonym from Canadian extension -->
       </extension>
     </extension>
     <code value="186782131000087106"/>                      
     <!-- conceptId from Canadian extension -->
     <display value="Use of illicit type drug unknown"/>
     <!-- preferred term from Canadian extension -->
     <system value="http://snomed.info/sct"/>
     <userSelected value="true"/>
   </coding>
   <text> Not known whether uses illicit drugs</text>           
   <!-- what the user saw on screen, from a data entry template -->
</code>


JSON

{
	"code": {
		"coding": {
			"extension": {
				"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescId",
				"extension": [
					{
						"url": "descriptionId",
						"valueId": "253790221000087110"
					},
					{
						"url": "descriptionDisplay",
						"valueString": "Use of illicit drugs unknown"
					}
				]
			},
			"code": "186782131000087106",
			"display": "Use of illicit type drug unknown",
			"system": "http://snomed.info/sct",
              "userSelected": "true"
		},
		"text": " Not known whether uses illicit drugs"
	}
}


Processing data from a CodeableConcept

Degradation

Degradation is a process used in clinical systems' interoperability for dealing with codes that are not understood by receiving systems. When codes are degraded the original text entered by a user is then associated with an appropriate degrade code. For example, a drug allergy code that is not understood will be associated with a code for ‘Degraded drug allergy’.

Why and how does it happen?

When clinical codes move between systems, sometimes the receiving system may not understand all the clinical codes that it was sent. This can be for a number of reasons:

  • The receiving system may use a different terminology than the sending system. An example of a place in which this happens is in primary care where TPP SystmOne uses Clinical Terms Version 3 and EMIS Web uses Read version 2.

  • Clinical systems may be using different releases of the same terminology. In the UK, terminologies are updated regularly, usually 6 monthly. When they are updated new codes are added and old codes deprecated. If one system updates before another then for a period it may contain new codes that systems using an older version do not understand.

  • SNOMED CT has an extension mechanism that allows SNOMED CT to be customized usually be adding additional concepts and descriptions. So sending systems may have added content that is not available on the receiving system. See examples 6 and 7 on how messages are populated with extension data.

There may be many other reasons that codes are not understood between systems but the above are some of the most common reasons. Here they are intended to illustrate that degrades happen but are not intended to be an exhaustive list.

Why do we need a process to deal with it?

Where codes are not understood by clinical systems, having a degrade process enables us to improve interoperability and related functionality. Having appropriate degrade codes enables us to retain the structure and semantics. For example, degraded allergies appear in allergies view, medication degrades appear in medication module.

Some examples of how this can work are:

  • Where allergies are degraded, associating the item that was not understood with an allergy degrade code that the clinical system understands can enable it to trigger (for example) additional prescribing safety decision support systems and workflows.

  • Where medication codes are not understood and the data item is associated with a medication degrade code, the information can be displayed alongside all other medications in the clinical system.

What do degrades look like?

Where items are degraded, how they appear can vary depending on how a clinical system chooses to display them to a user. In many cases, depending on whether the actual code is displayed to the user, the degrade may appear to be similar to any code natively added in a system.

When they are then exported into a FHIR resource they will be exported as a degrade code with the text originally entered by the user in the code.text element.

FHIR message examples

Example of a degraded medication:

XML

<code>
  <coding>
    <display>Transfer-degraded medication entry</display>
    <code>196421000000109</code>
    <system>http://snomed.info/sct</system>
  </coding>
  <text>Aspirin 75mg dispersible tablet</text>
</code>


JSON

{
    "code": {
        "coding": [{
            "display": "Transfer-degraded medication entry",
            "code": "196421000000109",
            "system": "http://snomed.info/sct"
        }],
        "text": "Aspirin 75mg dispersible tablet"
    }
}


Example of a degraded drug allergy:

XML

<code>
  <coding>
    <display>Transfer-degraded drug allergy</display>
    <code>196461000000101</code>
    <system>http://snomed.info/sct</system>
  </coding>
  <text>Amoxicillin 250mg capsules</text>
</code>

JSON

{
    "code": {
        "coding": [{
            "display": "Transfer-degraded drug allergy",
            "code": "196461000000101",
            "system": "http://snomed.info/sct"
        }],
        "text": "Amoxicillin 250mg capsules"
    }
}


Clinical codes

Storage

When storing the item, the receiving system may choose to store any or all of the clinical codes associated with the item.

However, where the system supports SNOMED CT codes it MUST store any SNOMED CT codes associated with the item.

Where the receiving system does not understand any of the supplied coding.systems which a coding has been associated with the item (or no clinical codes were supplied), it may choose to record the item under a degraded code. The appropriate SNOMED degrade code should be used within the system to store the code.

The following codes are available in SNOMED to represent degraded items and can be used when populating FHIR resources.
Degraded Drug Allergies 196461000000101 - Transfer-degraded drug allergy
Degraded Non-Drug Allergies 196471000000108 - Transfer-degraded non-drug allergy
Degraded Medications 196421000000109 - Transfer-degraded medication entry
Degraded Plan 196451000000104 - Transfer-degraded plan
Degraded Referral 196431000000106 - Transfer-degraded referral
Degraded Request 196441000000102 - Transfer-degraded request
Other degrade 196411000000103 - Transfer-degraded record entry

Where an item that is being degraded is contained within a resource that infers a particular type of degrade then the appropriate code shall be used e.g. a code in a FHIR medication resource shall use the ‘Degraded medication’ code.

Clinical systems MUST NOT attempt to infer a particular type of degrade code where there is no clear indication that a specific type of data has been degraded. In these scenarios the ‘Transfer degraded record entry’ code shall be used.

Display

When displaying the item to end users, it is the choice of the receiving system to design their system and user experience in a safe manner that best suits their users.

Propagation

When propagating coded data to another system, the system which received the item may choose which clinical codes to include when sending the item.

If a receiving system receives a SNOMED code that it does not understand it COULD store this code and propagate it onwards if the data is exported. If systems decide to do this they should consider what would happen if the data item is changed/edited.

Note: Whilst it is the receiving system’s decision which clinical codes are appropriate for it to store, NHS England requires that SNOMED CT is supported across the entire NHS estate by April 2020.


Original term text

Storage

When processing an item, the receiving system MUST always store the original term text of the item. That is, the text chosen/manually entered by the clinician/user to describe the item they are recording. Failure to do this could result in the intended meaning of the item being altered.

The original term text will be available in one of the following fields in order of descending priority:

  1. text
  2. coding.descriptionDisplay where userSelected = TRUE (or is unpopulated, and only one coding element is present)
  3. coding.display where userSelected = TRUE (or is unpopulated, and only one coding element is present)

Where the receiving system can derive the original term text from the clinical code and the derived text is lexically identical to the original term text, then the receiving system is not required to store the text separately.

However, where the system supports SNOMED CT codes it MUST store any SNOMED CT codes associated with the item where the userSelected is set to ‘TRUE’ and propagate these onward in any future export of the data. As noted in section 3.1, some SNOMED CT codes received may be from a release or extension of SNOMED not available on the receiving system.

Display

When displaying an item to end users, the receiving system MUST always display the original term text of the item.

Propagation

When propagating an item to another system, the receiving system MUST always include the original term text of the item.


StructureDefinition Extension-UKCoreConditionEpisode

This supports the episodicity status of a condition.

Purpose

This extension extends the Condition resource to support the exchange of information describing the episodicity status of a condition, which is currently not supported by the FHIR standard.

Context of Use
Use on element Condition

Snapshot View

url1..1System.StringFixed Value
valueCodecode

Differential View

url1..1System.StringFixed Value
valueCodecode

Hybrid View

url1..1System.StringFixed Value
valueCodecode

Table View

Extension..
Extension.url..
Extension.value[x]code1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-ConditionEpisode" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode" />
    <version value="2.2.0" />
    <name value="ExtensionUKCoreConditionEpisode" />
    <title value="Extension UK Core Condition Episode" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This supports the episodicity status of a condition." />
    <purpose value="This extension extends the Condition resource to support the exchange of information describing the episodicity status of a condition, 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="Condition" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The episodicity status of a condition" />
            <definition value="The episodicity status of a condition." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The episodicity value of the condition." />
            <definition value="The episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end" />
            <min value="1" />
            <type>
                <code value="code" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="A ValueSet to identify the episodicity of a condition." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionEpisodicity" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ConditionEpisode",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode",
    "version": "2.2.0",
    "name": "ExtensionUKCoreConditionEpisode",
    "title": "Extension UK Core Condition Episode",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This supports the episodicity status of a condition.",
    "purpose": "This extension extends the Condition resource to support the exchange of information describing the episodicity status of a condition, 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": "Condition"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The episodicity status of a condition",
                "definition": "The episodicity status of a condition."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The episodicity value of the condition.",
                "definition": "The episodicity value of the condition can be represented by one of the following codes: \nfirst | new | review | end",
                "min": 1,
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "A ValueSet to identify the episodicity of a condition.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionEpisodicity"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-ContactPreference

The preferred method of contact, contact times and written communication format given by a Patient or Related Person.

Purpose

This extension extends the Patient and RelatedPerson resources to support the exchange of their preferred method of contact, contact times and written communication format, which are currently not supported by the FHIR standard.

Context of Use
Use on element RelatedPerson
Patient.contact

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value
valueStringstring
valueTimingTiming
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value
valueStringstring
valueTimingTiming
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value
valueStringstring
valueTimingTiming
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept
url1..1System.StringFixed Value

Table View

Extension..1
Extension.extension0..
Extension.extension0..1
Extension.extension.url..
Extension.extension.value[x]CodeableConcept1..
Extension.extension0..1
Extension.extension.url..
Extension.extension.value[x]string, Timing1..
Extension.extension0..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-ContactPreference" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference" />
    <version value="2.2.0" />
    <name value="ExtensionUKCoreContactPreference" />
    <title value="Extension UK Core Contact Preference" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="The preferred method of contact, contact times and written communication format given by a Patient or Related Person." />
    <purpose value="This extension extends the Patient and RelatedPerson resources to support the exchange of their preferred method of contact, contact times and written communication format, which are 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="Patient" />
    </context>
    <context>
        <type value="element" />
        <expression value="RelatedPerson" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The preferred method of contact, contact times and written communication format given by a Patient or Related Person." />
            <definition value="The preferred method of contact, contact times and written communication format given by a Patient or Related Person." />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="0" />
        </element>
        <element id="Extension.extension:PreferredContactMethod">
            <path value="Extension.extension" />
            <sliceName value="PreferredContactMethod" />
            <short value="Preferred Contact Method" />
            <definition value="The preferred method of contact given by a Patient or Related Person." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension:PreferredContactMethod.url">
            <path value="Extension.extension.url" />
            <fixedUri value="PreferredContactMethod" />
        </element>
        <element id="Extension.extension:PreferredContactMethod.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Preferred Contact Method" />
            <definition value="The preferred method of contact given by a Patient or Related Person." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-PreferredContactMethod" />
            </binding>
        </element>
        <element id="Extension.extension:PreferredContactTimes">
            <path value="Extension.extension" />
            <sliceName value="PreferredContactTimes" />
            <short value="Preferred Contact Times" />
            <definition value="The preferred contact times given by a Patient or Related Person." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension:PreferredContactTimes.url">
            <path value="Extension.extension.url" />
            <fixedUri value="PreferredContactTimes" />
        </element>
        <element id="Extension.extension:PreferredContactTimes.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Preferred Contact Times" />
            <definition value="The preferred contact time period given by a Patient or Related Person." />
            <min value="1" />
            <type>
                <code value="string" />
            </type>
            <type>
                <code value="Timing" />
            </type>
        </element>
        <element id="Extension.extension:PreferredWrittenCommunicationFormat">
            <path value="Extension.extension" />
            <sliceName value="PreferredWrittenCommunicationFormat" />
            <short value="Preferred Written Communication Format" />
            <definition value="The preferred written communication format given by a Patient or Related Person." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension:PreferredWrittenCommunicationFormat.url">
            <path value="Extension.extension.url" />
            <fixedUri value="PreferredWrittenCommunicationFormat" />
        </element>
        <element id="Extension.extension:PreferredWrittenCommunicationFormat.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Preferred Written Communication Format" />
            <definition value="The preferred written communication format given by a Patient or Related Person." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-PreferredWrittenCommunicationFormat" />
            </binding>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ContactPreference",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference",
    "version": "2.2.0",
    "name": "ExtensionUKCoreContactPreference",
    "title": "Extension UK Core Contact Preference",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "The preferred method of contact, contact times and written communication format given by a Patient or Related Person.",
    "purpose": "This extension extends the Patient and RelatedPerson resources to support the exchange of their preferred method of contact, contact times and written communication format, which are 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": "Patient"
        },
        {
            "type": "element",
            "expression": "RelatedPerson"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The preferred method of contact, contact times and written communication format given by a Patient or Related Person.",
                "definition": "The preferred method of contact, contact times and written communication format given by a Patient or Related Person.",
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 0
            },
            {
                "id": "Extension.extension:PreferredContactMethod",
                "path": "Extension.extension",
                "sliceName": "PreferredContactMethod",
                "short": "Preferred Contact Method",
                "definition": "The preferred method of contact given by a Patient or Related Person.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension:PreferredContactMethod.url",
                "path": "Extension.extension.url",
                "fixedUri": "PreferredContactMethod"
            },
            {
                "id": "Extension.extension:PreferredContactMethod.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Preferred Contact Method",
                "definition": "The preferred method of contact given by a Patient or Related Person.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PreferredContactMethod"
                }
            },
            {
                "id": "Extension.extension:PreferredContactTimes",
                "path": "Extension.extension",
                "sliceName": "PreferredContactTimes",
                "short": "Preferred Contact Times",
                "definition": "The preferred contact times given by a Patient or Related Person.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension:PreferredContactTimes.url",
                "path": "Extension.extension.url",
                "fixedUri": "PreferredContactTimes"
            },
            {
                "id": "Extension.extension:PreferredContactTimes.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Preferred Contact Times",
                "definition": "The preferred contact time period given by a Patient or Related Person.",
                "min": 1,
                "type":  [
                    {
                        "code": "string"
                    },
                    {
                        "code": "Timing"
                    }
                ]
            },
            {
                "id": "Extension.extension:PreferredWrittenCommunicationFormat",
                "path": "Extension.extension",
                "sliceName": "PreferredWrittenCommunicationFormat",
                "short": "Preferred Written Communication Format",
                "definition": "The preferred written communication format given by a Patient or Related Person.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension:PreferredWrittenCommunicationFormat.url",
                "path": "Extension.extension.url",
                "fixedUri": "PreferredWrittenCommunicationFormat"
            },
            {
                "id": "Extension.extension:PreferredWrittenCommunicationFormat.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Preferred Written Communication Format",
                "definition": "The preferred written communication format given by a Patient or Related Person.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PreferredWrittenCommunicationFormat"
                }
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

StructureDefinition Extension-UKCore-ContactRank

The preferred ranking or order of contact applied to a contact on a Patient's contact list.

Purpose

This extension extends the Patient and RelatedPerson resources to support the exchange of the preferred ranking or order of contact applied to a contact on a Patient's contact list, which is currently not supported by the FHIR standard.

Context of Use
Use on element RelatedPerson
Patient.contact

Snapshot View

url1..1System.StringFixed Value
valuePositiveIntpositiveInt

Differential View

url1..1System.StringFixed Value
valuePositiveIntpositiveInt

Hybrid View

url1..1System.StringFixed Value
valuePositiveIntpositiveInt

Table View

Extension..1
Extension.url..
Extension.value[x]positiveInt1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-ContactRank" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreContactRank" />
    <title value="Extension UK Core Contact Rank" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="The preferred ranking or order of contact applied to a contact on a Patient&#39;s contact list." />
    <purpose value="This extension extends the Patient and RelatedPerson resources to support the exchange of the preferred ranking or order of contact applied to a contact on a Patient&#39;s contact list, 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="Patient.contact" />
    </context>
    <context>
        <type value="element" />
        <expression value="RelatedPerson" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Preferred ranking or order of contact applied to a contact on a patient&#39;s contact list" />
            <definition value="The preferred ranking or order of contact applied to a contact on a patient&#39;s contact list." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The preferred ranking or order of contact applied to a contact on a patient&#39;s contact list" />
            <definition value="The preferred ranking or order of contact applied to a contact on a patient&#39;s contact list." />
            <min value="1" />
            <type>
                <code value="positiveInt" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ContactRank",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank",
    "version": "2.1.0",
    "name": "ExtensionUKCoreContactRank",
    "title": "Extension UK Core Contact Rank",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "The preferred ranking or order of contact applied to a contact on a Patient's contact list.",
    "purpose": "This extension extends the Patient and RelatedPerson resources to support the exchange of the preferred ranking or order of contact applied to a contact on a Patient's contact list, 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": "Patient.contact"
        },
        {
            "type": "element",
            "expression": "RelatedPerson"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Preferred ranking or order of contact applied to a contact on a patient's contact list",
                "definition": "The preferred ranking or order of contact applied to a contact on a patient's contact list.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The preferred ranking or order of contact applied to a contact on a patient's contact list",
                "definition": "The preferred ranking or order of contact applied to a contact on a patient's contact list.",
                "min": 1,
                "type":  [
                    {
                        "code": "positiveInt"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCore-CopyCorrespondenceIndicator

Indicates that a Patient contact or RelatedPerson must be copied in to Patient correspondence.

Purpose

This extension extends the Patient and RelatedPerson resources, to support the exchange of information to indicate that a Patient contact or RelatedPerson must be copied in to Patient correspondence. This is currently not supported by the FHIR standard.

Context of Use
Use on element RelatedPerson
Patient.contact

Snapshot View

url1..1System.StringFixed Value
valueBooleanboolean

Differential View

url1..1System.StringFixed Value
valueBooleanboolean

Hybrid View

url1..1System.StringFixed Value
valueBooleanboolean

Table View

Extension..1
Extension.url..
Extension.value[x]boolean1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-CopyCorrespondenceIndicator" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreCopyCorrespondenceIndicator" />
    <title value="Extension UK Core Copy Correspondence Indicator" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Indicates that a Patient contact or RelatedPerson must be copied in to Patient correspondence." />
    <purpose value="This extension extends the Patient and RelatedPerson resources, to support the exchange of information to indicate that a Patient contact or RelatedPerson must be copied in to Patient correspondence. This 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="Patient.contact" />
    </context>
    <context>
        <type value="element" />
        <expression value="RelatedPerson" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Indicator showing that a patient&#39;s contact or related person must be copied in to patient correspondence" />
            <definition value="Extension carrying a boolean indicator showing that a patient&#39;s contact or related person must be copied in to patient correspondence." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Copy Correspondence Indicator" />
            <definition value="Boolean element representing Copy Correspondence Indicator." />
            <min value="1" />
            <type>
                <code value="boolean" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-CopyCorrespondenceIndicator",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator",
    "version": "2.1.0",
    "name": "ExtensionUKCoreCopyCorrespondenceIndicator",
    "title": "Extension UK Core Copy Correspondence Indicator",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Indicates that a Patient contact or RelatedPerson must be copied in to Patient correspondence.",
    "purpose": "This extension extends the Patient and RelatedPerson resources, to support the exchange of information to indicate that a Patient contact or RelatedPerson must be copied in to Patient correspondence. This 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": "Patient.contact"
        },
        {
            "type": "element",
            "expression": "RelatedPerson"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Indicator showing that a patient's contact or related person must be copied in to patient correspondence",
                "definition": "Extension carrying a boolean indicator showing that a patient's contact or related person must be copied in to patient correspondence.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Copy Correspondence Indicator",
                "definition": "Boolean element representing Copy Correspondence Indicator.",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCore-DeathNotificationStatus

The patient's death notification status.

Purpose

This extension extends the Patient resource to support the exchange of the patient's death notification status, which is currently not supported by the FHIR standard.

Context of Use
Use on element Patient

Snapshot View

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

Differential View

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

Hybrid View

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

Table View

Extension..1
Extension.extension..
Extension.extension1..1
Extension.extension.url..
Extension.extension.value[x]CodeableConcept1..
Extension.extension..1
Extension.extension.url..
Extension.extension.value[x]dateTime1..
Extension.url..
Extension.value[x]..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-DeathNotificationStatus" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreDeathNotificationStatus" />
    <title value="Extension UK Core Death Notification Status" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="The patient&#39;s death notification status." />
    <purpose value="This extension extends the Patient resource to support the exchange of the patient&#39;s death notification status, 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="Patient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The patient&#39;s death notification status." />
            <definition value="The patient&#39;s death notification status." />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
        </element>
        <element id="Extension.extension:deathNotificationStatus">
            <path value="Extension.extension" />
            <sliceName value="deathNotificationStatus" />
            <short value="The patient&#39;s death notification status." />
            <definition value="The patient&#39;s death notification status." />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:deathNotificationStatus.url">
            <path value="Extension.extension.url" />
            <fixedUri value="deathNotificationStatus" />
        </element>
        <element id="Extension.extension:deathNotificationStatus.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="The patient&#39;s death notification status." />
            <definition value="The patient&#39;s death notification status." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-DeathNotificationStatus" />
            </binding>
        </element>
        <element id="Extension.extension:systemEffectiveDate">
            <path value="Extension.extension" />
            <sliceName value="systemEffectiveDate" />
            <short value="System effective date for patient&#39;s death notification status." />
            <definition value="System effective date for patient&#39;s death notification status." />
            <max value="1" />
        </element>
        <element id="Extension.extension:systemEffectiveDate.url">
            <path value="Extension.extension.url" />
            <fixedUri value="systemEffectiveDate" />
        </element>
        <element id="Extension.extension:systemEffectiveDate.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="System effective date for patient&#39;s death notification status." />
            <definition value="System effective date for patient&#39;s death notification status." />
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-DeathNotificationStatus",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus",
    "version": "2.1.0",
    "name": "ExtensionUKCoreDeathNotificationStatus",
    "title": "Extension UK Core Death Notification Status",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "The patient's death notification status.",
    "purpose": "This extension extends the Patient resource to support the exchange of the patient's death notification status, 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": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The patient's death notification status.",
                "definition": "The patient's death notification status.",
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                }
            },
            {
                "id": "Extension.extension:deathNotificationStatus",
                "path": "Extension.extension",
                "sliceName": "deathNotificationStatus",
                "short": "The patient's death notification status.",
                "definition": "The patient's death notification status.",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:deathNotificationStatus.url",
                "path": "Extension.extension.url",
                "fixedUri": "deathNotificationStatus"
            },
            {
                "id": "Extension.extension:deathNotificationStatus.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "The patient's death notification status.",
                "definition": "The patient's death notification status.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-DeathNotificationStatus"
                }
            },
            {
                "id": "Extension.extension:systemEffectiveDate",
                "path": "Extension.extension",
                "sliceName": "systemEffectiveDate",
                "short": "System effective date for patient's death notification status.",
                "definition": "System effective date for patient's death notification status.",
                "max": "1"
            },
            {
                "id": "Extension.extension:systemEffectiveDate.url",
                "path": "Extension.extension.url",
                "fixedUri": "systemEffectiveDate"
            },
            {
                "id": "Extension.extension:systemEffectiveDate.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "System effective date for patient's death notification status.",
                "definition": "System effective date for patient's death notification status.",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

StructureDefinition Extension-UKCoreDischargeMethod

An extension to support the method of discharge from a hospital.

Purpose

This extension extends the Encounter Resource to support the exchange of information representating the method by which a patient was discharged from hospital which is currently not supported by the FHIR standard.

Context of Use
Use on element Encounter

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-DischargeMethod" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreDischargeMethod" />
    <title value="Extension UK Core Discharge Method" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support the method of discharge from a hospital." />
    <purpose value="This extension extends the Encounter Resource to support the exchange of information representating the method by which a patient was discharged from hospital 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">
            <path value="Extension" />
            <short value="An extension to record the method of discharge from hospital" />
            <definition value="An extension to record the method of discharge from hospital." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The method by which a patient was discharged from hospital" />
            <definition value="The method by which a patient was discharged from hospital." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <description value="The method by which a patient was discharged from hospital" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeMethod" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-DischargeMethod",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod",
    "version": "2.1.0",
    "name": "ExtensionUKCoreDischargeMethod",
    "title": "Extension UK Core Discharge Method",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support the method of discharge from a hospital.",
    "purpose": "This extension extends the Encounter Resource to support the exchange of information representating the method by which a patient was discharged from hospital 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",
                "path": "Extension",
                "short": "An extension to record the method of discharge from hospital",
                "definition": "An extension to record the method of discharge from hospital.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The method by which a patient was discharged from hospital",
                "definition": "The method by which a patient was discharged from hospital.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "description": "The method by which a patient was discharged from hospital",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-DischargeMethod"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCoreEmergencyCareDischargeStatus

An extension to support the status of an individual on discharge from an Emergency Care Department.

Purpose

This extension extends the Encounter Resource to support the exchange of information representing the status of a patient on discharge from an Emergency Care Department, which is currently not supported by the FHIR standard.

Context of Use
Use on element Encounter

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-EmergencyCareDischargeStatus" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreEmergencyCareDischargeStatus" />
    <title value="Extension UK Core Emergency Care Discharge Status" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support the status of an individual on discharge from an Emergency Care Department." />
    <purpose value="This extension extends the Encounter Resource to support the exchange of information representing the status of a patient on discharge from an Emergency Care Department, 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">
            <path value="Extension" />
            <short value="An extension used indicate the status of a patient on discharge from an Emergency Care Department" />
            <definition value="An extension used indicate the status of a patient on discharge from an Emergency Care Department" />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The status of a patient on discharge from an Emergency Care Department" />
            <definition value="The status of a patient on discharge from an Emergency Care Department." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <description value="The status of a patient on discharge from an Emergency Care Department" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-EmergencyCareDischargeStatus" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-EmergencyCareDischargeStatus",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus",
    "version": "2.1.0",
    "name": "ExtensionUKCoreEmergencyCareDischargeStatus",
    "title": "Extension UK Core Emergency Care Discharge Status",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support the status of an individual on discharge from an Emergency Care Department.",
    "purpose": "This extension extends the Encounter Resource to support the exchange of information representing the status of a patient on discharge from an Emergency Care Department, 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",
                "path": "Extension",
                "short": "An extension used indicate the status of a patient on discharge from an Emergency Care Department",
                "definition": "An extension used indicate the status of a patient on discharge from an Emergency Care Department",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EmergencyCareDischargeStatus"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The status of a patient on discharge from an Emergency Care Department",
                "definition": "The status of a patient on discharge from an Emergency Care Department.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "description": "The status of a patient on discharge from an Emergency Care Department",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-EmergencyCareDischargeStatus"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-EthnicCategory

Information that describes the patient's ethnic category.

Purpose

This extension extends the Patient resource to support the exchange of ethnic category information, as a Codeable Concept, which is currently not supported by the FHIR standard.

Context of Use
Use on element Patient

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-EthnicCategory" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory" />
    <version value="2.2.0" />
    <name value="ExtensionUKCoreEthnicCategory" />
    <title value="Extension UK Core Ethnic Category" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Information that describes the patient&#39;s ethnic category." />
    <purpose value="This extension extends the Patient resource to support the exchange of ethnic category information, as a Codeable Concept, 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="Patient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Ethnic category" />
            <definition value="The ethnicity of the subject." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A code classifying the person&#39;s ethnicity" />
            <definition value="A code classifying the person&#39;s ethnicity." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <description value="A set of codes that define the ethnicity of a person, as specified by the person." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-EthnicCategory" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-EthnicCategory",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
    "version": "2.2.0",
    "name": "ExtensionUKCoreEthnicCategory",
    "title": "Extension UK Core Ethnic Category",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Information that describes the patient's ethnic category.",
    "purpose": "This extension extends the Patient resource to support the exchange of ethnic category information, as a Codeable Concept, 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": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Ethnic category",
                "definition": "The ethnicity of the subject."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A code classifying the person's ethnicity",
                "definition": "A code classifying the person's ethnicity.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "description": "A set of codes that define the ethnicity of a person, as specified by the person.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-EthnicCategory"
                }
            }
        ]
    }
}

Examples

Richard Smith - An example to illustrate patient Ethnic Category information.
Example UKCore-Patient-EthnicCategory

StructureDefinition Extension-UKCore-Evidence

A reference to results of investigations that confirmed the certainty of the diagnosis. Examples might include results of skin prick allergy tests.

Purpose

This extension extends the AllergyIntolerance resource to support the exchange of information describing the reference to results of investigations that confirmed the certainty of the diagnosis, which is currently not supported by the FHIR standard.

Guidance

An optional extension for a reference to a UKCore-DiagnosticReport resource to share the results of investigations that confirmed the certainty of the allergy or intolerance diagnosis.

Context of Use
Use on element AllergyIntolerance

Snapshot View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core DiagnosticReport)

Differential View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core DiagnosticReport)

Hybrid View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core DiagnosticReport)

Table View

Extension..
Extension.url..
Extension.value[x]Reference(UK Core DiagnosticReport)1..
Extension.value[x].identifier..
Extension.value[x].identifier.assignerReference(UK Core Organization)..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-Evidence" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Evidence" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreEvidence" />
    <title value="Extension UK Core Evidence" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="A reference to results of investigations that confirmed the certainty of the diagnosis.  Examples might include results of skin prick allergy tests." />
    <purpose value="This extension extends the AllergyIntolerance resource to support the exchange of information describing the reference to results of investigations that confirmed the certainty of the diagnosis, 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="AllergyIntolerance" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="A reference to results of investigations that confirmed the certainty of the diagnosis" />
            <definition value="A reference to results of investigations that confirmed the certainty of the diagnosis." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Evidence" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A reference to results of investigations that confirmed the certainty of the diagnosis" />
            <definition value="A reference to results of investigations that confirmed the certainty of the diagnosis." />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport" />
            </type>
        </element>
        <element id="Extension.value[x].identifier.assigner">
            <path value="Extension.value[x].identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-Evidence",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Evidence",
    "version": "2.1.0",
    "name": "ExtensionUKCoreEvidence",
    "title": "Extension UK Core Evidence",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "A reference to results of investigations that confirmed the certainty of the diagnosis.  Examples might include results of skin prick allergy tests.",
    "purpose": "This extension extends the AllergyIntolerance resource to support the exchange of information describing the reference to results of investigations that confirmed the certainty of the diagnosis, 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": "AllergyIntolerance"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "A reference to results of investigations that confirmed the certainty of the diagnosis",
                "definition": "A reference to results of investigations that confirmed the certainty of the diagnosis."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Evidence"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A reference to results of investigations that confirmed the certainty of the diagnosis",
                "definition": "A reference to results of investigations that confirmed the certainty of the diagnosis.",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.value[x].identifier.assigner",
                "path": "Extension.value[x].identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCoreLegalStatus

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]CodeableConcept..
Extension.extension1..1
Extension.extension.url..
Extension.extension.value[x]CodeableConcept..
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="1.0.0" />
    <name value="ExtensionUKCoreLegalStatus" />
    <title value="Extension UK Core Legal Status" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </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." />
            <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" />
            <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": "1.0.0",
    "name": "ExtensionUKCoreLegalStatus",
    "title": "Extension UK Core Legal Status",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "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.",
                "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",
                "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"
            }
        ]
    }
}

StructureDefinition Extension-UKCoreListWarningCode

An extension to support warnings that a list may be incomplete as data has been excluded due to confidentiality or may be missing due to data being in transit.

Purpose

This extension extends the List Resource to support the exchange of information representing warnings that the list may be incomplete as data has been excluded due to confidentiality or may be missing due to data being in transit, which is currently not supported by the FHIR standard.

Context of Use
Use on element List

Snapshot View

url1..1System.StringFixed Value
valueCodecode

Differential View

url1..1System.StringFixed Value
valueCodecode

Hybrid View

url1..1System.StringFixed Value
valueCodecode

Table View

Extension..
Extension.url..
Extension.value[x]code1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-ListWarningCode" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ListWarningCode" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreListWarningCode" />
    <title value="Extension UK Core List Warning Code" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support warnings that a list may be incomplete as data has been excluded due to confidentiality or may be missing due to data being in transit." />
    <purpose value="This extension extends the List Resource to support the exchange of information representing warnings that the list may be incomplete as data has been excluded due to confidentiality or may be missing due to data being in transit, 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="List" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="To capture warnings that the list may be incomplete" />
            <definition value="To capture warnings that the list may be incomplete." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ListWarningCode" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="To capture warnings that the list may be incomplete" />
            <definition value="To capture warnings that the list may be incomplete." />
            <min value="1" />
            <type>
                <code value="code" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="To identify the reason a list may be incomplete." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ListWarningCode" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ListWarningCode",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ListWarningCode",
    "version": "2.1.0",
    "name": "ExtensionUKCoreListWarningCode",
    "title": "Extension UK Core List Warning Code",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support warnings that a list may be incomplete as data has been excluded due to confidentiality or may be missing due to data being in transit.",
    "purpose": "This extension extends the List Resource to support the exchange of information representing warnings that the list may be incomplete as data has been excluded due to confidentiality or may be missing due to data being in transit, 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": "List"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "To capture warnings that the list may be incomplete",
                "definition": "To capture warnings that the list may be incomplete."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ListWarningCode"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "To capture warnings that the list may be incomplete",
                "definition": "To capture warnings that the list may be incomplete.",
                "min": 1,
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "To identify the reason a list may be incomplete.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ListWarningCode"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-MainLocation

Information describing the main location of the organisation.

Purpose

This extension extends the Organization resource to support the exchange of information on the Organization's main location, as a reference to a Location resource, which is currently not supported by the FHIR standard.

Context of Use
Use on element Organization

Snapshot View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core Location)

Differential View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core Location)

Hybrid View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core Location)

Table View

Extension..
Extension.url..
Extension.value[x]Reference(UK Core Location)1..
Extension.value[x].identifier..
Extension.value[x].identifier.assignerReference(UK Core Organization)..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-MainLocation" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MainLocation" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreMainLocation" />
    <title value="Extension UK Core Main Location" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Information describing the main location of the organisation." />
    <purpose value="This extension extends the Organization resource to support the exchange of information on the Organization&#39;s main location, as a reference to a Location resource, 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="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="The main location of the organisation" />
            <definition value="An extension which references the main location of the organisation." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MainLocation" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Reference to the main location of an organization" />
            <definition value="Reference to the main location of an organization." />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" />
            </type>
        </element>
        <element id="Extension.value[x].identifier.assigner">
            <path value="Extension.value[x].identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-MainLocation",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MainLocation",
    "version": "2.1.0",
    "name": "ExtensionUKCoreMainLocation",
    "title": "Extension UK Core Main Location",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Information describing the main location of the organisation.",
    "purpose": "This extension extends the Organization resource to support the exchange of information on the Organization's main location, as a reference to a Location resource, 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": "Organization"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The main location of the organisation",
                "definition": "An extension which references the main location of the organisation."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MainLocation"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Reference to the main location of an organization",
                "definition": "Reference to the main location of an organization.",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.value[x].identifier.assigner",
                "path": "Extension.value[x].identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            }
        ]
    }
}

Examples

Organization - An example to illustrate the extension of an organization to carry the main location of that organisation.

Example UKCore-Organization-MainLocation


StructureDefinition Extension-UKCore-MedicationPrescribing Organization

This describes the type of organisation or setting responsible for authorising and issuing a medication, but not the organisation or setting delivering the patient care.

Purpose

This extension extends the MedicationStatement resource to hold the type of organisation or setting responsible for authorising and issuing a medication, which is currently not supported by the FHIR standard.

Context of Use
Use on element MedicationStatement

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-MedicationPrescribingOrganization" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationPrescribingOrganization" />
    <version value="1.0.0" />
    <name value="ExtensionUKCoreMedicationPrescribingOrganization" />
    <title value="Extension UK Core Medication Prescribing Organization" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This describes the type of organisation or setting responsible for authorising and issuing a medication, but not the organisation or setting delivering the patient care." />
    <purpose value="This extension extends the MedicationStatement resource to hold the type of organisation or setting responsible for authorising and issuing a medication, 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="MedicationStatement" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The type of organisation or setting responsible for authorising and issuing a medication" />
            <definition value="This extension carries the type of organisation or setting responsible for authorising and issuing a medication." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationPrescribingOrganization" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The type of organisation or setting responsible for authorising and issuing a medication" />
            <definition value="A value for the type of organisation or setting responsible for authorising and issuing a medication." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationPrescribingOrganization" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-MedicationPrescribingOrganization",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationPrescribingOrganization",
    "version": "1.0.0",
    "name": "ExtensionUKCoreMedicationPrescribingOrganization",
    "title": "Extension UK Core Medication Prescribing Organization",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This describes the type of organisation or setting responsible for authorising and issuing a medication, but not the organisation or setting delivering the patient care.",
    "purpose": "This extension extends the MedicationStatement resource to hold the type of organisation or setting responsible for authorising and issuing a medication, 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": "MedicationStatement"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The type of organisation or setting responsible for authorising and issuing a medication",
                "definition": "This extension carries the type of organisation or setting responsible for authorising and issuing a medication.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationPrescribingOrganization"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The type of organisation or setting responsible for authorising and issuing a medication",
                "definition": "A value for the type of organisation or setting responsible for authorising and issuing a medication.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationPrescribingOrganization"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-MedicationStatementLastIssueDate

This describes the date when a prescription was last issued.

Purpose

This extension extends the MedicationStatement resource to support the exchange of the date information when a prescription was last issued, which is currently not supported by the FHIR standard.

Context of Use
Use on element MedicationStatement

Snapshot View

url1..1System.StringFixed Value
valueDateTimedateTime

Differential View

url1..1System.StringFixed Value
valueDateTimedateTime

Hybrid View

url1..1System.StringFixed Value
valueDateTimedateTime

Table View

Extension..1
Extension.url..
Extension.value[x]dateTime1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-MedicationStatementLastIssueDate" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationStatementLastIssueDate" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreMedicationStatementLastIssueDate" />
    <title value="Extension UKCore Medication Statement Last Issue Date" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This describes the date when a prescription was last issued." />
    <purpose value="This extension extends the MedicationStatement resource to support the exchange of the date information when a prescription was last issued, 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="MedicationStatement" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The date when a prescription was last issued" />
            <definition value="This extension supports the exchange of the date information when a prescription was last issued." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationStatementLastIssueDate" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The date when a prescription was last issued" />
            <definition value="This carries the date when a prescription was last issued." />
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-MedicationStatementLastIssueDate",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationStatementLastIssueDate",
    "version": "2.1.0",
    "name": "ExtensionUKCoreMedicationStatementLastIssueDate",
    "title": "Extension UKCore Medication Statement Last Issue Date",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This describes the date when a prescription was last issued.",
    "purpose": "This extension extends the MedicationStatement resource to support the exchange of the date information when a prescription was last issued, 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": "MedicationStatement"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The date when a prescription was last issued",
                "definition": "This extension supports the exchange of the date information when a prescription was last issued.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationStatementLastIssueDate"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The date when a prescription was last issued",
                "definition": "This carries the date when a prescription was last issued.",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCore-MedicationRepeatInformation

The specific repeat information of a medication item.

Purpose

This extension extends the MedicationRequest resource to support the exchange of repeat medications, which is currently not supported by the FHIR standard.

Context of Use
Use on element MedicationRequest

Snapshot View

url1..1System.StringFixed Value
valueUnsignedIntunsignedInt
url1..1System.StringFixed Value
valueDateTimedateTime
url1..1System.StringFixed Value

Differential View

url1..1System.StringFixed Value
valueUnsignedIntunsignedInt
url1..1System.StringFixed Value
valueDateTimedateTime
url1..1System.StringFixed Value

Hybrid View

url1..1System.StringFixed Value
valueUnsignedIntunsignedInt
url1..1System.StringFixed Value
valueDateTimedateTime
url1..1System.StringFixed Value

Table View

Extension..1
Extension.extension..
Extension.extension..1
Extension.extension.url..
Extension.extension.value[x]unsignedInt1..
Extension.extension..1
Extension.extension.url..
Extension.extension.value[x]dateTime1..
Extension.url..
Extension.value[x]..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-MedicationRepeatInformation" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreMedicationRepeatInformation" />
    <title value="Extension UK Core Medication Repeat Information" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="The specific repeat information of a medication item." />
    <purpose value="This extension extends the MedicationRequest resource to support the exchange of repeat medications, 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="MedicationRequest" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Medication repeat information" />
            <definition value="Medication repeat information." />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <rules value="open" />
            </slicing>
        </element>
        <element id="Extension.extension:numberOfPrescriptionsIssued">
            <path value="Extension.extension" />
            <sliceName value="numberOfPrescriptionsIssued" />
            <short value="Number of prescriptions issued" />
            <definition value="Number of prescriptions issued." />
            <max value="1" />
        </element>
        <element id="Extension.extension:numberOfPrescriptionsIssued.url">
            <path value="Extension.extension.url" />
            <fixedUri value="numberOfPrescriptionsIssued" />
        </element>
        <element id="Extension.extension:numberOfPrescriptionsIssued.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Number of prescriptions issued" />
            <definition value="Number of prescriptions issued." />
            <min value="1" />
            <type>
                <code value="unsignedInt" />
            </type>
        </element>
        <element id="Extension.extension:authorisationExpiryDate">
            <path value="Extension.extension" />
            <sliceName value="authorisationExpiryDate" />
            <short value="Repeat prescription review date" />
            <definition value="Repeat prescription review date." />
            <max value="1" />
        </element>
        <element id="Extension.extension:authorisationExpiryDate.url">
            <path value="Extension.extension.url" />
            <fixedUri value="authorisationExpiryDate" />
        </element>
        <element id="Extension.extension:authorisationExpiryDate.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Repeat prescription review date" />
            <definition value="Repeat prescription review date." />
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-MedicationRepeatInformation",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation",
    "version": "2.1.0",
    "name": "ExtensionUKCoreMedicationRepeatInformation",
    "title": "Extension UK Core Medication Repeat Information",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "The specific repeat information of a medication item.",
    "purpose": "This extension extends the MedicationRequest resource to support the exchange of repeat medications, 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": "MedicationRequest"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Medication repeat information",
                "definition": "Medication repeat information.",
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                }
            },
            {
                "id": "Extension.extension:numberOfPrescriptionsIssued",
                "path": "Extension.extension",
                "sliceName": "numberOfPrescriptionsIssued",
                "short": "Number of prescriptions issued",
                "definition": "Number of prescriptions issued.",
                "max": "1"
            },
            {
                "id": "Extension.extension:numberOfPrescriptionsIssued.url",
                "path": "Extension.extension.url",
                "fixedUri": "numberOfPrescriptionsIssued"
            },
            {
                "id": "Extension.extension:numberOfPrescriptionsIssued.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Number of prescriptions issued",
                "definition": "Number of prescriptions issued.",
                "min": 1,
                "type":  [
                    {
                        "code": "unsignedInt"
                    }
                ]
            },
            {
                "id": "Extension.extension:authorisationExpiryDate",
                "path": "Extension.extension",
                "sliceName": "authorisationExpiryDate",
                "short": "Repeat prescription review date",
                "definition": "Repeat prescription review date.",
                "max": "1"
            },
            {
                "id": "Extension.extension:authorisationExpiryDate.url",
                "path": "Extension.extension.url",
                "fixedUri": "authorisationExpiryDate"
            },
            {
                "id": "Extension.extension:authorisationExpiryDate.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Repeat prescription review date",
                "definition": "Repeat prescription review date.",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

StructureDefinition Extension-UKCore-MedicationTradeFamily

This Extension is used to identify a Trade Family or brand associated with a Medication, in particular a Virtual Therapeutic Moiety (VTM).

Purpose

This Extension extends the Medication resource to allow the exchange of data to indicate a Trade Family or brand associated with a medication which is note currently support by the FHIR standard.

Context of Use
Use on element Medication

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-MedicationTradeFamily" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationTradeFamily" />
    <version value="1.0.0" />
    <name value="ExtensionUKCoreMedicationTradeFamily" />
    <title value="Extension UK Core Medication Trade Family" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This Extension is used to identify a Trade Family or brand associated with a Medication, in particular a Virtual Therapeutic Moiety (VTM)." />
    <purpose value="This Extension extends the Medication resource to allow the exchange of data to indicate a Trade Family or brand associated with a medication." />
    <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="Medication" />
    </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 used to identify a Trade Family or brand associated with a Medication, in particular a Virtual Therapeutic Moiety (VTM)." />
            <definition value="An extension used to identify a Trade Family or brand associated with a Medication, in particular a Virtual Therapeutic Moiety (VTM).." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationTradeFamily" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A code from the SNOMED Clinical Terminology UK coding system to record a Trade Family associated with a Medication" />
            <definition value="A code from the SNOMED Clinical Terminology UK coding system to record a Trade Family associated with a Medication." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationTradeFamily" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-MedicationTradeFamily",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationTradeFamily",
    "version": "1.0.0",
    "name": "ExtensionUKCoreMedicationTradeFamily",
    "title": "Extension UK Core Medication Trade Family",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This Extension is used to identify a Trade Family or brand associated with a Medication, in particular a Virtual Therapeutic Moiety (VTM).",
    "purpose": "This Extension extends the Medication resource to allow the exchange of data to indicate a Trade Family or brand associated with a medication.",
    "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": "Medication"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension used to identify a Trade Family or brand associated with a Medication, in particular a Virtual Therapeutic Moiety (VTM).",
                "definition": "An extension used to identify a Trade Family or brand associated with a Medication, in particular a Virtual Therapeutic Moiety (VTM)..",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationTradeFamily"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A code from the SNOMED Clinical Terminology UK coding system to record a Trade Family associated with a Medication",
                "definition": "A code from the SNOMED Clinical Terminology UK coding system to record a Trade Family associated with a Medication.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationTradeFamily"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCoreMessageHeaderInstruction

A specific instruction for receivers of a message.

Purpose

This extension extends the MessageHeader Resource to carry a specific instruction for receivers of a message, which is currently not supported by the FHIR standard.

Context of Use
Use on element MessageHeader

Snapshot View

url1..1System.StringFixed Value
valueCodingCoding

Differential View

url1..1System.StringFixed Value
valueCodingCoding

Hybrid View

url1..1System.StringFixed Value
valueCodingCoding

Table View

Extension..
Extension.url..
Extension.value[x]Coding1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-MessageHeaderInstruction" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MessageHeaderInstruction" />
    <version value="1.0.0" />
    <name value="ExtensionUKCoreMessageHeaderInstruction" />
    <title value="Extension UKCore Message Header Instruction" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="The Message Header Instruction extension is provided to carry a specific instruction for receivers of the message." />
    <purpose value="This extension extends the Message Header resource to support the exchange of a specific instruction to specify additional receiver behaviour - this could be locally or nationally defined - 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="MessageHeader" />
    </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 carry a specific instruction for receivers of the message." />
            <definition value="An extension to carry a specific instruction for receivers of the message." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MessageHeaderInstruction" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The Instruction for receivers of the message." />
            <definition value="The Instruction for receivers of the message expressed as a code and display value of the valueSet used." />
            <min value="1" />
            <type>
                <code value="Coding" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="Message Header Instruction" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MessageHeaderInstruction" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-MessageHeaderInstruction",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MessageHeaderInstruction",
    "version": "1.0.0",
    "name": "ExtensionUKCoreMessageHeaderInstruction",
    "title": "Extension UKCore Message Header Instruction",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "The Message Header Instruction extension is provided to carry a specific instruction for receivers of the message.",
    "purpose": "This extension extends the Message Header resource to support the exchange of a specific instruction to specify additional receiver behaviour - this could be locally or nationally defined - 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": "MessageHeader"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension to carry a specific instruction for receivers of the message.",
                "definition": "An extension to carry a specific instruction for receivers of the message."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MessageHeaderInstruction"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The Instruction for receivers of the message.",
                "definition": "The Instruction for receivers of the message expressed as a code and display value of the valueSet used.",
                "min": 1,
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "Message Header Instruction",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-MessageHeaderInstruction"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-NHSNumberVerificationStatus

Information describing the verification and tracing status of a patient's NHS Number.

Purpose

This extension extends the identifier element of the Patient resource to support the exchange of information on the verification and tracing status of a Patient's NHS Number, as a Codeable Concept. This is currently not supported by the FHIR standard.

Context of Use
Use on element Patient.identifier

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-NHSNumberVerificationStatus" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreNHSNumberVerificationStatus" />
    <title value="Extension UK Core NHS Number Verification Status" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Information describing the verification and tracing status of a patient&#39;s NHS Number." />
    <purpose value="This extension extends the identifier element of the Patient resource to support the exchange of information on the verification of a Patient&#39;s NHS number. This 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="Patient.identifier" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="NHS number verification status" />
            <definition value="The verification/tracing status of the NHS number." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Verification status of the NHS number" />
            <definition value="Verification status of the NHS number." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="required" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-NHSNumberVerificationStatus" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-NHSNumberVerificationStatus",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
    "version": "2.1.0",
    "name": "ExtensionUKCoreNHSNumberVerificationStatus",
    "title": "Extension UK Core NHS Number Verification Status",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Information describing the verification and tracing status of a patient's NHS Number.",
    "purpose": "This extension extends the identifier element of the Patient resource to support the exchange of information on the verification of a Patient's NHS number. This 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": "Patient.identifier"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "NHS number verification status",
                "definition": "The verification/tracing status of the NHS number."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Verification status of the NHS number",
                "definition": "Verification status of the NHS number.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "required",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-NHSNumberVerificationStatus"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-OtherContactSystem

Information about other contact methods which could be used in addition to those listed in ContactPoint.system.

Purpose

This extension extends the ContactPoint datatype to support the exchange of other contact system information, which is currently not supported by the FHIR standard.

Context of Use
Use on element ContactPoint.system

Snapshot View

url1..1System.StringFixed Value
valueCodingCoding

Differential View

url1..1System.StringFixed Value
valueCodingCoding

Hybrid View

url1..1System.StringFixed Value
valueCodingCoding

Table View

Extension..1
Extension.url..
Extension.value[x]Coding1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-OtherContactSystem" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreOtherContactSystem" />
    <title value="Extension UK Core Other Contact System" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Information about other contact methods." />
    <purpose value="This extension extends the ContactPoint datatype to support the exchange of other contact system information, 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="ContactPoint.system" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Other contact system" />
            <definition value="Other contact system value which extends the system element in the ContactPoint datatype." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value for other contact system" />
            <definition value="A value to extend the system element in the ContactPoint datatype." />
            <min value="1" />
            <type>
                <code value="Coding" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-OtherContactSystem" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-OtherContactSystem",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem",
    "version": "2.1.0",
    "name": "ExtensionUKCoreOtherContactSystem",
    "title": "Extension UK Core Other Contact System",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Information about other contact methods.",
    "purpose": "This extension extends the ContactPoint datatype to support the exchange of other contact system information, 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": "ContactPoint.system"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Other contact system",
                "definition": "Other contact system value which extends the system element in the ContactPoint datatype.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value for other contact system",
                "definition": "A value to extend the system element in the ContactPoint datatype.",
                "min": 1,
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-OtherContactSystem"
                }
            }
        ]
    }
}

Examples

Richard Smith - An example to illustrate other contact methods for a patient.
Example UKCore-Patient-OtherContactSystem

StructureDefinition Extension-UKCoreOutcomeOfAttendance

An extension to support the outcome of an Outpatient attendance.

Purpose

This extension extends the Encounter Resource to support the exchange of information representing the outcome of an Outpatient attendance, which is currently not supported by the FHIR standard.

Context of Use
Use on element Encounter

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-OutcomeOfAttendance" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreOutcomeOfAttendance" />
    <title value="Extension UK Core Outcome of Attendance" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support the outcome of an Outpatient attendance." />
    <purpose value="This extension extends the Encounter Resource to support the exchange of information representing the outcome of an Outpatient attendance, 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">
            <path value="Extension" />
            <short value="An extension to record the outcome of an outpatient attendance" />
            <definition value="An extension to record the outcome of an outpatient attendance." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The outcome of an outpatient attendance" />
            <definition value="The outcome of an outpatient attendance." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="preferred" />
                <description value="The outcome of an outpatient attendance" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-OutcomeOfAttendance" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-OutcomeOfAttendance",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance",
    "version": "2.1.0",
    "name": "ExtensionUKCoreOutcomeOfAttendance",
    "title": "Extension UK Core Outcome of Attendance",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support the outcome of an Outpatient attendance.",
    "purpose": "This extension extends the Encounter Resource to support the exchange of information representing the outcome of an Outpatient attendance, 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",
                "path": "Extension",
                "short": "An extension to record the outcome of an outpatient attendance",
                "definition": "An extension to record the outcome of an outpatient attendance.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The outcome of an outpatient attendance",
                "definition": "The outcome of an outpatient attendance.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "preferred",
                    "description": "The outcome of an outpatient attendance",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-OutcomeOfAttendance"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-ParentPresent

This describes whether a parent was present at the immunisation of a child.

Purpose

This extension extends the Immunization resource to support the exchange of data to indicate whether the child's parent was present at the time of the immunisation, which is currently not supported by the FHIR standard.

Context of Use
Use on element Immunization

Snapshot View

url1..1System.StringFixed Value
valueBooleanboolean

Differential View

url1..1System.StringFixed Value
valueBooleanboolean

Hybrid View

url1..1System.StringFixed Value
valueBooleanboolean

Table View

Extension..1
Extension.url..
Extension.value[x]boolean1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-ParentPresent" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ParentPresent" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreParentPresent" />
    <title value="Extension UK Core Parent Present" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This describes whether a parent was present at the immunisation of a child." />
    <purpose value="This extension extends the Immunization resource to support the exchange of data to indicate whether the child&#39;s parent was present at the time of the immunisation, 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="Immunization" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Was a parent present at an immunisation?" />
            <definition value="Was a parent present at an immunisation?" />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ParentPresent" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Was a parent present at an immunisation?" />
            <definition value="Was a parent present at an immunisation?" />
            <min value="1" />
            <type>
                <code value="boolean" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ParentPresent",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ParentPresent",
    "version": "2.1.0",
    "name": "ExtensionUKCoreParentPresent",
    "title": "Extension UK Core Parent Present",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This describes whether a parent was present at the immunisation of a child.",
    "purpose": "This extension extends the Immunization resource to support the exchange of data to indicate whether the child's parent was present at the time of the immunisation, 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": "Immunization"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Was a parent present at an immunisation?",
                "definition": "Was a parent present at an immunisation?",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ParentPresent"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Was a parent present at an immunisation?",
                "definition": "Was a parent present at an immunisation?",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCore-PharmacistVerifiedIndicator

This Extension is used to indicate whether a pharmacist verified a medication.

Purpose

This Extension extends the MedicationStatement resource to allow the exchange of data to indicate whether a pharmacist verified the medication specified within or referenced by the medication statement, which is currently not supported by the FHIR standard.

Context of Use
Use on element MedicationStatement

Snapshot View

url1..1System.StringFixed Value
valueBooleanboolean

Differential View

url1..1System.StringFixed Value
valueBooleanboolean

Hybrid View

url1..1System.StringFixed Value
valueBooleanboolean

Table View

Extension..1
Extension.url..
Extension.value[x]boolean1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-PharmacistVerifiedIndicator" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PharmacistVerifiedIndicator" />
    <version value="1.0.0" />
    <name value="ExtensionUKCorePharmacistVerifiedIndicator" />
    <title value="Extension UK Core Pharmacist Verified Indicator" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This Extension is used to indicate whether a pharmacist verified a medication." />
    <purpose value="This Extension extends the MedicationStatement resource to allow the exchange of data to indicate whether a pharmacist verified the medication specified within or referenced by the medication statement, 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="MedicationStatement" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Indicates whether a pharmacist verified a medication." />
            <definition value="This extension is used to indicate whether a pharmacist verified a medication." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PharmacistVerifiedIndicator" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Pharmacist Verified Indicator." />
            <definition value="Boolean element representing the Pharmacist Verified Indicator." />
            <min value="1" />
            <type>
                <code value="boolean" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-PharmacistVerifiedIndicator",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PharmacistVerifiedIndicator",
    "version": "1.0.0",
    "name": "ExtensionUKCorePharmacistVerifiedIndicator",
    "title": "Extension UK Core Pharmacist Verified Indicator",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This Extension is used to indicate whether a pharmacist verified a medication.",
    "purpose": "This Extension extends the MedicationStatement resource to allow the exchange of data to indicate whether a pharmacist verified the medication specified within or referenced by the medication statement, 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": "MedicationStatement"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Indicates whether a pharmacist verified a medication.",
                "definition": "This extension is used to indicate whether a pharmacist verified a medication.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PharmacistVerifiedIndicator"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Pharmacist Verified Indicator.",
                "definition": "Boolean element representing the Pharmacist Verified Indicator.",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCoreProblemSignificance

Information that describes the significance of the problem header condition.

Purpose

This extension extends the Condition Resource to support the exchange of information describing the significance of the problem header condition, which is currently not supported by the FHIR standard.

Context of Use
Use on element Condition

Snapshot View

url1..1System.StringFixed Value
valueCodecode

Differential View

url1..1System.StringFixed Value
valueCodecode

Hybrid View

url1..1System.StringFixed Value
valueCodecode

Table View

Extension..
Extension.url..
Extension.value[x]code..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-ProblemSignificance" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ProblemSignificance" />
    <version value="1.0.0" />
    <name value="ExtensionUKCoreProblemSignificance" />
    <title value="Extension UK Core Problem Significance" />
    <status value="active" />
    <date value="2022-01-07" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Information that describes the significance of the problem header condition." />
    <purpose value="This extension extends the Condition Resource to support the exchange of information describing the significance of the problem header condition, 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="Condition" />
    </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 record the significance of the problem header condition." />
            <definition value="An extension to record the significance of the problem header condition." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ProblemSignificance" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Describes the significance of a Condition that is a Problem Header." />
            <type>
                <code value="code" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="A code to record the significance of a Problem Header Condition." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ProblemSignificance" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ProblemSignificance",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ProblemSignificance",
    "version": "1.0.0",
    "name": "ExtensionUKCoreProblemSignificance",
    "title": "Extension UK Core Problem Significance",
    "status": "active",
    "date": "2022-01-07",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Information that describes the significance of the problem header condition.",
    "purpose": "This extension extends the Condition Resource to support the exchange of information describing the significance of the problem header condition, 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": "Condition"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension to record the significance of the problem header condition.",
                "definition": "An extension to record the significance of the problem header condition."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ProblemSignificance"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Describes the significance of a Condition that is a Problem Header.",
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "A code to record the significance of a Problem Header Condition.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ProblemSignificance"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCoreRelatedClinicalContent

An extension to support a reference to any resource that provides related clinical content to the Condition.

Purpose

This extension extends the Condition Resource to support the exchange of information supporting a reference to any resource that provides related clinical content to the Condition which is currently not supported by the FHIR standard.

Context of Use
Use on element Condition

Snapshot View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(Resource)

Differential View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(Resource)

Hybrid View

url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(Resource)

Table View

Extension..
Extension.url..
Extension.value[x]Reference(Resource)..
Extension.value[x].identifier..
Extension.value[x].identifier.assignerReference(UK Core Organization)..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-RelatedClinicalContent" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedClinicalContent" />
    <version value="1.1.0" />
    <name value="ExtensionUKCoreRelatedClinicalContent" />
    <title value="Extension UK Core Related Clinical Content" />
    <status value="active" />
    <date value="2022-03-01" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="mobile" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="An extension to support a reference to any resource that provides related clinical content to the Condition." />
    <purpose value="This extension extends the Condition Resource to support the exchange of information supporting a reference to any resource that provides related clinical content to the Condition 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="Condition" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="A reference to any resource that provides related clinical content to the Condition." />
            <definition value="A reference to any resource that provides related clinical content to the Condition." />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedClinicalContent" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A reference to any resource that provides related clinical content to the Condition." />
            <definition value="A reference to any resource that provides related clinical content to the Condition." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
            </type>
        </element>
        <element id="Extension.value[x].identifier.assigner">
            <path value="Extension.value[x].identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-RelatedClinicalContent",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedClinicalContent",
    "version": "1.1.0",
    "name": "ExtensionUKCoreRelatedClinicalContent",
    "title": "Extension UK Core Related Clinical Content",
    "status": "active",
    "date": "2022-03-01",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "mobile",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "An extension to support a reference to any resource that provides related clinical content to the Condition.",
    "purpose": "This extension extends the Condition Resource to support the exchange of information supporting a reference to any resource that provides related clinical content to the Condition 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": "Condition"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "A reference to any resource that provides related clinical content to the Condition.",
                "definition": "A reference to any resource that provides related clinical content to the Condition."
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedClinicalContent"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A reference to any resource that provides related clinical content to the Condition.",
                "definition": "A reference to any resource that provides related clinical content to the Condition.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Resource"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.value[x].identifier.assigner",
                "path": "Extension.value[x].identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            }
        ]
    }
}

StructureDefinition Extension-UKCoreRelatedProblemHeader

A reference to another related problem header condition (target) whose relationship is defined by the relationship type code.

Purpose

This extension extends the Condition and List Resources to support a reference to another related problem header condition (target) whose relationship is defined by the relationship type code, which is currently not supported by the FHIR standard.

Context of Use
Use on element Condition
List

Snapshot View

url1..1System.StringFixed Value
valueCodecode
url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core Condition)
url1..1System.StringFixed Value

Differential View

url1..1System.StringFixed Value
valueCodecode
url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core Condition)
url1..1System.StringFixed Value

Hybrid View

url1..1System.StringFixed Value
valueCodecode
url1..1System.StringFixed Value
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
valueReferenceReference(UK Core Condition)
url1..1System.StringFixed Value

Table View

Extension..
Extension.extension1..
Extension.extension0..
Extension.extension.url..
Extension.extension.value[x]code..
Extension.extension1..1
Extension.extension.url..
Extension.extension.value[x]Reference(UK Core Condition)..
Extension.extension.value[x].identifier..
Extension.extension.value[x].identifier.assignerReference(UK Core Organization)..
Extension.url..
Extension.value[x]..0


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-RelatedProblemHeader" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedProblemHeader" />
    <version value="1.1.0" />
    <name value="ExtensionUKCoreRelatedProblemHeader" />
    <title value="Extension UK Core Related Problem Header" />
    <status value="active" />
    <date value="2022-03-01" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="A reference to another related problem header condition (target) whose relationship is defined by the relationship type code." />
    <purpose value="This extension extends the Condition or List Resource to support a reference to another related problem header condition (target) whose relationship is defined by the relationship type code, 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="Condition" />
    </context>
    <context>
        <type value="element" />
        <expression value="List" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Related problem header condition (target)" />
            <definition value="Related problem header condition (target)" />
        </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:type">
            <path value="Extension.extension" />
            <sliceName value="type" />
            <min value="0" />
        </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="Condition relationship type." />
            <definition value="Condition relationship type." />
            <type>
                <code value="code" />
            </type>
            <binding>
                <strength value="extensible" />
                <description value="A set of codes specifying the kind of relationship that exists with a target problem header condition." />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionRelationship" />
            </binding>
        </element>
        <element id="Extension.extension:target">
            <path value="Extension.extension" />
            <sliceName value="target" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Extension.extension:target.url">
            <path value="Extension.extension.url" />
            <fixedUri value="target" />
        </element>
        <element id="Extension.extension:target.value[x]">
            <path value="Extension.extension.value[x]" />
            <short value="Target problem header condition." />
            <definition value="Target problem header condition." />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
            </type>
        </element>
        <element id="Extension.extension:target.value[x].identifier.assigner">
            <path value="Extension.extension.value[x].identifier.assigner" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
            </type>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedProblemHeader" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <max value="0" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-RelatedProblemHeader",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedProblemHeader",
    "version": "1.1.0",
    "name": "ExtensionUKCoreRelatedProblemHeader",
    "title": "Extension UK Core Related Problem Header",
    "status": "active",
    "date": "2022-03-01",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "A reference to another related problem header condition (target) whose relationship is defined by the relationship type code.",
    "purpose": "This extension extends the Condition or List Resource to support a reference to another related problem header condition (target) whose relationship is defined by the relationship type code, 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": "Condition"
        },
        {
            "type": "element",
            "expression": "List"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Related problem header condition (target)",
                "definition": "Related problem header condition (target)"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "Extension.extension:type",
                "path": "Extension.extension",
                "sliceName": "type",
                "min": 0
            },
            {
                "id": "Extension.extension:type.url",
                "path": "Extension.extension.url",
                "fixedUri": "type"
            },
            {
                "id": "Extension.extension:type.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Condition relationship type.",
                "definition": "Condition relationship type.",
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "description": "A set of codes specifying the kind of relationship that exists with a target problem header condition.",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionRelationship"
                }
            },
            {
                "id": "Extension.extension:target",
                "path": "Extension.extension",
                "sliceName": "target",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Extension.extension:target.url",
                "path": "Extension.extension.url",
                "fixedUri": "target"
            },
            {
                "id": "Extension.extension:target.value[x]",
                "path": "Extension.extension.value[x]",
                "short": "Target problem header condition.",
                "definition": "Target problem header condition.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.extension:target.value[x].identifier.assigner",
                "path": "Extension.extension.value[x].identifier.assigner",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                        ]
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RelatedProblemHeader"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "max": "0"
            }
        ]
    }
}

StructureDefinition Extension-UKCore-ResidentialStatus

Information about a patient's residential status.

Purpose

This extension extends the Patient resource to support the exchange of information about a patient's residential status, which is currently not supported by the FHIR standard.

Context of Use
Use on element Patient

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-ResidentialStatus" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreResidentialStatus" />
    <title value="Extension UK Core Residential Status" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="Information about a patient&#39;s residential status." />
    <purpose value="This extension extends the Patient resource to support the exchange of information about a patient&#39;s residential status, 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="Patient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The residential status of the patient" />
            <definition value="The residential status of the patient. For example if this patient is a UK resident." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="The residential status of the patient" />
            <definition value="The residential status of the patient. For example if this patient is a UK resident." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ResidentialStatus" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-ResidentialStatus",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus",
    "version": "2.1.0",
    "name": "ExtensionUKCoreResidentialStatus",
    "title": "Extension UK Core Residential Status",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "Information about a patient's residential status.",
    "purpose": "This extension extends the Patient resource to support the exchange of information about a patient's residential status, 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": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The residential status of the patient",
                "definition": "The residential status of the patient. For example if this patient is a UK resident.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "The residential status of the patient",
                "definition": "The residential status of the patient. For example if this patient is a UK resident.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ResidentialStatus"
                }
            }
        ]
    }
}

StructureDefinition Extension-UKCore-VaccinationProcedure

This describes the immunization procedure code.

Purpose

This extension extends the Immunization resource to support the exchange of an immunization procedure code, which is currently not supported by the FHIR standard.

Usage

Context of Use
Use on element Immunization

Snapshot View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension..1
Extension.url..
Extension.value[x]CodeableConcept1..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="Extension-UKCore-VaccinationProcedure" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure" />
    <version value="2.1.0" />
    <name value="ExtensionUKCoreVaccinationProcedure" />
    <title value="Extension UK Core Vaccination Procedure" />
    <status value="active" />
    <date value="2021-09-10" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="secretariat@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <contact>
        <name value="NHS Digital" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
            <rank value="2" />
        </telecom>
    </contact>
    <description value="This describes the immunization procedure code." />
    <purpose value="This extension extends the Immunization resource to support the exchange of an immunization procedure code, 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="Immunization" />
    </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 hold an immunization procedure code" />
            <definition value="An extension to hold an immunization procedure code." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure" />
            <definition value="A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure." />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <strength value="extensible" />
                <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-VaccinationProcedure" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "Extension-UKCore-VaccinationProcedure",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure",
    "version": "2.1.0",
    "name": "ExtensionUKCoreVaccinationProcedure",
    "title": "Extension UK Core Vaccination Procedure",
    "status": "active",
    "date": "2021-09-10",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "secretariat@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        },
        {
            "name": "NHS Digital",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work",
                    "rank": 2
                }
            ]
        }
    ],
    "description": "This describes the immunization procedure code.",
    "purpose": "This extension extends the Immunization resource to support the exchange of an immunization procedure code, 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": "Immunization"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "An extension to hold an immunization procedure code",
                "definition": "An extension to hold an immunization procedure code.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure",
                "definition": "A code from the SNOMED Clinical Terminology UK coding system to record a vaccination procedure.",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "strength": "extensible",
                    "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-VaccinationProcedure"
                }
            }
        ]
    }
}

HL7 Common Extensions

The following HL7 extensions have been agreed as suitable to be included for use with the UK Core Profiles Index because the use case for an Extension is fully met by a pre-existing HL7 common Extension. All other HL7 common extensions MAY be used to extend the UK Core if required by the local implementation.

HL7 Common Extension Context of Use Related Profile Modifier Extension
Common Extension coding-sctdescid Coding Use on Element ID Coding NO
Common Extension organization-period Organization Profile UKCore-Organization NO
Common Extension patient-birthPlace Patient Profile UKCore-Patient NO
Common Extension patient-birthTime Patient.birthDate Profile UKCore-Patient NO
Common Extension patient-cadavericDonor Patient Profile UKCore-Patient NO
Common Extension patient-interpreterRequired Patient Profile UKCore-Patient NO
Common Extension messageheader-response-request MessageHeader Profile UKCore-MessageHeader NO

StructureDefinition Common Extension-patient-birthPlace

The registered place of birth of the patient. A system may use the address.text if they don't store the birthPlace address in discrete elements.

Status: draft. Extension maintained by: HL7.

This FHIR common extension is included to allow UK specific guidance and a UK relevant example.

Context of Use
Use on element Patient

Snapshot View

extensionI0..0Extension
url1..1System.StringFixed Value
valueAddressAddress

Differential View

extensionI0..0Extension
url1..1System.StringFixed Value
valueAddressAddress

Hybrid View

extensionI0..0Extension
url1..1System.StringFixed Value
valueAddressAddress

Table View

Extension0..1
Extension.idSystem.String0..1
Extension.extensionExtension0..0
Extension.urlSystem.String1..1
Extension.value[x]Address1..1


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="patient-birthPlace" />
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pa" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1" />
    </extension>
    <url value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace" />
    <version value="4.0.1" />
    <name value="birthPlace" />
    <title value="Birth Place" />
    <status value="draft" />
    <date value="2019-11-01T09:29:23+11:00" />
    <publisher value="HL7" />
    <description value="The registered place of birth of the patient. A sytem may use the address.text if they don&#39;t store the birthPlace address in discrete elements." />
    <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="Patient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="Place of Birth for patient" />
            <definition value="The registered place of birth of the patient. A sytem may use the address.text if they don&#39;t store the birthPlace address in discrete elements." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Extension" />
            <definition value="An Extension" />
            <min value="0" />
            <max value="0" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="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." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="uri" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value of extension" />
            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list)." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Address" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Place of Birth for patient" />
            <definition value="The registered place of birth of the patient. A sytem may use the address.text if they don&#39;t store the birthPlace address in discrete elements." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="Address" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-birthPlace",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
    "version": "4.0.1",
    "name": "birthPlace",
    "title": "Birth Place",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Place of Birth for patient",
                "definition": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Address"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Place of Birth for patient",
                "definition": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "Address"
                    }
                ]
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-birthPlace",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
    "version": "4.0.1",
    "name": "birthPlace",
    "title": "Birth Place",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Place of Birth for patient",
                "definition": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Address"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Place of Birth for patient",
                "definition": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "Address"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Common Extension-patient-birtTime

The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.

Status: draft. Extension maintained by: HL7.

This FHIR common extension is included to allow UK specific guidance and a UK relevant example.

Context of Use
Use on element Patient.birthDate

Snapshot View

extensionI0..0Extension
url1..1System.StringFixed Value
valueDateTimedateTime

Differential View

extensionI0..0Extension
url1..1System.StringFixed Value
valueDateTimedateTime

Hybrid View

extensionI0..0Extension
url1..1System.StringFixed Value
valueDateTimedateTime

Table View

Extension0..1
Extension.idSystem.String0..1
Extension.extensionExtension0..0
Extension.urlSystem.String1..1
Extension.value[x]dateTime1..1


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="patient-birthTime" />
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pa" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1" />
    </extension>
    <url value="http://hl7.org/fhir/StructureDefinition/patient-birthTime" />
    <version value="4.0.1" />
    <name value="birthTime" />
    <title value="Birth Time" />
    <status value="draft" />
    <date value="2019-11-01T09:29:23+11:00" />
    <publisher value="HL7" />
    <description value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively." />
    <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="Patient.birthDate" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="Time of day of birth" />
            <definition value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Extension" />
            <definition value="An Extension" />
            <min value="0" />
            <max value="0" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="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." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="uri" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthTime" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value of extension" />
            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list)." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="dateTime" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Time of day of birth" />
            <definition value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthTime" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-birthTime",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
    "version": "4.0.1",
    "name": "birthTime",
    "title": "Birth Time",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient.birthDate"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Time of day of birth",
                "definition": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Time of day of birth",
                "definition": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ]
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-birthTime",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
    "version": "4.0.1",
    "name": "birthTime",
    "title": "Birth Time",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient.birthDate"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Time of day of birth",
                "definition": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Time of day of birth",
                "definition": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Common Extension-patient-cadavericDonor

Flag indicating whether the patient authorized the donation of body parts after death.

Status: draft. Extension maintained by: HL7.

This FHIR common extension is included to allow UK specific guidance and a UK relevant example.

Context of Use
Use on element Patient

Snapshot View

extensionI0..0Extension
url1..1System.StringFixed Value
valueBooleanboolean

Differential View

extensionI0..0Extension
url1..1System.StringFixed Value
valueBooleanboolean

Hybrid View

extensionI0..0Extension
url1..1System.StringFixed Value
valueBooleanboolean

Table View

Extension0..1
Extension.idSystem.String0..1
Extension.extensionExtension0..0
Extension.urlSystem.String1..1
Extension.value[x]boolean1..1


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="patient-cadavericDonor" />
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pa" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1" />
    </extension>
    <url value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" />
    <version value="4.0.1" />
    <name value="cadavericDonor" />
    <title value="cadavericDonor" />
    <status value="draft" />
    <date value="2019-11-01T09:29:23+11:00" />
    <publisher value="HL7" />
    <description value="Flag indicating whether the patient authorized the donation of body parts after death." />
    <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="Patient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="Post-mortem donor status" />
            <definition value="Flag indicating whether the patient authorized the donation of body parts after death." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Extension" />
            <definition value="An Extension" />
            <min value="0" />
            <max value="0" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="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." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="uri" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value of extension" />
            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list)." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="boolean" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Post-mortem donor status" />
            <definition value="Flag indicating whether the patient authorized the donation of body parts after death." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="boolean" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-cadavericDonor",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor",
    "version": "4.0.1",
    "name": "cadavericDonor",
    "title": "cadavericDonor",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "Flag indicating whether the patient authorized the donation of body parts after death.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Post-mortem donor status",
                "definition": "Flag indicating whether the patient authorized the donation of body parts after death.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "boolean"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Post-mortem donor status",
                "definition": "Flag indicating whether the patient authorized the donation of body parts after death.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-cadavericDonor",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor",
    "version": "4.0.1",
    "name": "cadavericDonor",
    "title": "cadavericDonor",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "Flag indicating whether the patient authorized the donation of body parts after death.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Post-mortem donor status",
                "definition": "Flag indicating whether the patient authorized the donation of body parts after death.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "boolean"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Post-mortem donor status",
                "definition": "Flag indicating whether the patient authorized the donation of body parts after death.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Common Extension-patient-InterpreterRequired

This Patient requires an interpreter to communicate healthcare information to the practitioner.

The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required.

Status: draft. Extension maintained by: HL7.

This FHIR common extension is included to allow UK specific guidance and a UK relevant example.

Context of Use
Use on element Patient

Snapshot View

extensionI0..0Extension
url1..1System.StringFixed Value
valueBooleanboolean

Differential View

extensionI0..0Extension
url1..1System.StringFixed Value
valueBooleanboolean

Hybrid View

extensionI0..0Extension
url1..1System.StringFixed Value
valueBooleanboolean

Table View

Extension0..1
Extension.idSystem.String0..1
Extension.extensionExtension0..0
Extension.urlSystem.String1..1
Extension.value[x]boolean1..1


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="patient-interpreterRequired" />
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pa" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1" />
    </extension>
    <url value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired" />
    <version value="4.0.1" />
    <name value="interpreterRequired" />
    <title value="interpreterRequired" />
    <status value="draft" />
    <date value="2019-11-01T09:29:23+11:00" />
    <publisher value="HL7" />
    <description value="This Patient requires an interpreter to communicate healthcare information to the practitioner." />
    <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="Patient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="Whether the patient needs an interpreter" />
            <definition value="This Patient requires an interpreter to communicate healthcare information to the practitioner." />
            <comment value="The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Extension" />
            <definition value="An Extension" />
            <min value="0" />
            <max value="0" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="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." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="uri" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value of extension" />
            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list)." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="boolean" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="Whether the patient needs an interpreter" />
            <definition value="This Patient requires an interpreter to communicate healthcare information to the practitioner." />
            <comment value="The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="boolean" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-interpreterRequired",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired",
    "version": "4.0.1",
    "name": "interpreterRequired",
    "title": "interpreterRequired",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "This Patient requires an interpreter to communicate healthcare information to the practitioner.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Whether the patient needs an interpreter",
                "definition": "This Patient requires an interpreter to communicate healthcare information to the practitioner.",
                "comment": "The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "boolean"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Whether the patient needs an interpreter",
                "definition": "This Patient requires an interpreter to communicate healthcare information to the practitioner.",
                "comment": "The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-interpreterRequired",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired",
    "version": "4.0.1",
    "name": "interpreterRequired",
    "title": "interpreterRequired",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "This Patient requires an interpreter to communicate healthcare information to the practitioner.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Whether the patient needs an interpreter",
                "definition": "This Patient requires an interpreter to communicate healthcare information to the practitioner.",
                "comment": "The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "boolean"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Whether the patient needs an interpreter",
                "definition": "This Patient requires an interpreter to communicate healthcare information to the practitioner.",
                "comment": "The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "boolean"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Common Extension-messageheader-response-request

This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.

Status: draft. Extension maintained by: HL7.

This FHIR common extension is included to allow UK specific guidance and a UK relevant example.

Context of Use
Use on element MessageHeader

Snapshot View

extensionI0..0Extension
url1..1System.StringFixed Value
valueCodecode

Differential View

extensionI0..0Extension
url1..1System.StringFixed Value
valueCodecode

Hybrid View

extensionI0..0Extension
url1..1System.StringFixed Value
valueCodecode

Table View

Extension1..1
Extension.idSystem.String0..1
Extension.extensionExtension0..0
Extension.urlSystem.String1..1
Extension.value[x]code1..1


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="messageheader-response-request" />
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="inm" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1" />
    </extension>
    <url value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request" />
    <version value="4.0.1" />
    <name value="messageheader-response-request" />
    <title value="MessageHeader response request" />
    <status value="draft" />
    <date value="2017-01-24" />
    <publisher value="Health Level Seven, Inc. - InM Work Group" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="http://hl7.org/special/committees/FHIR" />
        </telecom>
    </contact>
    <description value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="v2" />
        <uri value="http://hl7.org/v2" />
        <name value="HL7 v2 Mapping" />
    </mapping>
    <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="MessageHeader" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="messageheader initiator requests a response" />
            <definition value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never." />
            <comment value="The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <mapping>
                <identity value="v2" />
                <map value="MSH-16" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Extension" />
            <definition value="An Extension" />
            <min value="0" />
            <max value="0" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="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." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="uri" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value of extension" />
            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list)." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="code" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="messageheader-response-request" />
                </extension>
                <strength value="required" />
                <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message." />
                <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1" />
            </binding>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="messageheader initiator requests a response" />
            <definition value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never." />
            <comment value="The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected." />
            <min value="1" />
            <max value="1" />
            <isModifier value="false" />
            <mapping>
                <identity value="v2" />
                <map value="MSH-16" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="code" />
            </type>
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="messageheader-response-request" />
                </extension>
                <strength value="required" />
                <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message." />
                <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "messageheader-response-request",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "inm"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/messageheader-response-request",
    "version": "4.0.1",
    "name": "messageheader-response-request",
    "title": "MessageHeader response request",
    "status": "draft",
    "date": "2017-01-24",
    "publisher": "Health Level Seven, Inc. - InM Work Group",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "http://hl7.org/special/committees/FHIR"
                }
            ]
        }
    ],
    "description": "This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "MessageHeader"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "messageheader initiator requests a response",
                "definition": "This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
                "comment": "The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "mapping":  [
                    {
                        "identity": "v2",
                        "map": "MSH-16"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/messageheader-response-request",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "messageheader-response-request"
                        }
                    ],
                    "strength": "required",
                    "description": "HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "messageheader initiator requests a response",
                "definition": "This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
                "comment": "The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected.",
                "min": 1,
                "max": "1",
                "isModifier": false,
                "mapping":  [
                    {
                        "identity": "v2",
                        "map": "MSH-16"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/messageheader-response-request"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "messageheader-response-request"
                        }
                    ],
                    "strength": "required",
                    "description": "HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1"
                }
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "messageheader-response-request",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "inm"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/messageheader-response-request",
    "version": "4.0.1",
    "name": "messageheader-response-request",
    "title": "MessageHeader response request",
    "status": "draft",
    "date": "2017-01-24",
    "publisher": "Health Level Seven, Inc. - InM Work Group",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "http://hl7.org/special/committees/FHIR"
                }
            ]
        }
    ],
    "description": "This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "MessageHeader"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "messageheader initiator requests a response",
                "definition": "This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
                "comment": "The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "mapping":  [
                    {
                        "identity": "v2",
                        "map": "MSH-16"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/messageheader-response-request",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "messageheader-response-request"
                        }
                    ],
                    "strength": "required",
                    "description": "HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "messageheader initiator requests a response",
                "definition": "This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
                "comment": "The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected.",
                "min": 1,
                "max": "1",
                "isModifier": false,
                "mapping":  [
                    {
                        "identity": "v2",
                        "map": "MSH-16"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/messageheader-response-request"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "messageheader-response-request"
                        }
                    ],
                    "strength": "required",
                    "description": "HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1"
                }
            }
        ]
    }
}

StructureDefinition Common Extension-organization-period

The date range that this organization should be considered available.

Status: draft. Extension maintained by: HL7.

This FHIR common extension is included to allow UK specific guidance and a UK relevant example.

Context of Use
Use on element Organization

Snapshot View

extensionI0..0Extension
url1..1System.StringFixed Value
valuePeriodPeriod

Differential View

extensionI0..0Extension
url1..1System.StringFixed Value
valuePeriodPeriod

Hybrid View

extensionI0..0Extension
url1..1System.StringFixed Value
valuePeriodPeriod

Table View

Extension0..1
Extension.idSystem.String0..1
Extension.extensionExtension0..0
Extension.urlSystem.String1..1
Extension.value[x]Period1..1


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="organization-period" />
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pa" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1" />
    </extension>
    <url value="http://hl7.org/fhir/StructureDefinition/organization-period" />
    <version value="4.0.1" />
    <name value="period" />
    <title value="Period" />
    <status value="draft" />
    <date value="2015-02-21" />
    <publisher value="Health Level Seven, Inc. - FHIR WG" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="HL7" />
        </telecom>
    </contact>
    <description value="The date range that this organization should be considered available." />
    <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>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="Extension" />
            <definition value="The date range that this organization should be considered available." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Extension" />
            <definition value="An Extension" />
            <min value="0" />
            <max value="0" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="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." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="uri" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-period" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value of extension" />
            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list)." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Period" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <definition value="The date range that this organization should be considered available." />
            <min value="0" />
            <max value="1" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-period" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="Period" />
            </type>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "organization-period",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/organization-period",
    "version": "4.0.1",
    "name": "period",
    "title": "Period",
    "status": "draft",
    "date": "2015-02-21",
    "publisher": "Health Level Seven, Inc. - FHIR WG",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "HL7"
                }
            ]
        }
    ],
    "description": "The date range that this organization should be considered available.",
    "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": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Extension",
                "definition": "The date range that this organization should be considered available.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/organization-period",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Period"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "definition": "The date range that this organization should be considered available.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/organization-period"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "Period"
                    }
                ]
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "organization-period",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/organization-period",
    "version": "4.0.1",
    "name": "period",
    "title": "Period",
    "status": "draft",
    "date": "2015-02-21",
    "publisher": "Health Level Seven, Inc. - FHIR WG",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "HL7"
                }
            ]
        }
    ],
    "description": "The date range that this organization should be considered available.",
    "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": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "Extension",
                "definition": "The date range that this organization should be considered available.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/organization-period",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Period"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "definition": "The date range that this organization should be considered available.",
                "min": 0,
                "max": "1"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/organization-period"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "Period"
                    }
                ]
            }
        ]
    }
}

StructureDefinition Common Extension-patient-religion

The patient's professed religious affiliations.

Status: draft. Extension maintained by: HL7.

This FHIR common extension is included to allow UK specific guidance and a UK relevant example.

Context of Use
Use on element Patient

Snapshot View

extensionI0..0Extension
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Differential View

extensionI0..0Extension
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Hybrid View

extensionI0..0Extension
url1..1System.StringFixed Value
valueCodeableConceptCodeableConcept

Table View

Extension0..*
Extension.idSystem.String0..1
Extension.extensionExtension0..0
Extension.urlSystem.String1..1
Extension.value[x]CodeableConcept1..1


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="patient-religion" />
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pa" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1" />
    </extension>
    <url value="http://hl7.org/fhir/StructureDefinition/patient-religion" />
    <version value="4.0.1" />
    <name value="religion" />
    <title value="religion" />
    <status value="draft" />
    <date value="2019-11-01T09:29:23+11:00" />
    <publisher value="HL7" />
    <description value="The patient&#39;s professed religious affiliations." />
    <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="Patient" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="The patient&#39;s professed religious affiliations" />
            <definition value="The patient&#39;s professed religious affiliations." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Extension" />
            <definition value="An Extension" />
            <min value="0" />
            <max value="0" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="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." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="uri" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-religion" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <short value="Value of extension" />
            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list)." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="CodeableConcept" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="Religion" />
                </extension>
                <strength value="extensible" />
                <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation" />
            </binding>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="The patient&#39;s professed religious affiliations" />
            <definition value="The patient&#39;s professed religious affiliations." />
            <min value="0" />
            <max value="*" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-religion" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <min value="1" />
            <type>
                <code value="CodeableConcept" />
            </type>
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="Religion" />
                </extension>
                <strength value="extensible" />
                <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation" />
            </binding>
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-religion",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-religion",
    "version": "4.0.1",
    "name": "religion",
    "title": "religion",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "The patient's professed religious affiliations.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The patient's professed religious affiliations",
                "definition": "The patient's professed religious affiliations.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-religion",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Religion"
                        }
                    ],
                    "strength": "extensible",
                    "valueSet": "http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The patient's professed religious affiliations",
                "definition": "The patient's professed religious affiliations.",
                "min": 0,
                "max": "*"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-religion"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Religion"
                        }
                    ],
                    "strength": "extensible",
                    "valueSet": "http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"
                }
            }
        ]
    }
}

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "patient-religion",
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
            "valueCode": "pa"
        },
        {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
            "valueInteger": 1
        }
    ],
    "url": "http://hl7.org/fhir/StructureDefinition/patient-religion",
    "version": "4.0.1",
    "name": "religion",
    "title": "religion",
    "status": "draft",
    "date": "2019-11-01T09:29:23+11:00",
    "publisher": "HL7",
    "description": "The patient's professed religious affiliations.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "type": "element",
            "expression": "Patient"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The patient's professed religious affiliations",
                "definition": "The patient's professed religious affiliations.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Extension",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "Unique id for inter-element referencing",
                "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Extension",
                "definition": "An Extension",
                "min": 0,
                "max": "0",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "uri"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-religion",
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "short": "Value of extension",
                "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Religion"
                        }
                    ],
                    "strength": "extensible",
                    "valueSet": "http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "The patient's professed religious affiliations",
                "definition": "The patient's professed religious affiliations.",
                "min": 0,
                "max": "*"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-religion"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "min": 1,
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Religion"
                        }
                    ],
                    "strength": "extensible",
                    "valueSet": "http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"
                }
            }
        ]
    }
}

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