INTEROPen CareConnect Base STU3 Implementation Guide
3.0.0 - CI Build
INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions
Definitions for the CareConnect-List-1 Profile.
1. List | |
Definition | A set of information summarized from a list of other resources. |
Control | 0..* |
Alternate Names | Collection, WorkingList, Organizer |
Invariants | Defined on this element dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty()) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (: contained.where(('#'+id in %resource.descendants().reference).not()).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) lst-1: A list can only have an emptyReason if it is empty (: emptyReason.empty() or entry.empty()) lst-2: The deleted flag can only be used if the mode of the list is "changes" (: mode = 'changes' or entry.deleted.empty()) |
2. List.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
3. List.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
4. List.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. |
5. List.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language. The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable Max Binding: All Languages |
Type | code |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
6. List.text | |
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Control | 0..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. |
7. List.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Control | 0..* |
Type | Resource |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
8. List.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
Slicing | This element introduces a set of slices on List.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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9. List.extension:clinicalSetting | |
SliceName | clinicalSetting |
Definition | To record the clinical setting of a problem list. |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Extension-CareConnect-ClinicalSetting-1) (Extension Type: CodeableConcept) |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
10. List.extension:warningCode | |
SliceName | warningCode |
Definition | To capture warnings that the list may be incomplete. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(Extension-CareConnect-ListWarningCode-1) (Extension Type: code) |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
11. List.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
12. List.identifier | |
Definition | Identifier for the List assigned for business purposes outside the context of FHIR. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
13. List.identifier.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
14. List.identifier.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | This element introduces a set of slices on List.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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15. List.identifier.use | |
Definition | The purpose of this identifier. |
Control | 0..1 |
Binding | Identifies the purpose for this identifier, if known . The codes SHALL be taken from IdentifierUse |
Type | code |
Is Modifier | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
16. List.identifier.type | |
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Control | 0..1 |
Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
17. List.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Control | 1..1 |
Type | uri |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Example | General:http://www.acme.com/identifiers/patient |
18. List.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Control | 1..1 |
Type | string |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. |
Example | General:123456 |
19. List.identifier.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
20. List.identifier.assigner | |
Definition | Organization that issued/manages the identifier. |
Control | 0..1 |
Type | Reference(CareConnect-Organization-1) |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
21. List.status | |
Definition | Indicates the current state of this list. |
Control | 1..1 |
Binding | The current state of the list The codes SHALL be taken from ListStatus |
Type | code |
Is Modifier | true |
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
22. List.mode | |
Definition | How this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted. |
Control | 1..1 |
Binding | The processing mode that applies to this list The codes SHALL be taken from ListMode |
Type | code |
Is Modifier | true |
Requirements | Lists are used in various ways, and it must be known in what way it is safe to use them. |
Comments | This element is labeled as a modifier because a change list must not be mis-understood as a complete list. |
23. List.title | |
Definition | A label for the list assigned by the author. |
Control | 0..1 |
Type | string |
Requirements | Allows customization beyond just the code identifying the kind of list. |
Example | General:Dr. Jane's Patients |
24. List.code | |
Definition | This code defines the purpose of the list - why it was created. |
Control | 0..1 |
Binding | The codes SHOULD be taken from Care Connect List Code |
Type | CodeableConcept |
Requirements | Lists often contain subsets of resources rather than an exhaustive list. The code identifies what type of subset is included. |
Comments | If there is no code, the purpose of the list is implied where it is used, such as in a document section using Document.section.code. |
25. List.subject | |
Definition | The common subject (or patient) of the resources that are in the list, if there is one. |
Control | 0..1 |
Type | Reference(Group | Device | CareConnect-Patient-1 | CareConnect-Location-1) |
Requirements | The primary purpose of listing the subject explicitly is to help with finding the right list. |
Comments | Some purely arbitrary lists do not have a common subject, so this is optional. |
26. List.encounter | |
Definition | The encounter that is the context in which this list was created. |
Control | 0..1 |
Type | Reference(CareConnect-Encounter-1) |
27. List.date | |
Definition | The date that the list was prepared. |
Control | 0..1 |
Type | dateTime |
Requirements | Identifies how current the list is which affects relevance. |
Comments | The actual important date is the date of currency of the resources that were summarized, but it is usually assumed that these are current when the preparation occurs. |
28. List.source | |
Definition | The entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list. |
Control | 0..1 |
Type | Reference(Device | CareConnect-Patient-1 | CareConnect-Practitioner-1) |
Requirements | Allows follow-up as well as context. |
Alternate Names | Author |
Comments | The primary source is the entity that made the decisions what items are in the list. This may be software or user. |
29. List.orderedBy | |
Definition | What order applies to the items in the list. |
Control | 0..1 |
Binding | What order applies to the items in a list The codes SHOULD be taken from List Order Codes |
Type | CodeableConcept |
Requirements | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. |
Comments | Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order. |
30. List.note | |
Definition | Comments that apply to the overall list. |
Control | 0..* |
Type | Annotation |
31. List.note.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
32. List.note.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | This element introduces a set of slices on List.note.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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33. List.note.author[x] | |
Definition | The individual responsible for making the annotation. |
Control | 0..1 |
Type | Choice of: Reference(RelatedPerson | CareConnect-Patient-1 | CareConnect-Practitioner-1), string |
[x] Note | See Choice of Data Types for further information about how to use [x] |
34. List.note.time | |
Definition | Indicates when this particular annotation was made. |
Control | 0..1 |
Type | dateTime |
35. List.note.text | |
Definition | The text of the annotation. |
Control | 1..1 |
Type | string |
36. List.entry | |
Definition | Entries in this list. |
Control | 0..* This element is affected by the following invariants: lst-1 |
Type | BackboneElement |
Comments | If there are no entries in the list, an emptyReason SHOULD be provided. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) |
37. List.entry.id | |
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
38. List.entry.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
39. List.entry.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
40. List.entry.flag | |
Definition | The flag allows the system constructing the list to indicate the role and significance of the item in the list. |
Control | 0..1 |
Binding | Codes that provide further information about the reason and meaning of the item in the list For example codes, see Patient Medicine Change Types |
Type | CodeableConcept |
Requirements | This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list. |
Comments | The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is "changes". |
41. List.entry.deleted | |
Definition | True if this item is marked as deleted in the list. |
Control | 0..1 This element is affected by the following invariants: lst-2 |
Type | boolean |
Is Modifier | true |
Requirements | The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as "deleted". |
Comments | If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is "changes". A deleted entry should be displayed in narrative as deleted. This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list. |
Default Value | false |
42. List.entry.date | |
Definition | When this item was added to the list. |
Control | 0..1 |
Type | dateTime |
Requirements | The date may be significant for understanding the meaning of items in a working list. |
Comments | This is only useful and meaningful when the mode is "working". |
43. List.entry.item | |
Definition | A reference to the actual resource from which data was derived. |
Control | 1..1 |
Type | Reference(Resource) |
44. List.emptyReason | |
Definition | If the list is empty, why the list is empty. |
Control | 0..1 This element is affected by the following invariants: lst-1 |
Binding | The codes SHOULD be taken from Care Connect List Empty Reason Code |
Type | CodeableConcept |
Requirements | Allows capturing things like "none exist" or "not asked" which can be important for most lists. |
Comments | The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases. |