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-Location-1 Profile.
1. Location | |
Definition | Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained or accommodated. |
Control | 0..* |
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()) |
2. Location.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. Location.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. Location.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. Location.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. Location.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. Location.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. Location.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource. 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. |
9. Location.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. |
10. Location.identifier | |
Definition | Unique code or number identifying the location to its users. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Organization label locations in registries, need to keep track of those. |
Slicing | This element introduces a set of slices on Location.identifier. The slices are unordered and Open at End, and can be differentiated using the following discriminators:
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11. Location.identifier:odsSiteCode | |
SliceName | odsSiteCode |
Definition | ODS Site code to identify the organisation at site level. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..1 |
Type | Identifier |
Requirements | Organization label locations in registries, need to keep track of those. |
12. Location.identifier:odsSiteCode.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 |
13. Location.identifier:odsSiteCode.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 Location.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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14. Location.identifier:odsSiteCode.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. |
15. Location.identifier:odsSiteCode.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. |
16. Location.identifier:odsSiteCode.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. |
Fixed Value | https://fhir.nhs.uk/Id/ods-site-code |
Example | General:http://www.acme.com/identifiers/patient |
17. Location.identifier:odsSiteCode.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 |
18. Location.identifier:odsSiteCode.period | |
Definition | Time period during which identifier is/was valid for use. |
Control | 0..1 |
Type | Period |
19. Location.identifier:odsSiteCode.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. |
20. Location.status | |
Definition | The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location. |
Control | 0..1 |
Binding | Indicates whether the location is still in use. The codes SHALL be taken from LocationStatus |
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. |
21. Location.operationalStatus | |
Definition | The Operational status covers operation values most relevant to beds (but can also apply to rooms/units/chair/etc such as an isolation unit/dialisys chair). This typically covers concepts such as contamination, housekeeping and other activities like maintenance. |
Control | 0..1 |
Binding | The operational status if the location (where typically a bed/room) The codes SHOULD be taken from v2 Bed Status |
Type | Coding |
22. Location.name | |
Definition | Name of the location as used by humans. Does not need to be unique. |
Control | 0..1 |
Type | string |
Comments | If the name of an location changes, consider putting the old name in the alias column so that it can still be located through searches. |
23. Location.alias | |
Definition | A list of alternate names that the location is known as, or was known as in the past. |
Control | 0..* |
Type | string |
Requirements | Over time locations and organizations go through many changes and can be known by different names. For searching knowing previous names that the location was known by can be very useful. |
Comments | There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location. |
24. Location.description | |
Definition | Description of the Location, which helps in finding or referencing the place. |
Control | 0..1 |
Type | string |
Requirements | Humans need additional information to verify a correct location has been identified. |
25. Location.mode | |
Definition | Indicates whether a resource instance represents a specific location or a class of locations. |
Control | 0..1 |
Binding | Indicates whether a resource instance represents a specific location or a class of locations. The codes SHALL be taken from LocationMode |
Type | code |
Is Modifier | true |
Requirements | When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location. |
Comments | This is labeled as a modifer because whether or not the location is a class of locations changes how it can be used and understood. |
26. Location.type | |
Definition | Indicates the type of function performed at the location. |
Control | 0..1 |
Binding | Indicates the type of function performed at the location. The codes SHALL be taken from ServiceDeliveryLocationRoleType; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
27. Location.telecom | |
Definition | The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites. |
Control | 0..* |
Type | ContactPoint |
28. Location.address | |
Definition | Physical location. |
Control | 0..1 |
Type | Address |
Requirements | If locations can be visited, we need to keep track of their address. |
Comments | This was kept as 0..1 as there is no use property on the address, so wouldn't be able to identify different address types. |
29. Location.physicalType | |
Definition | Physical form of the location, e.g. building, room, vehicle, road. |
Control | 0..1 |
Binding | Physical form of the location For example codes, see LocationType |
Type | CodeableConcept |
Requirements | For purposes of showing relevant locations in queries, we need to categorize locations. |
30. Location.position | |
Definition | The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML). |
Control | 0..1 |
Type | BackboneElement |
Requirements | For mobile applications and automated route-finding knowing the exact location of the Location is required. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count())) |
31. Location.position.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. Location.position.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. |
33. Location.position.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. |
34. Location.position.longitude | |
Definition | Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below). |
Control | 1..1 |
Type | decimal |
35. Location.position.latitude | |
Definition | Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below). |
Control | 1..1 |
Type | decimal |
36. Location.position.altitude | |
Definition | Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below). |
Control | 0..1 |
Type | decimal |
37. Location.managingOrganization | |
Definition | The organization responsible for the provisioning and upkeep of the location. |
Control | 0..1 |
Type | Reference(CareConnect-Organization-1) |
Requirements | Need to know who manages the location. |
Comments | This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource. |
38. Location.partOf | |
Definition | Another Location which this Location is physically part of. |
Control | 0..1 |
Type | Reference(CareConnect-Location-1) |
Requirements | For purposes of location, display and identification, knowing which locations are located within other locations is important. |
39. Location.endpoint | |
Definition | Technical endpoints providing access to services operated for the location. |
Control | 0..* |
Type | Reference(Endpoint) |
Requirements | Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. |