US Core Implementation Guide
7.0.0 - STU7 United States of America flag

US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

Resource Profile: US Core Location Profile

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location Version: 7.0.0
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreLocationProfile
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.31

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

The US Core Location Profile inherits from the FHIR Location resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Location resource for recording, searching, and fetching a “physical place of available services or resources.” It specifies which core elements, extensions, vocabularies, and value sets SHALL be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

Mandatory and Must Support Data Elements

The following data elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Location Must Have:

  1. A name

Each Location Must Support:

  1. Location or facility identifier`
  2. A status (whether in use)
  3. The type of location or facility
  4. Contact details of the location
  5. A Location address*
  6. The managing organization

*see guidance below

Additional Profile specific implementation guidance:

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Location

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..* Location Details and position information for a physical place
... identifier S 0..* Identifier Unique business identifier for facility or location.
... status S 0..1 code active | suspended | inactive
... name S 1..1 string Name by which a facility or location is known.
... type S 0..* CodeableConcept Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location
.... line S 0..* string Street name, number, direction & P.O. Box etc.

Example General: 49 MEADOW ST
.... city S 0..1 string Name of city, town etc.
Example General: EVERYTOWN
.... state S 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


Example General: OK
.... postalCode S 0..1 string US Zip Codes
Example General: 74047
... managingOrganization S 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..* Location Details and position information for a physical place
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... name SΣ 1..1 string Name by which a facility or location is known.
... type SΣ 0..* CodeableConcept Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..* Location Details and position information for a physical place
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

... name SΣ 1..1 string Name by which a facility or location is known.
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type SΣ 0..* CodeableConcept Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.operationalStatuspreferredHl7VSBedStatus
http://terminology.hl7.org/ValueSet/v2-0116
Location.moderequiredLocationMode
http://hl7.org/fhir/ValueSet/location-mode|4.0.1
from the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
from this IG
Location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard

This structure is derived from Location

Summary

Mandatory: 1 element
Must-Support: 11 elements

Structures

This structure refers to these other structures:

Maturity: 3

Differential View

This structure is derived from Location

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..* Location Details and position information for a physical place
... identifier S 0..* Identifier Unique business identifier for facility or location.
... status S 0..1 code active | suspended | inactive
... name S 1..1 string Name by which a facility or location is known.
... type S 0..* CodeableConcept Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location
.... line S 0..* string Street name, number, direction & P.O. Box etc.

Example General: 49 MEADOW ST
.... city S 0..1 string Name of city, town etc.
Example General: EVERYTOWN
.... state S 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


Example General: OK
.... postalCode S 0..1 string US Zip Codes
Example General: 74047
... managingOrganization S 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..* Location Details and position information for a physical place
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... name SΣ 1..1 string Name by which a facility or location is known.
... type SΣ 0..* CodeableConcept Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..* Location Details and position information for a physical place
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

... name SΣ 1..1 string Name by which a facility or location is known.
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type SΣ 0..* CodeableConcept Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint Contact details of the location
... address S 0..1 Address Physical location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Location.statusrequiredLocationStatus
http://hl7.org/fhir/ValueSet/location-status|4.0.1
from the FHIR Standard
Location.operationalStatuspreferredHl7VSBedStatus
http://terminology.hl7.org/ValueSet/v2-0116
Location.moderequiredLocationMode
http://hl7.org/fhir/ValueSet/location-mode|4.0.1
from the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Location.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
from this IG
Location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard

This structure is derived from Location

Summary

Mandatory: 1 element
Must-Support: 11 elements

Structures

This structure refers to these other structures:

Maturity: 3

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Quick Start

Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile’s information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.

  • See the Scopes Format section for a description of the SMART scopes syntax.
  • See the Search Syntax section for a description of the US Core search syntax.
  • See the General Requirements section for additional rules and expectations when a server requires status parameters.
  • See the General Guidance section for additional guidance on searching for multiple patients.

US Core Scopes

Servers providing access to data SHALL support these US Core SMART Scopes:

Mandatory Search Parameters:

The following search parameters and search parameter combinations SHALL be supported:

  1. SHALL support searching by location name using the name search parameter:

    GET [base]/Location?name=[string]

    Example:

    1. GET [base]/Location?name=Health

    Implementation Notes: Fetches a bundle of all Location resources that match the name (how to search by string)

  2. SHALL support searching location based on text address using the address search parameter:

    GET [base]/Location?address=[string]

    Example:

    1. GET [base]/Location?address=Arbor

    Implementation Notes: Fetches a bundle of all Location resources that match the address string (how to search by string)

Optional Search Parameters:

The following search parameter combinations SHOULD be supported:

  1. SHOULD support searching using the address-city search parameter:

    GET [base]/Location?address-city=[string]

    Example:

    1. GET [base]/Location?address-city=Ann Arbor

    Implementation Notes: Fetches a bundle of all Location resources for the city (how to search by string)

  2. SHOULD support searching using the address-state search parameter:

    GET [base]/Location?address-state=[string]

    Example:

    1. GET [base]/Location?address-state=MI

    Implementation Notes: Fetches a bundle of all Location resources for the state (how to search by string)

  3. SHOULD support searching using the address-postalcode search parameter:

    GET [base]/Location?address-postalcode=[string]

    Example:

    1. GET [base]/Location?address-postalcode=48104

    Implementation Notes: Fetches a bundle of all Location resources for the ZIP code (how to search by string)