HL7.FHIR.US.MILITARY-SERVICE\Military Service Episode

HL7 FHIR Implementation Guide: Military Service History and Status Release 1 - US Realm | STU1, published by Cross Group Projects WG. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-military-service/ and changes regularly. See the Directory of published versions

Resource Profile: Military Service Episode

Official URL: http://hl7.org/fhir/us/military-service/StructureDefinition/military-service-episode				Version: 1.0.0
Active as of 2023-05-30				Computable Name: MilitaryServiceEpisode

Military Service Episode describes a patient/veterans overall experiences of a militiary employment. The profile references military deployments and occupations as well as military branche, seperation and discharge status. A patient/Veteran may have zero or more military service episodes. The episode documents the time spent in the military organization, the dischage status and reason, and a collection of deployment episodes

Usage:

Examples for this Resource Profile: Observation/philip-scott-example-military-service-episode

Formal Views of Profile Content

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

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
id		1..1	id	Logical id of this artifact
identifier		0..1	Identifier	Business Identifier for observation
basedOn		0..0
partOf		0..0
status	S	1..1	code	registered \| preliminary \| final \| amended +
category
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87511-2
subject	S	1..1	Reference(US Veteran)	Who and/or what the observation is about
focus		0..0
encounter		0..0
effective[x]		1..1	Period	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectivePeriod	S	1..1	Period	Clinically relevant time/time-period for observation
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
issued		0..0
performer		0..0
dataAbsentReason		0..0
interpretation		0..0
bodySite		0..0
method		0..0
specimen		0..0
device		0..0
referenceRange		0..0
Slices for hasMember		0..*	Reference(Observation \| QuestionnaireResponse \| MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by profile:$this.resolve()
hasMember:DeploymentHistoryEpisode	S	0..*	Reference(Deployment History Episode)	Related resource that belongs to the Observation group
hasMember:MilitaryOccupation	S	0..*	Reference(Military Occupation)	Related resource that belongs to the Observation group
derivedFrom		0..0
Slices for component	S	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:military-service-Military-Branch		1..1	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
display		1..1	string	Representation defined by the system Fixed Value: Compensation and sector employment type
value[x]	S	1..1	CodeableConcept	Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept		1..1	CodeableConcept	Actual component result Binding: Military Branch Value Set (extensible)
component:military-service-DischargeStatus		0..1	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/military-service/CodeSystem/military-service-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 9B7095A70B024CD789A36E48A3936592
display		1..1	string	Representation defined by the system Fixed Value: Discharge Status
value[x]		1..1	CodeableConcept	Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept	S	1..1	CodeableConcept	Actual component result Binding: Discharge Status Value Set (extensible)
component:military-service-SeparationReason		0..1	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/military-service/CodeSystem/military-service-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 9CEAD6537D6A4F198549F70598B8F8BF
display		1..1	string	Representation defined by the system Fixed Value: Separation Reason
value[x]		0..1	CodeableConcept	Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept	S	0..1	CodeableConcept	Actual component result Binding: Separation Reason Value Set (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.component:military-service-Military-Branch.valueCodeableConcept	extensible	MilitaryBranchVS
Observation.component:military-service-DischargeStatus.valueCodeableConcept	extensible	DischargeStatusVS
Observation.component:military-service-SeparationReason.valueCodeableConcept	extensible	SeparationReasonVS

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business Identifier for observation
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87511-2
subject	SΣ	1..1	Reference(US Veteran)	Who and/or what the observation is about
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	SΣ	1..1	Period	Clinically relevant time/time-period for observation
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
Slices for hasMember	Σ	0..*	Reference(Observation \| QuestionnaireResponse \| MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by profile:$this.resolve()
hasMember:DeploymentHistoryEpisode	SΣ	0..*	Reference(Deployment History Episode)	Related resource that belongs to the Observation group
hasMember:MilitaryOccupation	SΣ	0..*	Reference(Military Occupation)	Related resource that belongs to the Observation group
Slices for component	SΣ	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:military-service-Military-Branch	Σ	1..1	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
display		1..1	string	Representation defined by the system Fixed Value: Compensation and sector employment type
Slices for value[x]	SΣ	1..1	CodeableConcept	Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	Σ	1..1	CodeableConcept	Actual component result Binding: Military Branch Value Set (extensible)
component:military-service-DischargeStatus	Σ	0..1	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/military-service/CodeSystem/military-service-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 9B7095A70B024CD789A36E48A3936592
display		1..1	string	Representation defined by the system Fixed Value: Discharge Status
Slices for value[x]	Σ	1..1	CodeableConcept	Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣ	1..1	CodeableConcept	Actual component result Binding: Discharge Status Value Set (extensible)
component:military-service-SeparationReason	Σ	0..1	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/military-service/CodeSystem/military-service-code-system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 9CEAD6537D6A4F198549F70598B8F8BF
display		1..1	string	Representation defined by the system Fixed Value: Separation Reason
Slices for value[x]	Σ	0..1	CodeableConcept	Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣ	0..1	CodeableConcept	Actual component result Binding: Separation Reason Value Set (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	ObservationStatus
Observation.code	example	Pattern: LOINC code 87511-2
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:military-service-Military-Branch.code	example	Pattern: LOINC code 85104-8("Compensation and sector employment type")
Observation.component:military-service-Military-Branch.value[x]:valueCodeableConcept	extensible	MilitaryBranchVS
Observation.component:military-service-DischargeStatus.code	example	Pattern: 9B7095A70B024CD789A36E48A3936592("Discharge Status")
Observation.component:military-service-DischargeStatus.value[x]:valueCodeableConcept	extensible	DischargeStatusVS
Observation.component:military-service-SeparationReason.code	example	Pattern: 9CEAD6537D6A4F198549F70598B8F8BF("Separation Reason")
Observation.component:military-service-SeparationReason.value[x]:valueCodeableConcept	extensible	SeparationReasonVS

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	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()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()