QI-Core Implementation Guide
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QI-Core Implementation Guide, published by http://www.hl7.org/Special/committees/cqi/index.cfm. This is not an authorized publication; it is the continuous build for version 5.0.0). This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Resource Profile: QICore Location

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location Version: 5.0.0
Active as of 2018-08-22 Computable Name: QICoreLocation

Profile of Location for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Usage

See the patterns page for implementation and usage patterns.

define "Encounter With ICU Location Stay 1 Day or More":
  "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" QualifyingEncounter
    where exists ( QualifyingEncounter.location Location
      where Global.GetLocation(Location.location).type in "Intensive Care Unit"
        and Global."LengthInDays"(Location.period) >= 1
        and Location.period starts during TJC."CalendarDayOfOrDayAfter"(start of QualifyingEncounter.period)
    )

  

Examples

Example of the south wing of Mean Joe Greene University Medical Center

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreLocation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*USCoreLocationDetails and position information for a physical place
... identifier:identifier S1..*IdentifierUnique code or number identifying the location to its users
.... use S1..1codeusual | official | temp | secondary | old (If known)
.... system S1..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique
... mode S0..1codeinstance | kind
... type S0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.

... managingOrganization S0..1Reference(QICore Organization)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(QICore Location)Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Location.typeextensibleServiceDeliveryLocationRoleType
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*USCoreLocationDetails and position information for a physical place
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier:identifier SΣ1..*IdentifierUnique code or number identifying the location to its users
.... use ?!SΣ1..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
... name SΣ1..1stringName of the location as used by humans
... mode SΣ0..1codeinstance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type SΣ0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.


... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet 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
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
... managingOrganization SΣ0..1Reference(QICore Organization)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(QICore Location)Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.identifier:identifier.userequiredIdentifierUse
Location.statusrequiredLocationStatus
Location.moderequiredLocationMode
Location.typeextensibleServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLocationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLocationIf 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-4errorLocationIf 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-5errorLocationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLocationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*USCoreLocationDetails and position information for a physical place
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier:identifier SΣ1..*IdentifierUnique code or number identifying the location to its users
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ1..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ0..1codeactive | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ0..1CodingThe 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 SΣ1..1stringName of the location as used by humans
... alias 0..*stringA list of alternate names that the location is known as, or was known as, in the past
... description Σ0..1stringAdditional details about the location that could be displayed as further information to identify the location beyond its name
... mode SΣ0..1codeinstance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type SΣ0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.


... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..*stringStreet 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
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ0..1CodeableConceptPhysical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1BackboneElementThe absolute geographic location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... longitude 1..1decimalLongitude with WGS84 datum
.... latitude 1..1decimalLatitude with WGS84 datum
.... altitude 0..1decimalAltitude with WGS84 datum
... managingOrganization SΣ0..1Reference(QICore Organization)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(QICore Location)Another Location this one is physically a part of
... hoursOfOperation 0..*BackboneElementWhat days/times during a week is this location usually open
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1booleanThe Location is open all day
.... openingTime 0..1timeTime that the Location opens
.... closingTime 0..1timeTime that the Location closes
... availabilityExceptions 0..1stringDescription of availability exceptions
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Location.identifier:identifier.userequiredIdentifierUse
Location.identifier:identifier.typeextensibleIdentifier Type Codes
Location.statusrequiredLocationStatus
Location.operationalStatuspreferredHl7VSBedStatus
Location.moderequiredLocationMode
Location.typeextensibleServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
Location.address.typerequiredAddressType
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Location.physicalTypeexampleLocationType
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from USCoreLocation

Differential View

This structure is derived from USCoreLocation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*USCoreLocationDetails and position information for a physical place
... identifier:identifier S1..*IdentifierUnique code or number identifying the location to its users
.... use S1..1codeusual | official | temp | secondary | old (If known)
.... system S1..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique
... mode S0..1codeinstance | kind
... type S0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.

... managingOrganization S0..1Reference(QICore Organization)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(QICore Location)Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Location.typeextensibleServiceDeliveryLocationRoleType

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*USCoreLocationDetails and position information for a physical place
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier:identifier SΣ1..*IdentifierUnique code or number identifying the location to its users
.... use ?!SΣ1..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
... name SΣ1..1stringName of the location as used by humans
... mode SΣ0..1codeinstance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type SΣ0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.


... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet 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
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
... managingOrganization SΣ0..1Reference(QICore Organization)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(QICore Location)Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.identifier:identifier.userequiredIdentifierUse
Location.statusrequiredLocationStatus
Location.moderequiredLocationMode
Location.typeextensibleServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLocationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLocationIf 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-4errorLocationIf 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-5errorLocationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLocationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*USCoreLocationDetails and position information for a physical place
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier:identifier SΣ1..*IdentifierUnique code or number identifying the location to its users
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ1..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ0..1codeactive | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ0..1CodingThe 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 SΣ1..1stringName of the location as used by humans
... alias 0..*stringA list of alternate names that the location is known as, or was known as, in the past
... description Σ0..1stringAdditional details about the location that could be displayed as further information to identify the location beyond its name
... mode SΣ0..1codeinstance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type SΣ0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.


... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..*stringStreet 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
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ0..1CodeableConceptPhysical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1BackboneElementThe absolute geographic location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... longitude 1..1decimalLongitude with WGS84 datum
.... latitude 1..1decimalLatitude with WGS84 datum
.... altitude 0..1decimalAltitude with WGS84 datum
... managingOrganization SΣ0..1Reference(QICore Organization)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(QICore Location)Another Location this one is physically a part of
... hoursOfOperation 0..*BackboneElementWhat days/times during a week is this location usually open
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1booleanThe Location is open all day
.... openingTime 0..1timeTime that the Location opens
.... closingTime 0..1timeTime that the Location closes
... availabilityExceptions 0..1stringDescription of availability exceptions
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Location.identifier:identifier.userequiredIdentifierUse
Location.identifier:identifier.typeextensibleIdentifier Type Codes
Location.statusrequiredLocationStatus
Location.operationalStatuspreferredHl7VSBedStatus
Location.moderequiredLocationMode
Location.typeextensibleServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
Location.address.typerequiredAddressType
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Location.physicalTypeexampleLocationType
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from USCoreLocation

 

Other representations of profile: CSV, Excel, Schematron