# Approved Jurisdictions extension - Point-of-Care Device Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**Artifact List**](artifacts.md)
* **Approved Jurisdictions extension**

## Extension: Approved Jurisdictions extension 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/uv/pocd/StructureDefinition/approved-jurisdictions | *Version*:1.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:ApprovedJurisdictions |

StructureDefinition that adds approved jurisdictions to a Device.

This extension is intended to declare countries or regions in which the device or device component is approved to be operated. Multiple instances can appear in a single Device resource instance. Missing Approved Jurisdictions extension shall be interpreted as unknown (i.e., defined elsewhere). This extension is different from Device.udiCarrier.jurisdiction, which identifies the authoritative source for UDI generation. The approved jurisdictions refer to the countries or regions where the device has regulatory approval, while UDI jurisdiction refers to the authoritative source for UDI generation.

Note that the FHIR Identifier Jurisdiction extension with URL `http://hl7.org/fhir/StructureDefinition/identifier-jurisdiction` could be used as well.

**Context of Use**

**Usage info**

**Usages:**

* Use this Extension: [MDS Device profile](StructureDefinition-MdsDevice.md) and [VMD Device profile](StructureDefinition-VmdDevice.md)
* Examples for this Extension: [Device/PhysioMonitorMdsDevice](Device-PhysioMonitorMdsDevice.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.uv.pocd|current/StructureDefinition/approved-jurisdictions)

### Formal Views of Extension Content

 [Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-approved-jurisdictions.csv), [Excel](StructureDefinition-approved-jurisdictions.xlsx), [Schematron](StructureDefinition-approved-jurisdictions.sch) 

#### Terminology Bindings

#### Constraints



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "approved-jurisdictions",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "dev"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/pocd/ImplementationGuide/hl7.fhir.uv.pocd"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/pocd/ImplementationGuide/hl7.fhir.uv.pocd"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/pocd/StructureDefinition/approved-jurisdictions",
  "version" : "1.0.0",
  "name" : "ApprovedJurisdictions",
  "title" : "Approved Jurisdictions extension",
  "status" : "active",
  "date" : "2022-01-16",
  "publisher" : "HL7 International / Devices",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/healthcaredevices"
    }]
  }],
  "description" : "StructureDefinition that adds approved jurisdictions to a Device.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "purpose" : "This extension is intended to declare countries or regions in which the device or device component is approved to be operated. Multiple instances can appear in a single Device resource instance. Missing Approved Jurisdictions extension shall be interpreted as unknown (i.e., defined elsewhere). This extension is different from Device.udiCarrier.jurisdiction, which identifies the authoritative source for UDI generation. The approved jurisdictions refer to the countries or regions where the device has regulatory approval, while UDI jurisdiction refers to the authoritative source for UDI generation.\n\nNote that the FHIR Identifier Jurisdiction extension with URL `http://hl7.org/fhir/StructureDefinition/identifier-jurisdiction` could be used as well.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "Device"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension",
      "path" : "Extension",
      "short" : "Approved jurisdictions",
      "definition" : "List of regions in which a device or device component is approved to be operated. This corresponds to the ApprovedJurisdictions element from IEEE 11073-10207. This extension is different to Device.udiCarrier.jurisdiction, which identifies the authoritative source for UDI generation.",
      "min" : 0,
      "max" : "1",
      "constraint" : [{
        "key" : "apj-1",
        "severity" : "error",
        "human" : "When noApprovedJurisdictions is present, there shall be no approvedJurisdiction extensions.",
        "expression" : "extension('noApprovedJurisdictions').exists() implies extension('approvedJurisdiction').empty()"
      }]
    },
    {
      "id" : "Extension.extension",
      "path" : "Extension.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "rules" : "open"
      }
    },
    {
      "id" : "Extension.extension:approvedJurisdiction",
      "path" : "Extension.extension",
      "sliceName" : "approvedJurisdiction",
      "short" : "Approved jurisdiction",
      "definition" : "National state, territory, or region where the device is approved to be operated. If the list does not contain any entries, then the device or component is not approved for any region.",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Extension.extension:approvedJurisdiction.url",
      "path" : "Extension.extension.url",
      "fixedUri" : "approvedJurisdiction"
    },
    {
      "id" : "Extension.extension:approvedJurisdiction.valueCodeableConcept",
      "path" : "Extension.extension.valueCodeableConcept",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "extensible",
        "description" : "Codes for country, country subdivision and region",
        "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
      }
    },
    {
      "id" : "Extension.extension:noApprovedJurisdictions",
      "path" : "Extension.extension",
      "sliceName" : "noApprovedJurisdictions",
      "short" : "No approved jurisdictions",
      "definition" : "Explicit indication that the device has no approved jurisdictions. A value of false signals that the device is not approved for any region, as opposed to the jurisdiction being unknown. When this extension is present, there are no approved jurisdictions (yet).",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Extension.extension:noApprovedJurisdictions.url",
      "path" : "Extension.extension.url",
      "fixedUri" : "noApprovedJurisdictions"
    },
    {
      "id" : "Extension.extension:noApprovedJurisdictions.valueBoolean",
      "path" : "Extension.extension.valueBoolean",
      "type" : [{
        "code" : "boolean"
      }],
      "fixedBoolean" : true
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/uv/pocd/StructureDefinition/approved-jurisdictions"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "max" : "0"
    }]
  }
}

```
