HL7® FHIR® New Zealand Base Implementation Guide
3.1.0 - Draft

HL7® FHIR® New Zealand Base Implementation Guide, published by HL7 New Zealand. This guide is not an authorized publication; it is the continuous build for version 3.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7NZ/nzbase/ and changes regularly. See the Directory of published versions

Extension: Dhb - Detailed Descriptions

Active as of 2020-07-31 Maturity Level: 3

Definitions for the dhb extension.

Guidance on how to interpret the contents of this table can be found here

0. Extension
Definition

District Health Board relating to a NZ Healthcare Service, Location (Facility) or Patient (primary, physical home address).

ShortDistrict Health Board linked to a NZ Healthcare Service, Location or Patient
2. Extension.extension
Control0..0
4. Extension.url
Fixed Valuehttp://hl7.org.nz/fhir/StructureDefinition/dhb
6. Extension.value[x]
Definition

NZ District Health Boards as defined in the NZ Health Provider Index Listing published by the NZ Ministry of Health each month.

ShortNZ District Health Boards
BindingUnless not suitable, these codes SHALL be taken from District Health Board Identifer
(extensible to https://nzhts.digital.health.nz/fhir/ValueSet/dhb-code)

NZ HPI-ORG Values for DHBs

TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Requirements

The NzDHB ValueSet should be used as this provides the correct NZ HPI-ORG ID for each of the 20 District Health Boards.The binding strength is extensible as this is the most suitable option for a Codeable Concept data type.

LabelDHB Code
Example<br/><b>Waikato DHB</b>:{ "coding" : [{ "system" : "https://standards.digital.health.nz/ns/dhb-code", "version" : "1.0", "code" : "G00027-C", "display" : "Waikato District Health Board" }] }

Guidance on how to interpret the contents of this table can be found here

0. Extension
Definition

District Health Board relating to a NZ Healthcare Service, Location (Facility) or Patient (primary, physical home address).


Optional Extension Element - found in all resources.

ShortDistrict Health Board linked to a NZ Healthcare Service, Location or PatientOptional Extensions Element
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
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.

Control0..0*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuehttp://hl7.org.nz/fhir/StructureDefinition/dhb
    6. Extension.value[x]
    Definition

    NZ District Health Boards as defined in the NZ Health Provider Index Listing published by the NZ Ministry of Health each month.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortNZ District Health BoardsValue of extension
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from For codes, see District Health Board Identifer
    (extensible to https://nzhts.digital.health.nz/fhir/ValueSet/dhb-code)

    NZ HPI-ORG Values for DHBs

    TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Requirements

    The NzDHB ValueSet should be used as this provides the correct NZ HPI-ORG ID for each of the 20 District Health Boards.The binding strength is extensible as this is the most suitable option for a Codeable Concept data type.

    LabelDHB Code
    Example<br/><b>Waikato DHB</b>:{ "coding" : [{ "system" : "https://standards.digital.health.nz/ns/dhb-code", "version" : "1.0", "code" : "G00027-C", "display" : "Waikato District Health Board" }] }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be found here

    0. Extension
    Definition

    District Health Board relating to a NZ Healthcare Service, Location (Facility) or Patient (primary, physical home address).

    ShortDistrict Health Board linked to a NZ Healthcare Service, Location or Patient
    Control0..*
    This element is affected by the following invariants: ele-1
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    2. Extension.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    4. Extension.extension
    Definition

    An Extension

    ShortExtension
    Control0..0
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 6. Extension.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuehttp://hl7.org.nz/fhir/StructureDefinition/dhb
      8. Extension.value[x]
      Definition

      NZ District Health Boards as defined in the NZ Health Provider Index Listing published by the NZ Ministry of Health each month.

      ShortNZ District Health Boards
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from District Health Board Identifer
      (extensible to https://nzhts.digital.health.nz/fhir/ValueSet/dhb-code)

      NZ HPI-ORG Values for DHBs

      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Requirements

      The NzDHB ValueSet should be used as this provides the correct NZ HPI-ORG ID for each of the 20 District Health Boards.The binding strength is extensible as this is the most suitable option for a Codeable Concept data type.

      LabelDHB Code
      Example<br/><b>Waikato DHB</b>:{ "coding" : [{ "system" : "https://standards.digital.health.nz/ns/dhb-code", "version" : "1.0", "code" : "G00027-C", "display" : "Waikato District Health Board" }] }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))