Guías de Implementación HL7 FHIR: CR Core
0.1.1-draft - ci-build Costa Rica flag

Guías de Implementación HL7 FHIR: CR Core, published by Ministerio de Salud de Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.1.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HIE-cr/core-ig/ and changes regularly. See the Directory of published versions

Resource Profile: LocationCrCore - Detailed Descriptions

Page standards status: Draft Maturity Level: 0

Definitions for the location-cr-core resource profile.

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

0. Location
Definition

Details and position information for a place where services are provided and resources and participants may be stored, found, contained, or accommodated.

ShortDetails and position information for a place
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Location.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Location.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. Location.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
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..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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())
8. Location.status
Definition

Determina el estado de la localización conforme a los códigos definidos por el estándar. Existen los estados de "activo | suspendido | inactivo"


The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.

Shortactive | suspended | inactive
Control0..1
BindingThe codes SHALL be taken from LocationStatushttp://hl7.org/fhir/ValueSet/location-status|5.0.0
(required to http://hl7.org/fhir/ValueSet/location-status)

Códigos del estado de la localización de HL7 FHIR


Indicates whether the location is still in use.

Typecode
Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Location.name
Definition

Name of the location as used by humans. Does not need to be unique.

ShortName of the location as used by humans
Comments

If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Location.alias
Definition

Nombre no oficial del sector, que puede ser identificado de manera polular para contar con una referencia de la comunidad


A list of alternate names that the location is known as, or was known as, in the past.

ShortNombre de fantasía de la localizaciónA list of alternate names that the location is known as, or was known as, in the past
Comments

There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.

Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Requirements

Over time locations and organizations go through many changes and can be known by different names.

For searching knowing previous names that the location was known by can be very useful.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Location.type
Definition

Indica el tipo o función que se ejecuta en la localización


Indicates the type of function performed at the location.

ShortType of function performed
Control0..*
BindingUnless not suitable, these codes SHALL be taken from ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
(extensible to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

Indicates the type of function performed at the location.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Location.type.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
TypeCoding
Is Modifierfalse
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Location.type.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

ShortSymbol in syntax defined by the system
Control0..1
This element is affected by the following invariants: cod-1
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Need to refer to a particular code in the system.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Location.address
Definition

Physical location.

ShortPhysical location
Comments

Additional addresses should be recorded using another instance of the Location resource, or via the Organization.

Control0..1
TypeAddress(Dirección)
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

If locations can be visited, we need to keep track of their address.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Location.position
Definition

La localización geográfica absoluta de la ubicación, expresada utilizando el datum WGS84 (Este es el mismo sistema de coordenadas utilizado en KML)


The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).

ShortGeo-Posicionamiento del objeto, infraestructura o evento en longitud y latitudThe absolute geographic location
Comments

To define a boundary shape for this location use the standard extension [http://hl7.org/fhir/StructureDefinition/location-boundary-geojson](http://hl7.org/fhir/extensions/StructureDefinition-location-boundary-geojson.html), and search using the contains special search parameter.

Control0..1
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

For mobile applications and automated route-finding knowing the exact location of the Location is required.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Location.position.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
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..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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())
26. Location.position.longitude
Definition

Longitud. El dominio del valor y la interpretación son los mismos que para el texto del elemento longitud en KML


Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes on Location main page).

ShortLongitud valor decimal en WGS84 datum (World Geodetic System 1984)Longitude with WGS84 datum
Control1..1
Typedecimal
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Location.position.latitude
Definition

Latitud. El dominio del valor y la interpretación son los mismos que para el texto del elemento latitud en KML


Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes on Location main page).

ShortLatitud valor decimal en formato WGS84 datum (World Geodetic System 1984)Latitude with WGS84 datum
Control1..1
Typedecimal
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Location.managingOrganization
Definition

La organización responsable de la localización.


The organization responsible for the provisioning and upkeep of the location.

ShortOrganización a la cual la ubicación pertenece, si es el caso. Esta relación se hace en base a una referencia a una organizaciónOrganization responsible for provisioning and upkeep
Comments

Se puede usar para indicar la organización jerárquica superior. Siempre debe existir una organización jerarquicamente sobre la localización y en caso de no existir esta jerquia, se debe crear la Organización, con los mismos datos del location.


This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.

Control0..1
TypeReference(Organizaciones, Organization)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Need to know who manages the location.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Location.hoursOfOperation
Definition

¿Qué días/horas de la semana suele estar abierto este local?.


What days/times during a week is this location usually open, and any exceptions where the location is not available.

ShortHorario de atención de la localización.What days/times during a week is this location usually open (including exceptions)
Comments

This type of information is commonly found published in directories and on websites informing customers when the facility is available.

Specific services within the location may have their own hours which could be shorter (or longer) than the locations hours.

Systems may choose to render availability differently than it is exchanged on the interface. For example, rather than "Mon, Tue, Wed, Thur, Fri from 9am-12am; Mon, Tue, Wed, Thur, Fri from 1pm-5pm" as would be implied by two availableTime repetitions, an application could render this information as "Mon-Fri 9-12am and 1-5pm".

The availableStartTime is the opening time, and the availableEndTime is the closing time.

Control0..*
TypeAvailability
Is Modifierfalse
Must Supporttrue
Summaryfalse
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 foundhere

0. Location
2. Location.status
Definition

Determina el estado de la localización conforme a los códigos definidos por el estándar. Existen los estados de "activo | suspendido | inactivo"

BindingThe codes SHALL be taken from LocationStatus
(required to http://hl7.org/fhir/ValueSet/location-status)

Códigos del estado de la localización de HL7 FHIR

Must Supporttrue
4. Location.name
Must Supporttrue
6. Location.alias
Definition

Nombre no oficial del sector, que puede ser identificado de manera polular para contar con una referencia de la comunidad

ShortNombre de fantasía de la localización
Must Supporttrue
8. Location.type
Definition

Indica el tipo o función que se ejecuta en la localización

Must Supporttrue
10. Location.type.coding
12. Location.type.coding.code
Must Supporttrue
14. Location.address
TypeAddress(Dirección)
Must Supporttrue
16. Location.position
Definition

La localización geográfica absoluta de la ubicación, expresada utilizando el datum WGS84 (Este es el mismo sistema de coordenadas utilizado en KML)

ShortGeo-Posicionamiento del objeto, infraestructura o evento en longitud y latitud
Must Supporttrue
18. Location.position.longitude
Definition

Longitud. El dominio del valor y la interpretación son los mismos que para el texto del elemento longitud en KML

ShortLongitud valor decimal en WGS84 datum (World Geodetic System 1984)
Must Supporttrue
20. Location.position.latitude
Definition

Latitud. El dominio del valor y la interpretación son los mismos que para el texto del elemento latitud en KML

ShortLatitud valor decimal en formato WGS84 datum (World Geodetic System 1984)
Must Supporttrue
22. Location.managingOrganization
Definition

La organización responsable de la localización.

ShortOrganización a la cual la ubicación pertenece, si es el caso. Esta relación se hace en base a una referencia a una organización
Comments

Se puede usar para indicar la organización jerárquica superior. Siempre debe existir una organización jerarquicamente sobre la localización y en caso de no existir esta jerquia, se debe crear la Organización, con los mismos datos del location.

TypeReference(Organizaciones)
Must Supporttrue
24. Location.hoursOfOperation
Definition

¿Qué días/horas de la semana suele estar abierto este local?.

ShortHorario de atención de la localización.
Must Supporttrue

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

0. Location
Definition

Details and position information for a place where services are provided and resources and participants may be stored, found, contained, or accommodated.

ShortDetails and position information for a place
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Location.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

Control0..1
Typeid
Is Modifierfalse
Must Supportfalse
Summarytrue
4. Location.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Location.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Location.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHALL be taken from AllLanguages
(required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

IETF language tag for a human language

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Location.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
This element is affected by the following invariants: dom-6
TypeNarrative
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Location.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Location.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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.

ShortAdditional 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..*
TypeExtension
Is Modifierfalse
Must Supportfalse
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())
16. Location.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
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..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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())
18. Location.identifier
Definition

Unique code or number identifying the location to its users.

ShortUnique code or number identifying the location to its users
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

Organization label locations in registries, need to keep track of those.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Location.status
Definition

Determina el estado de la localización conforme a los códigos definidos por el estándar. Existen los estados de "activo | suspendido | inactivo"

Shortactive | suspended | inactive
Control0..1
BindingThe codes SHALL be taken from LocationStatus
(required to http://hl7.org/fhir/ValueSet/location-status)

Códigos del estado de la localización de HL7 FHIR

Typecode
Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Location.operationalStatus
Definition

The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.

ShortThe operational status of the location (typically only for a bed/room)
Control0..1
BindingThe codes SHOULD be taken from hl7VS-bedStatus
(preferred to http://terminology.hl7.org/ValueSet/v2-0116)

The operational status if the location (where typically a bed/room).

TypeCoding
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Location.name
Definition

Name of the location as used by humans. Does not need to be unique.

ShortName of the location as used by humans
Comments

If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Location.alias
Definition

Nombre no oficial del sector, que puede ser identificado de manera polular para contar con una referencia de la comunidad

ShortNombre de fantasía de la localización
Comments

There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.

Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Requirements

Over time locations and organizations go through many changes and can be known by different names.

For searching knowing previous names that the location was known by can be very useful.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Location.description
Definition

Description of the Location, which helps in finding or referencing the place.

ShortAdditional details about the location that could be displayed as further information to identify the location beyond its name
Control0..1
Typemarkdown
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

Humans need additional information to verify a correct location has been identified.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Location.mode
Definition

Indicates whether a resource instance represents a specific location or a class of locations.

Shortinstance | kind
Comments

This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.

Control0..1
BindingThe codes SHALL be taken from LocationMode
(required to http://hl7.org/fhir/ValueSet/location-mode|5.0.0)

Indicates whether a resource instance represents a specific location or a class of locations.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Location.type
Definition

Indica el tipo o función que se ejecuta en la localización

ShortType of function performed
Control0..*
BindingUnless not suitable, these codes SHALL be taken from ServiceDeliveryLocationRoleType
(extensible to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

Indicates the type of function performed at the location.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Location.type.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
This element is affected by the following invariants: ele-1
Typeid
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
36. Location.type.extension
Definition

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 managable, 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.

ShortAdditional 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..*
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 Location.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 38. Location.type.coding
    Definition

    A reference to a code defined by a terminology system.

    ShortCode defined by a terminology system
    Comments

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Control0..*
    TypeCoding
    Is Modifierfalse
    Summarytrue
    Requirements

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Location.type.coding.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
    This element is affected by the following invariants: ele-1
    Typeid
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    42. Location.type.coding.extension
    Definition

    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 managable, 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.

    ShortAdditional 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..*
    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 Location.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 44. Location.type.coding.system
      Definition

      The identification of the code system that defines the meaning of the symbol in the code.

      ShortIdentity of the terminology system
      Comments

      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

      Control0..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Need to be unambiguous about the source of the definition of the symbol.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Location.type.coding.version
      Definition

      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

      ShortVersion of the system - if relevant
      Comments

      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

      NoteThis is a business version Id, not a resource version Id (see discussion)
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Location.type.coding.code
      Definition

      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      ShortSymbol in syntax defined by the system
      Control0..1
      This element is affected by the following invariants: cod-1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      Need to refer to a particular code in the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Location.type.coding.display
      Definition

      A representation of the meaning of the code in the system, following the rules of the system.

      ShortRepresentation defined by the system
      Control0..1
      This element is affected by the following invariants: cod-1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Location.type.coding.userSelected
      Definition

      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

      ShortIf this coding was chosen directly by the user
      Comments

      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

      Control0..1
      Typeboolean
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. Location.type.text
      Definition

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      ShortPlain text representation of the concept
      Comments

      Very often the text is the same as a displayName of one of the codings.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Location.contact
      Definition

      The contact details of communication devices available at the location. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

      ShortOfficial contact details for the location
      Comments

      The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the Healthcare itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

      If this is empty (or the type of interest is empty), refer to the organization's contacts.

      Control0..*
      TypeExtendedContactDetail
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      Need to keep track of both simple contact details and also assigned contacts within larger organizations.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Location.address
      Definition

      Physical location.

      ShortPhysical location
      Comments

      Additional addresses should be recorded using another instance of the Location resource, or via the Organization.

      Control0..1
      TypeAddress(Dirección)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      If locations can be visited, we need to keep track of their address.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. Location.form
      Definition

      Physical form of the location, e.g. building, room, vehicle, road, virtual.

      ShortPhysical form of the location
      Control0..1
      BindingFor example codes, see LocationForm
      (example to http://hl7.org/fhir/ValueSet/location-form)

      Physical form of the location.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Requirements

      For purposes of showing relevant locations in queries, we need to categorize locations.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. Location.position
      Definition

      La localización geográfica absoluta de la ubicación, expresada utilizando el datum WGS84 (Este es el mismo sistema de coordenadas utilizado en KML)

      ShortGeo-Posicionamiento del objeto, infraestructura o evento en longitud y latitud
      Comments

      To define a boundary shape for this location use the standard extension [http://hl7.org/fhir/StructureDefinition/location-boundary-geojson](http://hl7.org/fhir/extensions/StructureDefinition-location-boundary-geojson.html), and search using the contains special search parameter.

      Control0..1
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      For mobile applications and automated route-finding knowing the exact location of the Location is required.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. Location.position.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
      This element is affected by the following invariants: ele-1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      66. Location.position.extension
      Definition

      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 managable, 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.

      ShortAdditional 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..*
      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())
      68. Location.position.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      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..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      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())
      70. Location.position.longitude
      Definition

      Longitud. El dominio del valor y la interpretación son los mismos que para el texto del elemento longitud en KML

      ShortLongitud valor decimal en WGS84 datum (World Geodetic System 1984)
      Control1..1
      Typedecimal
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. Location.position.latitude
      Definition

      Latitud. El dominio del valor y la interpretación son los mismos que para el texto del elemento latitud en KML

      ShortLatitud valor decimal en formato WGS84 datum (World Geodetic System 1984)
      Control1..1
      Typedecimal
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. Location.position.altitude
      Definition

      Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes on Location main page).

      ShortAltitude with WGS84 datum
      Control0..1
      Typedecimal
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. Location.managingOrganization
      Definition

      La organización responsable de la localización.

      ShortOrganización a la cual la ubicación pertenece, si es el caso. Esta relación se hace en base a una referencia a una organización
      Comments

      Se puede usar para indicar la organización jerárquica superior. Siempre debe existir una organización jerarquicamente sobre la localización y en caso de no existir esta jerquia, se debe crear la Organización, con los mismos datos del location.

      Control0..1
      TypeReference(Organizaciones)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Need to know who manages the location.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. Location.partOf
      Definition

      Another Location of which this Location is physically a part of.

      ShortAnother Location this one is physically a part of
      Control0..1
      TypeReference(Location)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      For purposes of location, display and identification, knowing which locations are located within other locations is important.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. Location.characteristic
      Definition

      Collection of characteristics (attributes).

      ShortCollection of characteristics (attributes)
      Comments

      These could be such things as is wheelchair accessible.

      Control0..*
      BindingFor example codes, see LocationCharacteristic
      (example to http://hl7.org/fhir/ValueSet/location-characteristic)

      A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. Location.hoursOfOperation
      Definition

      ¿Qué días/horas de la semana suele estar abierto este local?.

      ShortHorario de atención de la localización.
      Comments

      This type of information is commonly found published in directories and on websites informing customers when the facility is available.

      Specific services within the location may have their own hours which could be shorter (or longer) than the locations hours.

      Systems may choose to render availability differently than it is exchanged on the interface. For example, rather than "Mon, Tue, Wed, Thur, Fri from 9am-12am; Mon, Tue, Wed, Thur, Fri from 1pm-5pm" as would be implied by two availableTime repetitions, an application could render this information as "Mon-Fri 9-12am and 1-5pm".

      The availableStartTime is the opening time, and the availableEndTime is the closing time.

      Control0..*
      TypeAvailability
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. Location.virtualService
      Definition

      Connection details of a virtual service (e.g. shared conference call facility with dedicated number/details).

      ShortConnection details of a virtual service (e.g. conference call)
      Comments

      There are two types of virtual meetings that often exist:

      • a persistent, virtual meeting room that can only be used for a single purpose at a time,
      • and a dynamic virtual meeting room that is generated on demand for a specific purpose.

      Implementers may consider using Appointment.virtualService for virtual meeting rooms that are generated on-demand.

      Control0..*
      TypeVirtualServiceDetail
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. Location.endpoint
      Definition

      Technical endpoints providing access to services operated for the location.

      ShortTechnical endpoints providing access to services operated for the location
      Control0..*
      TypeReference(Endpoint)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))