FHIR Clinical Documents
1.0.0-ballot - STU1 Ballot International flag

FHIR Clinical Documents, published by HL7 International / Structured Documents. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-clinical-document/ and changes regularly. See the Directory of published versions

Extension: Participant Extension

Official URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension Version: 1.0.0-ballot
Draft as of 2024-08-07 Maturity Level: 2 Computable Name: ParticipantExtension

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).

Context of Use

This extension may be used on the following element(s):

  • Element ID Composition

Usage info

Usage:

Formal Views of Extension Content

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

This structure is derived from Extension

Summary

Complex Extension: Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).

  • type: CodeableConcept: An Extension
  • function: CodeableConcept: An Extension
  • time: Period: An Extension
  • party: Reference: An Extension

Maturity: 2

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Participant Extension
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:type 1..* Extension Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
..... extension 0..0
..... url 1..1 uri "type"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Clinical Document Participant Types Value set (extensible)
... Slices for extension Content/Rules for all slices
.... extension:function 0..* Extension Exact function of the participant in the creation of the clinical document. This is more granular than type.
..... extension 0..0
..... url 1..1 uri "function"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ParticipationFunction (extensible)
.... extension:time 0..1 Extension Time period of participation
..... extension 0..0
..... url 1..1 uri "time"
..... value[x] 1..1 Period Value of extension
... Slices for extension Content/Rules for all slices
.... extension:party S 1..1 Extension participant
..... extension 0..0
..... url 1..1 uri "party"
..... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) Value of extension
... url 1..1 uri "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Participant Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:type 1..* Extension Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "type"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Clinical Document Participant Types Value set (extensible)
.... extension:function 0..* Extension Exact function of the participant in the creation of the clinical document. This is more granular than type.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "function"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ParticipationFunction (extensible)
.... extension:time 0..1 Extension Time period of participation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "time"
..... value[x] 1..1 Period Value of extension
.... extension:party S 1..1 Extension participant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "party"
..... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) Value of extension
... url 1..1 uri "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).

  • type: CodeableConcept: An Extension
  • function: CodeableConcept: An Extension
  • time: Period: An Extension
  • party: Reference: An Extension

Maturity: 2

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Participant Extension
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:type 1..* Extension Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
..... extension 0..0
..... url 1..1 uri "type"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Clinical Document Participant Types Value set (extensible)
... Slices for extension Content/Rules for all slices
.... extension:function 0..* Extension Exact function of the participant in the creation of the clinical document. This is more granular than type.
..... extension 0..0
..... url 1..1 uri "function"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ParticipationFunction (extensible)
.... extension:time 0..1 Extension Time period of participation
..... extension 0..0
..... url 1..1 uri "time"
..... value[x] 1..1 Period Value of extension
... Slices for extension Content/Rules for all slices
.... extension:party S 1..1 Extension participant
..... extension 0..0
..... url 1..1 uri "party"
..... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) Value of extension
... url 1..1 uri "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Participant Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:type 1..* Extension Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "type"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Clinical Document Participant Types Value set (extensible)
.... extension:function 0..* Extension Exact function of the participant in the creation of the clinical document. This is more granular than type.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "function"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ParticipationFunction (extensible)
.... extension:time 0..1 Extension Time period of participation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "time"
..... value[x] 1..1 Period Value of extension
.... extension:party S 1..1 Extension participant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "party"
..... value[x] 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) Value of extension
... url 1..1 uri "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.extension:type.value[x]extensibleClinicalDocParticipantTypesVs
http://hl7.org/fhir/uv/fhir-clinical-document/ValueSet/clinical-doc-participant-types-vs
from this IG
Extension.extension:function.value[x]extensibleParticipationFunction
http://terminology.hl7.org/ValueSet/v3-ParticipationFunction

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()