FHIR Extensions Pack, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 5.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-extensions/ and changes regularly. See the Directory of published versions

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Extension: Workflow Barrier

Official URL: http://hl7.org/fhir/StructureDefinition/workflow-barrier				Version: 5.2.0-ballot
Standards status: Trial-use			Maturity Level: 2	Computable Name: WorkflowBarrier
Other Identifiers: OID:2.16.840.1.113883.4.642.5.1544

Any obstacle that limits or prevents obtaining care. Barriers in health and social care include, but are not limited to, physical barriers, psychological barriers, physiological barriers, financial barriers, geographical barriers, cultural/language barriers and resource barriers.

Context of Use

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

• Element ID: Goal
• Element ID: CommunicationRequest
• Element ID: CarePlan.activity

Usage info

Usage:

• Search Parameters using this Extension: BarrierCodeSearchParameter and BarrierRefSearchParameter
• This Extension is not used by any profiles in this Implementation Guide

Formal Views of Extension Content

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

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet	URI
Extension.value[x]	example	Barrier http://hl7.org/fhir/ValueSet/barrier from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

R4B

The extension is unchanged in R4B

R4

The extension is represented a little differently in R4:

• Replace the type CodeableReference with a set of extensions for the content of the type along with the _datatype extension
• Note: Extensions that have been modified for R4 are still draft while real-world experience is collected

Name	Flags	Card.	Type	Description & Constraints
Extension		0..*	Extension	Any obstacle that limits or prevents obtaining care
Slices for extension		0 ..*	Extension	Extension Slice: Unordered, Open by value:url
extension:_datatype		1..1	(Complex)	DataType name 'CodeableReference' from R5 URL: http://hl7.org/fhir/StructureDefinition/_datatype
value[x]		1.. 1	string	Value of extension Fixed Value: CodeableReference
extension:concept		0..1	Extension	Reference to a concept (by class)
extension		0 .. 0
url		1 .. 1	uri	"concept"
value[x]		1.. 1	CodeableConcept	Value of extension Binding: Barrier ( example )
extension:reference		0..1	Extension	Reference to a resource (by instance)
extension		0 .. 0
url		1 .. 1	uri	"reference"
value[x]		1.. 1	Reference ()	Value of extension
url		1 .. 1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-barrier"
value[x]		0 .. 0
Documentation for this format

R3

The extension is represented a little differently in R3:

• Replace the type CodeableReference with a set of extensions for the content of the type along with the _datatype extension
• Note: Extensions that have been modified for R3 are still draft while real-world experience is collected

Name	Flags	Card.	Type	Description & Constraints
Extension		0..*	Extension	Any obstacle that limits or prevents obtaining care
Slices for extension		0 ..*	Extension	Extension Slice: Unordered, Open by value:url
extension:_datatype		1..1	(Complex)	DataType name 'CodeableReference' from R5 URL: http://hl7.org/fhir/StructureDefinition/_datatype
value[x]		1.. 1	string	Value of extension Fixed Value: CodeableReference
extension:concept		0..1	Extension	Reference to a concept (by class)
extension		0 .. 0
url		1 .. 1	uri	"concept"
value[x]		1.. 1	CodeableConcept	Value of extension Binding: Barrier ( example )
extension:reference		0..1	Extension	Reference to a resource (by instance)
extension		0 .. 0
url		1 .. 1	uri	"reference"
value[x]		1.. 1	Reference ()	Value of extension
url		1 .. 1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-barrier"
value[x]		0 .. 0
Documentation for this format

Search Parameters for this Extension

• Barrier Code SearchParameter: SearchParameter for Barrier Extension with CodeableConcept value
• Barrier Reference SearchParameter: SearchParameter for Barrier Extension with Reference value