International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/costateixeira/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: Flag - Alert (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Flag-alert-uv-ips Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: FlagAlertUvIps

This profile constrains the Flag resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an alert is represented in the patient summary as an instance of a Flag resource constrained by this profile.

This specialized Flag is used to convey information about an alert specific to an IPS. Information is flagged to raise awareness of potential concerns and/or dangers to/from the subject of the IPS. It brings information to the fore and may reference other information from the summary (through the supportingInfo extension) as well as present obstacles to care.

This profile constrains the representation of a record of an alert in the context of the international patient summary as specified by the IPS project of HL7 International.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... flag-priority S 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.


ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... category SΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


ele-1: All FHIR elements must have a @value or children
... code SΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.


ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Flag.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/flag-status|4.0.1
from the FHIR Standard
Flag.categoryexampleFlagCategory
http://hl7.org/fhir/ValueSet/flag-category
from the FHIR Standard
Flag.codeexampleFlagCode
http://hl7.org/fhir/ValueSet/flag-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFlagIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFlagIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFlagIf 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-5errorFlagIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFlagA resource should have narrative for robust management
: text.`div`.exists()
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()

This structure is derived from Flag

NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag Flag
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... flag-priority S 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.

... status 1..1 code active | inactive | entered-in-error
Fixed Value: active
... category S 0..* CodeableConceptIPS Clinical, administrative, etc.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... flag-priority S 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code active | inactive | entered-in-error
Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.


Fixed Value: active
... category SΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


... code SΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.

... subject Σ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
... period Σ 0..1 Period Time period when flag is active
... encounter Σ 0..1 Reference(Encounter) Alert relevant during encounter
... author Σ 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole) Flag creator

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Flag.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Flag.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/flag-status|4.0.1
from the FHIR Standard
Flag.categoryexampleFlagCategory
http://hl7.org/fhir/ValueSet/flag-category
from the FHIR Standard
Flag.codeexampleFlagCode
http://hl7.org/fhir/ValueSet/flag-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFlagIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFlagIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFlagIf 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-5errorFlagIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFlagA resource should have narrative for robust management
: text.`div`.exists()
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()

This structure is derived from Flag

Summary

Must-Support: 3 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... flag-priority S 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.


ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... category SΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


ele-1: All FHIR elements must have a @value or children
... code SΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.


ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Flag.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/flag-status|4.0.1
from the FHIR Standard
Flag.categoryexampleFlagCategory
http://hl7.org/fhir/ValueSet/flag-category
from the FHIR Standard
Flag.codeexampleFlagCode
http://hl7.org/fhir/ValueSet/flag-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFlagIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFlagIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFlagIf 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-5errorFlagIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFlagA resource should have narrative for robust management
: text.`div`.exists()
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()

Differential View

This structure is derived from Flag

NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag Flag
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... flag-priority S 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.

... status 1..1 code active | inactive | entered-in-error
Fixed Value: active
... category S 0..* CodeableConceptIPS Clinical, administrative, etc.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... flag-priority S 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code active | inactive | entered-in-error
Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.


Fixed Value: active
... category SΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


... code SΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.

... subject Σ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
... period Σ 0..1 Period Time period when flag is active
... encounter Σ 0..1 Reference(Encounter) Alert relevant during encounter
... author Σ 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole) Flag creator

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Flag.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Flag.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/flag-status|4.0.1
from the FHIR Standard
Flag.categoryexampleFlagCategory
http://hl7.org/fhir/ValueSet/flag-category
from the FHIR Standard
Flag.codeexampleFlagCode
http://hl7.org/fhir/ValueSet/flag-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFlagIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFlagIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFlagIf 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-5errorFlagIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFlagA resource should have narrative for robust management
: text.`div`.exists()
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()

This structure is derived from Flag

Summary

Must-Support: 3 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron