UK Core Implementation Guide STU3 Sequence

Please note:

This version of the UK Core is a development copy.
This contains BREAKING CHANGES as a result of the C&TA Sprint 7 Review, and STU2 Sequence ballot reconciliation.
This version is not yet reviewed for implementation. Other versions are available on the UK Core Version History Guide
Please follow the guidance on the Contact Us page if you need any assistance.
A summary of changes is available on the STU3 Sequence Change Log

StructureDefinition

Context of Use

Important

This CodeSystem has may be new or has been amended since the last ballot. Users are advised to review all content carefully. Details of the changes can be found within the UK Core Version History.

Canonical_URL	Status	Current_Version	Last_Updated	Description	Profile_Purpose
https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage	active	1.0.0	2023-04-28	This extends the Service Request Resource to support the exchange of information describing the method of funding for the Service Request.	This extension is a Genomics use case to record the funding category for a ServiceRequest. It is expected this will be populated with a code indicating whether the service request is part of NHS coverage or private, and will be used for reimbursement purposes by receiving labs.

Tree View

ExtensionUKCoreCoverage (Extension)	C		Extension	Element id Extension Short description The funding category for the Service Request Definition The funding category for the Service Request. Data type Extension Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-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()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	C	0..*	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content 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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Data type Extension Slicing Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-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()` Mappings rim: n/a
url		1..1	uriAuto Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Auto value https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Mappings rim: N/A
value[x]		1..1	Binding	Element id Extension.value[x] Short description This describes the funding category for a service request. Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding A set of codes that define the funding category for a service request. UKCoreFundingCategory (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCodeableConcept			CodeableConcept	Data type CodeableConcept

Detailed Descriptions

Extension
Short	The funding category for the Service Request
Definition	The funding category for the Service Request.
Cardinality	0..*
Conditions	The cardinality or value of this element may be affected by these constraints: ele-1
Constraints	ele-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()`
Mappings	rim: n/a rim: N/A
Extension.id
Short	Unique id for inter-element referencing
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0..1
Type	string
Mappings	rim: n/a
Extension.extension
Short	Additional content defined by implementations
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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0..*
Type	Extension
Alias	extensions, user content
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.
Slicing	Unordered, Open, by url(Value) Extensions are always sliced by (at least) url
Constraints	ele-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()`
Mappings	rim: n/a
Extension.url
Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1..1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Auto Value	https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage
Mappings	rim: N/A
Extension.value[x]
Short	This describes the funding category for a service request.
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality	1..1
Type	CodeableConcept
Binding	A set of codes that define the funding category for a service request. UKCoreFundingCategory (extensible)
Constraints	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A

Table View

Extension		..
Extension.url		..
Extension.value[x]	CodeableConcept	1..

XML View

<id value="Extension-UKCore-Coverage" />
<url value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" />
<version value="1.0.0" />
<name value="ExtensionUKCoreCoverage" />
<title value="Extension UK Core Coverage" />
<status value="active" />
<date value="2023-04-28" />
<publisher value="HL7 UK" />
<contact>
<name value="HL7 UK" />
<telecom>
<system value="email" />
<value value="ukcore@hl7.org.uk" />
<use value="work" />
<rank value="1" />
</telecom>
</contact>
<description value="This extends the Service Request Resource to support the exchange of information describing the method of funding for the Service Request." />
<purpose value="This extension is a Genomics use case to record the funding category for a ServiceRequest. It is expected this will be populated with a code indicating whether the service request is part of NHS coverage or private, and will be used for reimbursement purposes by receiving labs." />
<copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="rim" />
<uri value="http://hl7.org/v3" />
<name value="RIM Mapping" />
</mapping>
<kind value="complex-type" />
<abstract value="false" />
<context>
<type value="element" />
<expression value="ServiceRequest" />
</context>
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<differential>
<element id="Extension">
<path value="Extension" />
<short value="The funding category for the Service Request" />
<definition value="The funding category for the Service Request." />
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage" />
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<short value="This describes the funding category for a service request." />
<min value="1" />
<type>
<code value="CodeableConcept" />
</type>
<binding>
<strength value="extensible" />
<description value="A set of codes that define the funding category for a service request." />
<valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-FundingCategory" />
</binding>
</element>
</differential>

</StructureDefinition>

JSON View

{

"resourceType": "StructureDefinition",
"id": "Extension-UKCore-Coverage",
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage",
"version": "1.0.0",
"name": "ExtensionUKCoreCoverage",
"title": "Extension UK Core Coverage",
"status": "active",
"date": "2023-04-28",
"publisher": "HL7 UK",
"contact": [
{
"name": "HL7 UK",
"telecom": [
{
"system": "email",
"value": "ukcore@hl7.org.uk",
"use": "work",
"rank": 1
}
]
}
],
"description": "This extends the Service Request Resource to support the exchange of information describing the method of funding for the Service Request.",
"purpose": "This extension is a Genomics use case to record the funding category for a ServiceRequest. It is expected this will be populated with a code indicating whether the service request is part of NHS coverage or private, and will be used for reimbursement purposes by receiving labs.",
"copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "ServiceRequest"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "The funding category for the Service Request",
"definition": "The funding category for the Service Request."
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "This describes the funding category for a service request.",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "extensible",
"description": "A set of codes that define the funding category for a service request.",
"valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-FundingCategory"
}
}
]
}

}

Examples

id	div
Extension-UKCore-Coverage-Example	An example to illustrate sending an NHS or Private funding category with a service request

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Examples

Coverage- An example to illustrate the extension for a service request, to state the the coverage of the funding for this request.
Extension-UKCore-Coverage-Example

Extension Specific Guidance

There is a binding within this extension to a ValueSet-UKCore-FundingCategory.