Patient Flags - NHS England - Implementation Guide STU1
0.4.0 - ci-build

Patient Flags - NHS England - Implementation Guide STU1 - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NHSE Programme Flag Profile

Official URL: https://fhir.nhs.uk/England/StructureDefinition/ProgrammeFlag Version: 0.4.0
Draft as of 2024-02-14 Computable Name: ProgrammeFlag

Copyright/Legal: Copyright © 2024+ NHS England 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.

Record an individual flag for an NHS England programme.

Usage:

Formal Views of Profile Content

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

This structure is derived from Flag

NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag Flag
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... flagNotes 0..1 Annotation Extension for Flag Adjustment Notes
URL: https://fhir.nhs.uk/England/StructureDefinition/Extension-FlagNotes
... Slices for category 2..* CodeableConcept Clinical, administrative, etc.
Slice: Unordered, Open by pattern:$this
.... category:patientFlag S 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Patient Flag Category (required)
.... category:programmeFlag S 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Programme Flag Category (required)
... code S 1..1 CodeableConcept Coded or textual message to display to user
Binding: NHSE Programme Flag Code (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Flag.category:patientFlagrequiredPatientFlagCategory
https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory
from this IG
Flag.category:programmeFlagrequiredProgrammeFlagCategory
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory
from this IG
Flag.codeextensibleProgrammeFlagCode
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... flagNotes 0..1 Annotation Extension for Flag Adjustment Notes
URL: https://fhir.nhs.uk/England/StructureDefinition/Extension-FlagNotes
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category Σ 2..* CodeableConcept Clinical, administrative, etc.
Slice: Unordered, Open by pattern:$this
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


.... category:patientFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Patient Flag Category (required)
.... category:programmeFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Programme Flag Category (required)
... code SΣ 1..1 CodeableConcept Coded or textual message to display to user
Binding: NHSE Programme Flag Code (extensible)
... subject Σ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Flag.statusrequiredFlagStatus
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.category:patientFlagrequiredPatientFlagCategory
https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory
from this IG
Flag.category:programmeFlagrequiredProgrammeFlagCategory
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory
from this IG
Flag.codeextensibleProgrammeFlagCode
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode
from this IG

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()
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
.... flagNotes 0..1 Annotation Extension for Flag Adjustment Notes
URL: https://fhir.nhs.uk/England/StructureDefinition/Extension-FlagNotes
... 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.

... Slices for category Σ 2..* CodeableConcept Clinical, administrative, etc.
Slice: Unordered, Open by pattern:$this
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


.... category:patientFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Patient Flag Category (required)
.... category:programmeFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Programme Flag Category (required)
... code SΣ 1..1 CodeableConcept Coded or textual message to display to user
Binding: NHSE Programme Flag Code (extensible)
... 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

PathConformanceValueSetURI
Flag.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Flag.statusrequiredFlagStatus
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.category:patientFlagrequiredPatientFlagCategory
https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory
from this IG
Flag.category:programmeFlagrequiredProgrammeFlagCategory
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory
from this IG
Flag.codeextensibleProgrammeFlagCode
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode
from this IG

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

Mandatory: 2 elements
Must-Support: 3 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Flag.category

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
.... flagNotes 0..1 Annotation Extension for Flag Adjustment Notes
URL: https://fhir.nhs.uk/England/StructureDefinition/Extension-FlagNotes
... Slices for category 2..* CodeableConcept Clinical, administrative, etc.
Slice: Unordered, Open by pattern:$this
.... category:patientFlag S 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Patient Flag Category (required)
.... category:programmeFlag S 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Programme Flag Category (required)
... code S 1..1 CodeableConcept Coded or textual message to display to user
Binding: NHSE Programme Flag Code (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Flag.category:patientFlagrequiredPatientFlagCategory
https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory
from this IG
Flag.category:programmeFlagrequiredProgrammeFlagCategory
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory
from this IG
Flag.codeextensibleProgrammeFlagCode
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... flagNotes 0..1 Annotation Extension for Flag Adjustment Notes
URL: https://fhir.nhs.uk/England/StructureDefinition/Extension-FlagNotes
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category Σ 2..* CodeableConcept Clinical, administrative, etc.
Slice: Unordered, Open by pattern:$this
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


.... category:patientFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Patient Flag Category (required)
.... category:programmeFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Programme Flag Category (required)
... code SΣ 1..1 CodeableConcept Coded or textual message to display to user
Binding: NHSE Programme Flag Code (extensible)
... subject Σ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Flag.statusrequiredFlagStatus
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.category:patientFlagrequiredPatientFlagCategory
https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory
from this IG
Flag.category:programmeFlagrequiredProgrammeFlagCategory
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory
from this IG
Flag.codeextensibleProgrammeFlagCode
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode
from this IG

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()

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
.... flagNotes 0..1 Annotation Extension for Flag Adjustment Notes
URL: https://fhir.nhs.uk/England/StructureDefinition/Extension-FlagNotes
... 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.

... Slices for category Σ 2..* CodeableConcept Clinical, administrative, etc.
Slice: Unordered, Open by pattern:$this
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.


.... category:patientFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Patient Flag Category (required)
.... category:programmeFlag SΣ 1..* CodeableConcept Clinical, administrative, etc.
Binding: NHSE Programme Flag Category (required)
... code SΣ 1..1 CodeableConcept Coded or textual message to display to user
Binding: NHSE Programme Flag Code (extensible)
... 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

PathConformanceValueSetURI
Flag.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Flag.statusrequiredFlagStatus
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.category:patientFlagrequiredPatientFlagCategory
https://fhir.nhs.uk/England/ValueSet/PatientFlagCategory
from this IG
Flag.category:programmeFlagrequiredProgrammeFlagCategory
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCategory
from this IG
Flag.codeextensibleProgrammeFlagCode
https://fhir.nhs.uk/England/ValueSet/ProgrammeFlagCode
from this IG

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

Mandatory: 2 elements
Must-Support: 3 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Flag.category

 

Other representations of profile: CSV, Excel, Schematron