KLChildren implementation guide, an implementation of FBU
2.1.0 - Release

This page is part of the KLChildren (v2.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: KLGatewayChildrenLocation - Detailed Descriptions

Active as of 2024-10-31

Definitions for the klgateway-children-location resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Location
2. Location.identifier
Short[DK] Lokationsid
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
4. Location.identifier.use
Control0..0
6. Location.identifier.type
Control0..0
8. Location.identifier.system
Control1..?
Fixed Valuehttps://viden.stil.dk/display/OFFINSTREG/Institutionsregisteret
10. Location.identifier.value
Control1..?
12. Location.identifier.period
Control0..0
14. Location.identifier.assigner
Control0..0
16. Location.status
Short[DK] Lokationsstatus
18. Location.operationalStatus
Control0..0
20. Location.name
Control0..0
22. Location.alias
Control0..0
24. Location.description
Control0..0
26. Location.mode
Control0..0
28. Location.type
Short[DK] Lokationstype
Control1..1
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
    "code" : "SCHOOL"
  }]
}
30. Location.telecom
Control0..0
32. Location.address
Control0..0
34. Location.physicalType
Control0..0
36. Location.position
Control0..0
38. Location.managingOrganization
Control0..0
40. Location.partOf
Control0..0
42. Location.hoursOfOperation
Control0..0
44. Location.availabilityExceptions
Control0..0
46. Location.endpoint
Control0..0

Guidance on how to interpret the contents of this table can be found here

0. Location
Definition

Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.

ShortDetails and position information for a physical place
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (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-4: If 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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Location.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Location.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-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())
6. Location.identifier
Definition

Unique code or number identifying the location to its users.

Short[DK] LokationsidUnique code or number identifying the location to its users
NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1*
TypeIdentifier
Is Modifierfalse
Summarytrue
Requirements

Organization label locations in registries, need to keep track of those.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Location.identifier.use
Definition

The purpose of this identifier.

Shortusual | official | temp | secondary | old (If known)
Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..01
BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Location.identifier.type
Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

ShortDescription of identifier
Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control0..01
BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Requirements

Allows users to make use of identifiers when the identifier system is not known.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Location.identifier.system
Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

ShortThe namespace for the identifier value
Comments

Identifier.system is always case sensitive.

Control10..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Valuehttps://viden.stil.dk/display/OFFINSTREG/Institutionsregisteret
Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Location.identifier.value
Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

ShortThe value that is unique
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Example<br/><b>General</b>:123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Location.identifier.period
Definition

Time period during which identifier is/was valid for use.

ShortTime period when id is/was valid for use
Control0..01
TypePeriod
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Location.identifier.assigner
Definition

Organization that issued/manages the identifier.

ShortOrganization that issued id (may be just text)
Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control0..01
TypeReference(Organization)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Location.status
Definition

The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.

Short[DK] Lokationsstatusactive | suspended | inactive
Control0..1
BindingThe codes SHALL be taken from LocationStatushttp://hl7.org/fhir/ValueSet/location-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/location-status|4.0.1)

Indicates whether the location is still in use.

Typecode
Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Location.operationalStatus
Definition

The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.

ShortThe operational status of the location (typically only for a bed/room)
Control0..01
BindingThe codes SHOULD be taken from hl7VS-bedStatushttp://terminology.hl7.org/ValueSet/v2-0116
(preferred to http://terminology.hl7.org/ValueSet/v2-0116)

The operational status if the location (where typically a bed/room).

TypeCoding
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Location.name
Definition

Name of the location as used by humans. Does not need to be unique.

ShortName of the location as used by humans
Comments

If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.

Control0..01
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Location.alias
Definition

A list of alternate names that the location is known as, or was known as, in the past.

ShortA list of alternate names that the location is known as, or was known as, in the past
Comments

There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.

Control0..0*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Requirements

Over time locations and organizations go through many changes and can be known by different names.

For searching knowing previous names that the location was known by can be very useful.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Location.description
Definition

Description of the Location, which helps in finding or referencing the place.

ShortAdditional details about the location that could be displayed as further information to identify the location beyond its name
Control0..01
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Humans need additional information to verify a correct location has been identified.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Location.mode
Definition

Indicates whether a resource instance represents a specific location or a class of locations.

Shortinstance | kind
Comments

This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.

Control0..01
BindingThe codes SHALL be taken from LocationModehttp://hl7.org/fhir/ValueSet/location-mode|4.0.1
(required to http://hl7.org/fhir/ValueSet/location-mode|4.0.1)

Indicates whether a resource instance represents a specific location or a class of locations.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Location.type
Definition

Indicates the type of function performed at the location.

Short[DK] LokationstypeType of function performed
Control10..1*
BindingUnless not suitable, these codes SHALL be taken from ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
(extensible to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

Indicates the type of function performed at the location.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
    "code" : "SCHOOL"
  }]
}
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Location.telecom
Definition

The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.

ShortContact details of the location
Control0..0*
TypeContactPoint
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Location.address
Definition

Physical location.

ShortPhysical location
Comments

Additional addresses should be recorded using another instance of the Location resource, or via the Organization.

Control0..01
TypeAddress
Is Modifierfalse
Summaryfalse
Requirements

If locations can be visited, we need to keep track of their address.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Location.physicalType
Definition

Physical form of the location, e.g. building, room, vehicle, road.

ShortPhysical form of the location
Control0..01
BindingFor example codes, see LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
(example to http://hl7.org/fhir/ValueSet/location-physical-type)

Physical form of the location.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Requirements

For purposes of showing relevant locations in queries, we need to categorize locations.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Location.position
Definition

The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).

ShortThe absolute geographic location
Control0..01
TypeBackboneElement
Is Modifierfalse
Summaryfalse
Requirements

For mobile applications and automated route-finding knowing the exact location of the Location is required.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
45. Location.managingOrganization
Definition

The organization responsible for the provisioning and upkeep of the location.

ShortOrganization responsible for provisioning and upkeep
Comments

This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.

Control0..01
TypeReference(Organization)
Is Modifierfalse
Summarytrue
Requirements

Need to know who manages the location.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
47. Location.partOf
Definition

Another Location of which this Location is physically a part of.

ShortAnother Location this one is physically a part of
Control0..01
TypeReference(Location)
Is Modifierfalse
Summaryfalse
Requirements

For purposes of location, display and identification, knowing which locations are located within other locations is important.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
49. Location.hoursOfOperation
Definition

What days/times during a week is this location usually open.

ShortWhat days/times during a week is this location usually open
Comments

This type of information is commonly found published in directories and on websites informing customers when the facility is available.

Specific services within the location may have their own hours which could be shorter (or longer) than the locations hours.

Control0..0*
TypeBackboneElement
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Location.availabilityExceptions
Definition

A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.

ShortDescription of availability exceptions
Control0..01
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Location.endpoint
Definition

Technical endpoints providing access to services operated for the location.

ShortTechnical endpoints providing access to services operated for the location
Control0..0*
TypeReference(Endpoint)
Is Modifierfalse
Summaryfalse
Requirements

Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Location
Definition

Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.

ShortDetails and position information for a physical place
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (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-4: If 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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Location.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. Location.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Location.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Location.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Location.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Location.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Location.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. 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.

ShortAdditional content defined by implementations
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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
16. Location.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-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())
18. Location.identifier
Definition

Unique code or number identifying the location to its users.

Short[DK] Lokationsid
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
TypeIdentifier
Is Modifierfalse
Summarytrue
Requirements

Organization label locations in registries, need to keep track of those.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Location.identifier.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. Location.identifier.extension
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.

ShortAdditional content defined by implementations
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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on Location.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 24. Location.identifier.use
    Definition

    The purpose of this identifier.

    Shortusual | official | temp | secondary | old (If known)
    Comments

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Control0..0
    BindingThe codes SHALL be taken from IdentifierUse
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    Identifies the purpose for this identifier, if known .

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Location.identifier.type
    Definition

    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

    ShortDescription of identifier
    Comments

    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

    Control0..0
    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Requirements

    Allows users to make use of identifiers when the identifier system is not known.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Location.identifier.system
    Definition

    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    ShortThe namespace for the identifier value
    Comments

    Identifier.system is always case sensitive.

    Control1..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    Fixed Valuehttps://viden.stil.dk/display/OFFINSTREG/Institutionsregisteret
    Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Location.identifier.value
    Definition

    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    ShortThe value that is unique
    Comments

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Example<br/><b>General</b>:123456
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Location.identifier.period
    Definition

    Time period during which identifier is/was valid for use.

    ShortTime period when id is/was valid for use
    Control0..0
    TypePeriod
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Location.identifier.assigner
    Definition

    Organization that issued/manages the identifier.

    ShortOrganization that issued id (may be just text)
    Comments

    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

    Control0..0
    TypeReference(Organization)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Location.status
    Definition

    The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.

    Short[DK] Lokationsstatus
    Control0..1
    BindingThe codes SHALL be taken from LocationStatus
    (required to http://hl7.org/fhir/ValueSet/location-status|4.0.1)

    Indicates whether the location is still in use.

    Typecode
    Is Modifiertrue because This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Location.operationalStatus
    Definition

    The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.

    ShortThe operational status of the location (typically only for a bed/room)
    Control0..0
    BindingThe codes SHOULD be taken from hl7VS-bedStatus
    (preferred to http://terminology.hl7.org/ValueSet/v2-0116)

    The operational status if the location (where typically a bed/room).

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Location.name
    Definition

    Name of the location as used by humans. Does not need to be unique.

    ShortName of the location as used by humans
    Comments

    If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.

    Control0..0
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Location.alias
    Definition

    A list of alternate names that the location is known as, or was known as, in the past.

    ShortA list of alternate names that the location is known as, or was known as, in the past
    Comments

    There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.

    Control0..0
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    Over time locations and organizations go through many changes and can be known by different names.

    For searching knowing previous names that the location was known by can be very useful.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Location.description
    Definition

    Description of the Location, which helps in finding or referencing the place.

    ShortAdditional details about the location that could be displayed as further information to identify the location beyond its name
    Control0..0
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Humans need additional information to verify a correct location has been identified.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Location.mode
    Definition

    Indicates whether a resource instance represents a specific location or a class of locations.

    Shortinstance | kind
    Comments

    This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.

    Control0..0
    BindingThe codes SHALL be taken from LocationMode
    (required to http://hl7.org/fhir/ValueSet/location-mode|4.0.1)

    Indicates whether a resource instance represents a specific location or a class of locations.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Location.type
    Definition

    Indicates the type of function performed at the location.

    Short[DK] Lokationstype
    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from ServiceDeliveryLocationRoleType
    (extensible to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

    Indicates the type of function performed at the location.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Pattern Value{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "code" : "SCHOOL"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Location.telecom
    Definition

    The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.

    ShortContact details of the location
    Control0..0
    TypeContactPoint
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. Location.address
    Definition

    Physical location.

    ShortPhysical location
    Comments

    Additional addresses should be recorded using another instance of the Location resource, or via the Organization.

    Control0..0
    TypeAddress
    Is Modifierfalse
    Summaryfalse
    Requirements

    If locations can be visited, we need to keep track of their address.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    54. Location.physicalType
    Definition

    Physical form of the location, e.g. building, room, vehicle, road.

    ShortPhysical form of the location
    Control0..0
    BindingFor example codes, see LocationType
    (example to http://hl7.org/fhir/ValueSet/location-physical-type)

    Physical form of the location.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Requirements

    For purposes of showing relevant locations in queries, we need to categorize locations.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Location.position
    Definition

    The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).

    ShortThe absolute geographic location
    Control0..0
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Requirements

    For mobile applications and automated route-finding knowing the exact location of the Location is required.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. Location.managingOrganization
    Definition

    The organization responsible for the provisioning and upkeep of the location.

    ShortOrganization responsible for provisioning and upkeep
    Comments

    This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.

    Control0..0
    TypeReference(Organization)
    Is Modifierfalse
    Summarytrue
    Requirements

    Need to know who manages the location.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Location.partOf
    Definition

    Another Location of which this Location is physically a part of.

    ShortAnother Location this one is physically a part of
    Control0..0
    TypeReference(Location)
    Is Modifierfalse
    Summaryfalse
    Requirements

    For purposes of location, display and identification, knowing which locations are located within other locations is important.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. Location.hoursOfOperation
    Definition

    What days/times during a week is this location usually open.

    ShortWhat days/times during a week is this location usually open
    Comments

    This type of information is commonly found published in directories and on websites informing customers when the facility is available.

    Specific services within the location may have their own hours which could be shorter (or longer) than the locations hours.

    Control0..0
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    77. Location.availabilityExceptions
    Definition

    A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.

    ShortDescription of availability exceptions
    Control0..0
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    79. Location.endpoint
    Definition

    Technical endpoints providing access to services operated for the location.

    ShortTechnical endpoints providing access to services operated for the location
    Control0..0
    TypeReference(Endpoint)
    Is Modifierfalse
    Summaryfalse
    Requirements

    Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))