US Core Implementation Guide
6.0.0-ballot - STU6 Ballot US

This page is part of the US Core (v6.0.0-ballot: STU6 Ballot 1) based on FHIR R4. The current version which supercedes this version is 6.1.0. For a full list of available versions, see the Directory of published versions. Page versions: STU6.1 STU6 STU5 STU4 STU3 STU2 STU1

Resource Profile: US Core Location Profile

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-location Version: 6.0.0-ballot
Active as of 2022-04-20 Computable Name: USCoreLocation

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This profile sets minimum expectations for the Location resource for recording, searching for and fetching a Location associated with a patient, provider or organization to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource when using this profile. It provides the floor for standards development for specific use cases.

Mandatory and Must Support Data Elements

The following data-elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Location must have:

  1. A name

Each Location must support:

  1. Location.status
  2. Location.name
  3. Location.telecom
  4. Location.address
  5. managingOrganization

Additional Profile specific implementation guidance:

  • As a result of implementation feedback, the US Core Location and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they SHOULD be used as the default profile if referenced by another US Core profile. See this guidance on Referencing US Core Profiles.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from Location

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*LocationDetails and position information for a physical place
... status S0..1codeactive | suspended | inactive
... name S1..1stringName of the location as used by humans
... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... line S0..*stringStreet name, number, direction & P.O. Box etc.
.... city S0..1stringName of city, town etc.
.... state S0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode S0..1stringUS Zip Codes
... managingOrganization S0..1Reference(US Core Organization Profile)Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*LocationDetails and position information for a physical place
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ0..1codeactive | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... name SΣ1..1stringName of the location as used by humans
... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
... managingOrganization SΣ0..1Reference(US Core Organization Profile)Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.statusrequiredLocationStatus
Location.address.userequiredAddressUse
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*LocationDetails and position information for a physical place
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierUnique code or number identifying the location to its users
... status ?!SΣ0..1codeactive | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ0..1CodingThe operational status of the location (typically only for a bed/room)
Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

... name SΣ1..1stringName of the location as used by humans
... alias 0..*stringA list of alternate names that the location is known as, or was known as, in the past
... description Σ0..1stringAdditional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ0..1codeinstance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type Σ0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ0..1CodeableConceptPhysical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1BackboneElementThe absolute geographic location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... longitude 1..1decimalLongitude with WGS84 datum
.... latitude 1..1decimalLatitude with WGS84 datum
.... altitude 0..1decimalAltitude with WGS84 datum
... managingOrganization SΣ0..1Reference(US Core Organization Profile)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(Location)Another Location this one is physically a part of
... hoursOfOperation 0..*BackboneElementWhat days/times during a week is this location usually open
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1booleanThe Location is open all day
.... openingTime 0..1timeTime that the Location opens
.... closingTime 0..1timeTime that the Location closes
... availabilityExceptions 0..1stringDescription of availability exceptions
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Location.statusrequiredLocationStatus
Location.operationalStatuspreferredHl7VSBedStatus
Location.moderequiredLocationMode
Location.typeextensibleServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
Location.address.typerequiredAddressType
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Location.physicalTypeexampleLocationType
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek

This structure is derived from Location

Summary

Mandatory: 1 element
Must-Support: 9 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Location

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*LocationDetails and position information for a physical place
... status S0..1codeactive | suspended | inactive
... name S1..1stringName of the location as used by humans
... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... line S0..*stringStreet name, number, direction & P.O. Box etc.
.... city S0..1stringName of city, town etc.
.... state S0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode S0..1stringUS Zip Codes
... managingOrganization S0..1Reference(US Core Organization Profile)Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*LocationDetails and position information for a physical place
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ0..1codeactive | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... name SΣ1..1stringName of the location as used by humans
... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
... managingOrganization SΣ0..1Reference(US Core Organization Profile)Organization responsible for provisioning and upkeep

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.statusrequiredLocationStatus
Location.address.userequiredAddressUse
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Location 0..*LocationDetails and position information for a physical place
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierUnique code or number identifying the location to its users
... status ?!SΣ0..1codeactive | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.

... operationalStatus Σ0..1CodingThe operational status of the location (typically only for a bed/room)
Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

... name SΣ1..1stringName of the location as used by humans
... alias 0..*stringA list of alternate names that the location is known as, or was known as, in the past
... description Σ0..1stringAdditional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ0..1codeinstance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

... type Σ0..*CodeableConceptType of function performed
Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


... telecom S0..*ContactPointContact details of the location
... address S0..1AddressPhysical location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ0..1CodeableConceptPhysical form of the location
Binding: LocationType (example): Physical form of the location.

... position 0..1BackboneElementThe absolute geographic location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... longitude 1..1decimalLongitude with WGS84 datum
.... latitude 1..1decimalLatitude with WGS84 datum
.... altitude 0..1decimalAltitude with WGS84 datum
... managingOrganization SΣ0..1Reference(US Core Organization Profile)Organization responsible for provisioning and upkeep
... partOf 0..1Reference(Location)Another Location this one is physically a part of
... hoursOfOperation 0..*BackboneElementWhat days/times during a week is this location usually open
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1booleanThe Location is open all day
.... openingTime 0..1timeTime that the Location opens
.... closingTime 0..1timeTime that the Location closes
... availabilityExceptions 0..1stringDescription of availability exceptions
... endpoint 0..*Reference(Endpoint)Technical endpoints providing access to services operated for the location

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Location.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Location.statusrequiredLocationStatus
Location.operationalStatuspreferredHl7VSBedStatus
Location.moderequiredLocationMode
Location.typeextensibleServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
Location.address.typerequiredAddressType
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Location.physicalTypeexampleLocationType
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek

This structure is derived from Location

Summary

Mandatory: 1 element
Must-Support: 9 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron

Notes:


Quick Start


Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile’s information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.

  • The syntax used to describe the interactions is described here.
  • See the General Requirements section for additional rules and expectations when a server requires status parameters.
  • See the General Guidance section for additional guidance on searching for multiple patients.

Mandatory Search Parameters:

The following search parameters and search parameter combinations SHALL be supported:

  1. SHALL support searching by location name using the name search parameter:

    GET [base]/Location?name=[string]

    Example:

    1. GET [base]/Location?name=Health

    Implementation Notes: Fetches a bundle of all Location resources that match the name (how to search by string)

  2. SHALL support searching location based on text address using the address search parameter:

    GET [base]/Location?address=[string]

    Example:

    1. GET [base]/Location?address=Arbor

    Implementation Notes: Fetches a bundle of all Location resources that match the address string (how to search by string)

Optional Search Parameters:

The following search parameter combinations SHOULD be supported:

  1. SHOULD support searching using the address-city search parameter:

    GET [base]/Location?address-city=[string]

    Example:

    1. GET [base]/Location?address-city=Ann Arbor

    Implementation Notes: Fetches a bundle of all Location resources for the city (how to search by string)

  2. SHOULD support searching using the address-state search parameter:

    GET [base]/Location?address-state=[string]

    Example:

    1. GET [base]/Location?address-state=MI

    Implementation Notes: Fetches a bundle of all Location resources for the state (how to search by string)

  3. SHOULD support searching using the address-postalcode search parameter:

    GET [base]/Location?address-postalcode=[string]

    Example:

    1. GET [base]/Location?address-postalcode=48104

    Implementation Notes: Fetches a bundle of all Location resources for the ZIP code (how to search by string)