QI-Core Implementation Guide
7.0.0 - STU 7 United States of America flag

This page is part of the Quality Improvement Core Framework (v7.0.0: STU7 (v7.0.0)) 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: QICore Location

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location Version: 7.0.0
Standards status: Trial-use Maturity Level: 4 Computable Name: QICoreLocation

Profile of Location for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

"Must Have", "QI Elements" and "primary code path" are defined in the QI-Core Must Support section.
Must Have:
  • name: Name by which a facility or location is known.
QI Elements:
  • status: (QI) active | suspended | inactive
  • telecom: (QI) Contact details of the location
  • managingOrganization: (QI) Organization responsible for provisioning and upkeep
  • type: (QI) Category of service or resource available in a location.
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve

Usage 
define "Encounter With ICU Location Stay 1 Day or More":
  "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" QualifyingEncounter
    where exists ( QualifyingEncounter.location Location
      where Global.GetLocation(Location.location).type in "Intensive Care Unit"
        and Global."LengthInDays"(Location.period) >= 1
        and Location.period starts during TJC."CalendarDayOfOrDayAfter"(start of QualifyingEncounter.period)
    )

See the patterns page for implementation and usage patterns.

Examples

Example of the south wing of Mean Joe Greene University Medical Center

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocationProfile Details and position information for a physical place
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... name SΣ 1..1 string Name by which a facility or location is known.
... type SΣ 0..* CodeableConcept (QI) Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint (QI) Contact details of the location
... address S 0..1 Address Physical location
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..* string Street 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
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
... managingOrganization SΣ 0..1 Reference(QICore Organization) (QI) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(QICore Location) Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Location.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/location-status|4.0.1
From the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
From the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes(a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLocationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLocationIf 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-4errorLocationIf 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-5errorLocationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLocationA 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 USCoreLocationProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location USCoreLocationProfile
... status 0..1 code (QI) active | suspended | inactive
Fixed Value: active
... type 0..* CodeableConcept (QI) Category of service or resource available in a location.
... telecom 0..* ContactPoint (QI) Contact details of the location
... partOf 0..1 Reference(QICore Location) Another Location this one is physically a part of

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocationProfile Details and position information for a physical place
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code (QI) active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.
Fixed Value: active
... operationalStatus Σ 0..1 Coding The 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 SΣ 1..1 string Name by which a facility or location is known.
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.
... type SΣ 0..* CodeableConcept (QI) Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint (QI) Contact details of the location
... address S 0..1 Address Physical location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street 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
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.
... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(QICore Organization) (QI) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(QICore Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.
.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description 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 / CodeURI
Location.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Location.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/location-status|4.0.1
From the FHIR Standard
Location.operationalStatuspreferredHl7VSBedStatus
http://terminology.hl7.org/ValueSet/v2-0116
Location.moderequiredLocationMode
http://hl7.org/fhir/ValueSet/location-mode|4.0.1
From the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
From the FHIR Standard
Location.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
From the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes(a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLocationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLocationIf 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-4errorLocationIf 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-5errorLocationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLocationA 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocationProfile Details and position information for a physical place
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... name SΣ 1..1 string Name by which a facility or location is known.
... type SΣ 0..* CodeableConcept (QI) Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint (QI) Contact details of the location
... address S 0..1 Address Physical location
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..* string Street 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
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
... managingOrganization SΣ 0..1 Reference(QICore Organization) (QI) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(QICore Location) Another Location this one is physically a part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Location.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/location-status|4.0.1
From the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
From the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes(a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLocationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLocationIf 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-4errorLocationIf 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-5errorLocationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLocationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from USCoreLocationProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location USCoreLocationProfile
... status 0..1 code (QI) active | suspended | inactive
Fixed Value: active
... type 0..* CodeableConcept (QI) Category of service or resource available in a location.
... telecom 0..* ContactPoint (QI) Contact details of the location
... partOf 0..1 Reference(QICore Location) Another Location this one is physically a part of

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Location 0..* USCoreLocationProfile Details and position information for a physical place
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique business identifier for facility or location.
... status ?!SΣ 0..1 code (QI) active | suspended | inactive
Binding: LocationStatus (required): Indicates whether the location is still in use.
Fixed Value: active
... operationalStatus Σ 0..1 Coding The 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 SΣ 1..1 string Name by which a facility or location is known.
... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
... mode Σ 0..1 code instance | kind
Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.
... type SΣ 0..* CodeableConcept (QI) Category of service or resource available in a location.
Binding: ServiceDeliveryLocationRoleType (extensible)
... telecom S 0..* ContactPoint (QI) Contact details of the location
... address S 0..1 Address Physical location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street 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
Example General: 49 MEADOW ST
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
Example General: OK
.... postalCode SΣ 0..1 string US Zip Codes
Example General: 9132
Example General: 74047
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... physicalType Σ 0..1 CodeableConcept Physical form of the location
Binding: LocationType (example): Physical form of the location.
... position 0..1 BackboneElement The absolute geographic location
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... longitude 1..1 decimal Longitude with WGS84 datum
.... latitude 1..1 decimal Latitude with WGS84 datum
.... altitude 0..1 decimal Altitude with WGS84 datum
... managingOrganization SΣ 0..1 Reference(QICore Organization) (QI) Organization responsible for provisioning and upkeep
... partOf 0..1 Reference(QICore Location) Another Location this one is physically a part of
... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.
.... allDay 0..1 boolean The Location is open all day
.... openingTime 0..1 time Time that the Location opens
.... closingTime 0..1 time Time that the Location closes
... availabilityExceptions 0..1 string Description 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 / CodeURI
Location.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Location.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/location-status|4.0.1
From the FHIR Standard
Location.operationalStatuspreferredHl7VSBedStatus
http://terminology.hl7.org/ValueSet/v2-0116
Location.moderequiredLocationMode
http://hl7.org/fhir/ValueSet/location-mode|4.0.1
From the FHIR Standard
Location.typeextensibleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
Location.address.userequiredAddressUse
http://hl7.org/fhir/ValueSet/address-use|4.0.1
From the FHIR Standard
Location.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
From the FHIR Standard
Location.address.stateextensibleUspsTwoLetterAlphabeticCodes(a valid code from https://www.usps.com/)
http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
From the FHIR Standard
Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLocationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLocationIf 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-4errorLocationIf 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-5errorLocationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLocationA 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()

 

Other representations of profile: CSV, Excel, Schematron