FHIR Clinical Documents
1.0.0 - STU 1
FHIR Clinical Documents
1.0.0 - STU 1
This page is part of the FHIR Clinical Documents (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension | Version: 1.0.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: ParticipantExtension | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).
Context of Use
This extension may be used on the following element(s)
Composition
Usage info
Usages:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Participant Extension | |
  extension |
2..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:type |
1..* | Extension | Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed. | |
  extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
  value[x] |
1..1 | CodeableConcept | Value of extension Binding: FHIR Clinical Document Participant Types Value set (required): Contains particpants that are not a data-enter, information-recipient nor an informant. Additionally, the FHIR Clinical Document Composition Profile contains fields for AUT, AUTHEN, CST, LA, RCT, SBJ. Thus, these types are also not allowed as types in the Participant Extension. | |
| extension:function |
0..* | Extension | Exact function of the participant in the creation of the clinical document. This is more granular than type. | |
| extension |
0..0 | |||
| url |
1..1 | uri | "function" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ParticipationFunction (extensible) | |
| extension:time |
0..1 | Extension | Time period of participation | |
| extension |
0..0 | |||
| url |
1..1 | uri | "time" | |
| value[x] |
1..1 | Period | Value of extension | |
 extension:party |
S | 1..1 | Extension | participant |
 extension |
0..0 | |||
| url |
1..1 | uri | "party" | |
 value[x] |
1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Participant Extension | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:type |
1..* | Extension | Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: FHIR Clinical Document Participant Types Value set (required): Contains particpants that are not a data-enter, information-recipient nor an informant. Additionally, the FHIR Clinical Document Composition Profile contains fields for AUT, AUTHEN, CST, LA, RCT, SBJ. Thus, these types are also not allowed as types in the Participant Extension. | |
| extension:function |
0..* | Extension | Exact function of the participant in the creation of the clinical document. This is more granular than type. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "function" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ParticipationFunction (extensible) | |
| extension:time |
0..1 | Extension | Time period of participation | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "time" | |
| value[x] |
1..1 | Period | Value of extension | |
| extension:party |
S | 1..1 | Extension | participant |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "party" | |
| value[x] |
1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).
Maturity: 2
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Participant Extension | |
| extension |
2..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:type |
1..* | Extension | Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed. | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: FHIR Clinical Document Participant Types Value set (required): Contains particpants that are not a data-enter, information-recipient nor an informant. Additionally, the FHIR Clinical Document Composition Profile contains fields for AUT, AUTHEN, CST, LA, RCT, SBJ. Thus, these types are also not allowed as types in the Participant Extension. | |
| extension:function |
0..* | Extension | Exact function of the participant in the creation of the clinical document. This is more granular than type. | |
| extension |
0..0 | |||
| url |
1..1 | uri | "function" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ParticipationFunction (extensible) | |
| extension:time |
0..1 | Extension | Time period of participation | |
| extension |
0..0 | |||
| url |
1..1 | uri | "time" | |
| value[x] |
1..1 | Period | Value of extension | |
| extension:party |
S | 1..1 | Extension | participant |
| extension |
0..0 | |||
| url |
1..1 | uri | "party" | |
| value[x] |
1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Participant Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:type |
1..* | Extension | Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: FHIR Clinical Document Participant Types Value set (required): Contains particpants that are not a data-enter, information-recipient nor an informant. Additionally, the FHIR Clinical Document Composition Profile contains fields for AUT, AUTHEN, CST, LA, RCT, SBJ. Thus, these types are also not allowed as types in the Participant Extension. | |
| extension:function |
0..* | Extension | Exact function of the participant in the creation of the clinical document. This is more granular than type. | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "function" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ParticipationFunction (extensible) | |
| extension:time |
0..1 | Extension | Time period of participation | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "time" | |
| value[x] |
1..1 | Period | Value of extension | |
| extension:party |
S | 1..1 | Extension | participant |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "party" | |
| value[x] |
1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization) | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/ParticipantExtension" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI |
| Extension.extension:type.value[x] | required | FHIRClinicalDocParticipantVshttp://terminology.hl7.org/ValueSet/fhir-clinical-doc-participant | |
| Extension.extension:function.value[x] | extensible | ParticipationFunctionhttp://terminology.hl7.org/ValueSet/v3-ParticipationFunction |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
IG © 2024+ HL7 International / Structured Documents. Package hl7.fhir.uv.fhir-clinical-document#1.0.0 based on FHIR 4.0.1. Generated 2025-06-26
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