International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

This page is part of the International Patient Summary Implementation Guide (v2.0.0: STU 2) 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

Resource Profile: Flag - Alert (IPS)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Flag-alert-uv-ips Version: 2.0.0
Standards status: Trial-use Maturity Level: 3 Computable Name: FlagAlertUvIps

This profile constrains the Flag resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an alert is represented in the patient summary as an instance of a Flag resource constrained by this profile.

This specialized Flag is used to convey information about an alert specific to an IPS. Information is flagged to raise awareness of potential concerns and/or dangers to/from the subject of the IPS. It brings information to the fore and may reference other information from the summary (through the supportingInfo extension) as well as present obstacles to care.

This profile constrains the representation of a record of an alert in the context of the international patient summary as specified by the IPS project of HL7 International.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:flag-priority SO 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category SOΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code SOΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... subject SOΣ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Flag.status Base required FlagStatus 📍4.0.1 FHIR Std.
Flag.category Base example Flag Category 📍4.0.1 FHIR Std.
Flag.code Base example Flag Code 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Flag If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Flag 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 error Flag 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 error Flag If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Flag A resource should have narrative for robust management text.`div`.exists()
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()

This structure is derived from Flag

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Flag Flag
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:flag-priority SO 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... status 1..1 code active | inactive | entered-in-error
Fixed Value: active
... category SO 0..* CodeableConceptIPS Clinical, administrative, etc.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... subject SO 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:flag-priority SO 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code active | inactive | entered-in-error
Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.
Fixed Value: active
... category SOΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code SOΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... subject SOΣ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... period Σ 0..1 Period Time period when flag is active
... encounter Σ 0..1 Reference(Encounter) Alert relevant during encounter
... author Σ 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole) Flag creator

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Flag.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Flag.status Base required FlagStatus 📍4.0.1 FHIR Std.
Flag.category Base example Flag Category 📍4.0.1 FHIR Std.
Flag.code Base example Flag Code 📍4.0.1 FHIR Std.
Flag.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Flag If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Flag 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 error Flag 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 error Flag If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Flag A resource should have narrative for robust management text.`div`.exists()
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()

This structure is derived from Flag

Summary

Mandatory: 1 element
Must-Support: 5 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 3

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:flag-priority SO 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category SOΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code SOΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... subject SOΣ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Flag.status Base required FlagStatus 📍4.0.1 FHIR Std.
Flag.category Base example Flag Category 📍4.0.1 FHIR Std.
Flag.code Base example Flag Code 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Flag If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Flag 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 error Flag 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 error Flag If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Flag A resource should have narrative for robust management text.`div`.exists()
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()

Differential View

This structure is derived from Flag

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Flag Flag
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:flag-priority SO 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... status 1..1 code active | inactive | entered-in-error
Fixed Value: active
... category SO 0..* CodeableConceptIPS Clinical, administrative, etc.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... subject SO 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Flag 0..* Flag Key information to flag to healthcare providers
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:flag-priority SO 0..1 CodeableConcept An alarm code
URL: http://hl7.org/fhir/StructureDefinition/flag-priority
Binding: FlagPriorityCodes (example): A code of the alarm.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier
... status ?!Σ 1..1 code active | inactive | entered-in-error
Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.
Fixed Value: active
... category SOΣ 0..* CodeableConceptIPS Clinical, administrative, etc.
Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... code SOΣ 1..1 CodeableConceptIPS Coded or textual message to display to user
Binding: FlagCode (example): Detail codes identifying specific flagged issues.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... subject SOΣ 1..1 Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure) Who/What is flag about?
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... period Σ 0..1 Period Time period when flag is active
... encounter Σ 0..1 Reference(Encounter) Alert relevant during encounter
... author Σ 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole) Flag creator

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Flag.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Flag.status Base required FlagStatus 📍4.0.1 FHIR Std.
Flag.category Base example Flag Category 📍4.0.1 FHIR Std.
Flag.code Base example Flag Code 📍4.0.1 FHIR Std.
Flag.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Flag If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Flag 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 error Flag 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 error Flag If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Flag A resource should have narrative for robust management text.`div`.exists()
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()

This structure is derived from Flag

Summary

Mandatory: 1 element
Must-Support: 5 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Maturity: 3

 

Other representations of profile: CSV, Excel, Schematron