HL7.FHIR.US.NDH\NDH New Patients - Definitions

This page is part of the National Directory of Healthcare Providers and Services (NDH) Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Extension: NewPatients - Detailed Descriptions

Active as of 2023-07-30

Definitions for the base-ext-newpatients extension.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

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

1. Extension
Definition	New Patients indicates whether new patients are being accepted in general, or from a specific network. This extension is included in the PractitionerRole, HealthcareService, and Location profiles. This provides needed flexibility for specifying whether a provider accepts new patients by location and network. Optional Extension Element - found in all resources.
Invariants	Defined on this element new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (: extension('acceptingPatients').value.coding.exists(code = 'nopt') implies extension('characteristics').empty())
2. Extension.extension
Control	10..*
3. Extension.extension:acceptingPatients
SliceName	acceptingPatients
Control	1..1
Must Support	true
4. Extension.extension:acceptingPatients.extension
Control	0..0
5. Extension.extension:acceptingPatients.url
Control	0..?
Fixed Value	acceptingPatients
6. Extension.extension:acceptingPatients.value[x]
Control	1..?
Binding	The codes SHALL be taken from Accepting Patients Codes Value Set
Type	CodeableConcept
[x] Note	See Choice of Data Types for further information about how to use [x]
7. Extension.extension:fromNetwork
SliceName	fromNetwork
Control	0..1
Must Support	true
8. Extension.extension:fromNetwork.extension
Control	0..0
9. Extension.extension:fromNetwork.url
Control	0..?
Fixed Value	fromNetwork
10. Extension.extension:fromNetwork.value[x]
Control	1..?
Type	Reference(NdhNetwork)
[x] Note	See Choice of Data Types for further information about how to use [x]
11. Extension.extension:characteristics
SliceName	characteristics
Control	0..*
Must Support	true
12. Extension.extension:characteristics.extension
Control	0..0
13. Extension.extension:characteristics.url
Control	0..?
Fixed Value	characteristics
14. Extension.extension:characteristics.value[x]
Control	1..?
Type	string
[x] Note	See Choice of Data Types for further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
15. Extension.url
Fixed Value	http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients
16. Extension.value[x]
Control	0..01
[x] Note	See Choice of Data Types for further information about how to use [x]

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

1. Extension
Definition	New Patients indicates whether new patients are being accepted in general, or from a specific network. This extension is included in the PractitionerRole, HealthcareService, and Location profiles. This provides needed flexibility for specifying whether a provider accepts new patients by location and network. Optional Extension Element - found in all resources.
Control	0..* This element is affected by the following invariants: ele-1
Invariants	Defined on this element ele-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()) new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (: extension('acceptingPatients').value.coding.exists(code = 'nopt') implies extension('characteristics').empty())
2. Extension.extension
Definition	An Extension 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.
Control	10..*
Type	Extension
Summary	false
Alternate Names	extensions, user content
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.
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
3. Extension.extension:acceptingPatients
SliceName	acceptingPatients
Definition	An Extension 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.
Control	10..1*
Type	Extension
Must Support	true
Summary	false
Alternate Names	extensions, user content
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.
Invariants	Defined on this element ele-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())
4. Extension.extension:acceptingPatients.extension
Definition	An Extension 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.
Control	0..0*
Type	Extension
Summary	false
Alternate Names	extensions, user content
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.
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
5. Extension.extension:acceptingPatients.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	acceptingPatients
6. Extension.extension:acceptingPatients.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	10..1
Binding	The codes SHALL be taken from Accepting Patients Codes Value SetFor codes, see (unbound)
Type	Choice of: CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Summary	false
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. Extension.extension:fromNetwork
SliceName	fromNetwork
Definition	An Extension 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.
Control	0..1*
Type	Extension
Must Support	true
Summary	false
Alternate Names	extensions, user content
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.
Invariants	Defined on this element ele-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())
8. Extension.extension:fromNetwork.extension
Definition	An Extension 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.
Control	0..0*
Type	Extension
Summary	false
Alternate Names	extensions, user content
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.
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
9. Extension.extension:fromNetwork.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	fromNetwork
10. Extension.extension:fromNetwork.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	10..1
Type	Choice of: Reference(NdhNetwork), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Summary	false
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Extension.extension:characteristics
SliceName	characteristics
Definition	An Extension 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.
Control	0..*
Type	Extension
Must Support	true
Summary	false
Alternate Names	extensions, user content
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.
Invariants	Defined on this element ele-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())
12. Extension.extension:characteristics.extension
Definition	An Extension 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.
Control	0..0*
Type	Extension
Summary	false
Alternate Names	extensions, user content
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.
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
13. Extension.extension:characteristics.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	characteristics
14. Extension.extension:characteristics.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	10..1
Type	Choice of: string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients
16. Extension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..01
Type	Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note	See Choice of Data Types for further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	Defined on this element ele-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.

1. Extension
Definition	New Patients indicates whether new patients are being accepted in general, or from a specific network. This extension is included in the PractitionerRole, HealthcareService, and Location profiles. This provides needed flexibility for specifying whether a provider accepts new patients by location and network.
Control	0..* This element is affected by the following invariants: ele-1
2. Extension.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
3. Extension.extension
Definition	An Extension
Control	1..*
Type	Extension
Summary	false
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
4. Extension.extension:acceptingPatients
SliceName	acceptingPatients
Definition	An Extension
Control	1..1
Type	Extension
Must Support	true
Summary	false
Invariants	Defined on this element ele-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())
5. Extension.extension:acceptingPatients.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
6. Extension.extension:acceptingPatients.extension
Definition	An Extension
Control	0..0
Type	Extension
Summary	false
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
7. Extension.extension:acceptingPatients.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	acceptingPatients
8. Extension.extension:acceptingPatients.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	1..1
Binding	The codes SHALL be taken from Accepting Patients Codes Value Set
Type	CodeableConcept
[x] Note	See Choice of Data Types for further information about how to use [x]
Summary	false
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. Extension.extension:fromNetwork
SliceName	fromNetwork
Definition	An Extension
Control	0..1
Type	Extension
Must Support	true
Summary	false
Invariants	Defined on this element ele-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())
10. Extension.extension:fromNetwork.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
11. Extension.extension:fromNetwork.extension
Definition	An Extension
Control	0..0
Type	Extension
Summary	false
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
12. Extension.extension:fromNetwork.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	fromNetwork
13. Extension.extension:fromNetwork.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	1..1
Type	Reference(NdhNetwork)
[x] Note	See Choice of Data Types for further information about how to use [x]
Summary	false
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Extension.extension:characteristics
SliceName	characteristics
Definition	An Extension
Control	0..*
Type	Extension
Must Support	true
Summary	false
Invariants	Defined on this element ele-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())
15. Extension.extension:characteristics.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
16. Extension.extension:characteristics.extension
Definition	An Extension
Control	0..0
Type	Extension
Summary	false
Invariants	Defined on this element ele-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())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
17. Extension.extension:characteristics.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	characteristics
18. Extension.extension:characteristics.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	1..1
Type	string
[x] Note	See Choice of Data Types for further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Summary	false
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients
20. Extension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..0
Type	Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note	See Choice of Data Types for further information about how to use [x]
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	false
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))