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Packagetewhatuora.fhir.nz-shared-digital-health-record
Resource TypeStructureDefinition
IdStructureDefinition-facility-participation-extension.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/tewhatuora/fhir-sdhr/StructureDefinition-facility-participation-extension.html
URLhttps://fhir-ig.digital.health.nz/sdhr/StructureDefinition/facility-participation-extension
Version1.0.0
Statusactive
Date2025-11-27T01:34:11+00:00
NameFacilityParticipationExtension
TitleFacility Participation
DescriptionIndicates whether the patient has opted out or opted in to participation at the facility. If opted out, no records will be shared from that facility.
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
SDHRConsentSDHRConsent

Resources that this resource uses

ValueSet
sdhr-participation-reason-valuesetValueSet for SDHR Participation Reason

Examples of Use for Extension

ResourceVersion
tewhatuora.fhir.nz-shared-digital-health-record#current:Consent/ConsentExampleRecordsWithheldR4
tewhatuora.fhir.nz-shared-digital-health-record#current:Consent/ConsentFacilityDenyExampleR4
tewhatuora.fhir.nz-shared-digital-health-record#current:Consent/ConsentMultiFacilityExampleR4

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition facility-participation-extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionFacility Participation
... extension 0..0Extension
... url 1..1uri"https://fhir-ig.digital.health.nz/sdhr/StructureDefinition/facility-participation-extension"
... Slices for value[x] 1..1CodeableConceptValue of extension
Slice: Unordered, Open by type:$this
.... value[x]:valueCodeableConcept 1..1CodeableConceptUse sdhr-facility-opt-out if the patient has opted out, sdhr-facility-opt-in if the patient has opted in
Binding: ValueSet for SDHR Participation Reason (required)

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "facility-participation-extension",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir-ig.digital.health.nz/sdhr/StructureDefinition/facility-participation-extension",
  "version": "1.0.0",
  "name": "FacilityParticipationExtension",
  "title": "Facility Participation",
  "status": "active",
  "date": "2025-11-27T01:34:11+00:00",
  "publisher": "Health New Zealand",
  "contact": [
    {
      "name": "Health New Zealand",
      "telecom": [
        {
          "system": "url",
          "value": "https://github.com/tewhatuora"
        }
      ]
    },
    {
      "name": "HNZ Integration Team",
      "telecom": [
        {
          "system": "email",
          "value": "integration@tewhatuora.govt.nz",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Indicates whether the patient has opted out or opted in to participation at the facility. If opted out, no records will be shared from that facility.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Element"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Facility Participation",
        "definition": "Indicates whether the patient has opted out or opted in to participation at the facility. If opted out, no records will be shared from that facility.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "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.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "https://fhir-ig.digital.health.nz/sdhr/StructureDefinition/facility-participation-extension",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "closed"
        },
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]:valueCodeableConcept",
        "path": "Extension.value[x]",
        "sliceName": "valueCodeableConcept",
        "short": "Use sdhr-facility-opt-out if the patient has opted out, sdhr-facility-opt-in if the patient has opted in",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir-ig.digital.health.nz/sdhr/ValueSet/sdhr-participation-reason-valueset"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Facility Participation",
        "definition": "Indicates whether the patient has opted out or opted in to participation at the facility. If opted out, no records will be shared from that facility."
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "https://fhir-ig.digital.health.nz/sdhr/StructureDefinition/facility-participation-extension"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Extension.value[x]:valueCodeableConcept",
        "path": "Extension.value[x]",
        "sliceName": "valueCodeableConcept",
        "short": "Use sdhr-facility-opt-out if the patient has opted out, sdhr-facility-opt-in if the patient has opted in",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir-ig.digital.health.nz/sdhr/ValueSet/sdhr-participation-reason-valueset"
        }
      }
    ]
  }
}