Status: Active: Approved (STU)

Introduction

This profile sets minimum expectations for the Location resource, to record information on locations where care is provided.

Location coverage and references

• A Data Provider MUST offer Location FHIR resources to represent its own locations
• When referencing a Location then “reference” (url to a FHIR Resource) and “display” (name), MUST be populated
  • For an external location then the url could point to an ad-hoc Contained Resource
  • In addition the “identifier” in the reference MAY also be populated. This is not as straightforward as for Organisations (where the ODS Code is widely accepted). However for some locations an ODS Site Code may be relevant, or otherwise it may still be useful to provide a local identifier.

Location structure and hierarchy

The goal for regional sharing of locations is not necessarily to build a detailed model of the real-world, but rather to provide a simple representation which is easy for Data Consumers to interpret and display. The purpose is to understand where a patient has been, give some insight into the type of services typically provided at that location, and provide contact details if further follow up is desired.

Therefore a 4-level model of site -> buillding -> ward -> room is proposed

All Data Providers must populate reference data for their own site(s) and, where relevant, buldings and wards:

• Room-level detail may optionally be added if relevant (unlikely to be necessary for historical understanding, but may be relevant to inform attendance at future appointments)
• Additional detail such as “bed” level of location detail is optional, may be onerous to keep up-to-date, and is not necessary for currently known regional sharing use-cases

When describing locations other than hospitals then there are a slightly different set of considerations:

• It is rare to find a location as large and complex as a hospital, therefore the “site” level of detail will often be sufficient
• Building, ward and Room-level detail may optionally be added only if relevant. (The phrase “ward” may be interpreted broadly as a “section of a facility” - for example a section of a care home, and not necessarily an actual hospital “ward”).
• In non-acute settings activity is more likely to occur outside of institutions - for example in the persons’ home (typically modelled as a location Contained Resource)

A particular issue is making it easy and efficient for Data Consumers to understand the hierarchy.

• The location “name” is used in references, and this needs to be usable standalone - without the need for Data Consumers to make multiple additional queries to follow a tree, just to meaningfully display where the patient is.

• In practice this means:

  The location name must incorporate the hierarchy. For example “York Hospital: Jubilee Building: Ward 27: Room 4”

• (In contrast just naming the location “Room 4” is meaningless to a consumer without further queries to follow the references, trace the tree, and assemble these details for themselves every time)

Mandatory fields

Bearing in mind the multiple scenarios above, a small subset of fields can be specified as mandatory:

1. Name - The name of the location. Noting that, as per above, this must reflect any hierarchy for more informative display eg “York Hospital: Jubilee Building: Ward 27”
2. Status - Should normally be “active”, and only active locations should be used in new references. However it may be necessary to retain locations at other statuses (eg inactive) if they have already been used in references
3. Type - Must be populated to describe the type of services typically provided at this location. Please select a value that is as specific as possible to provide maximum information. See also further notes below.
4. Physical Type - Standard FHIR code list. As noted in the introduction, any location structures should be kept simple with focus on site/ward/room, plus of course non-institutional locations such as “house” or “vehicle”

Must Support fields

In addition the following fields are “Must Support” - ie they must be populated if relevant and known:

1. Identifier: Local Id - A local business identifier, over-and-above the name - to assist with more definitively identifying the location.
2. Telecom - Eg phone and/or email details. Useful for getting in contact for further information
3. Address - Must be provided if relevant (eg for Site and House). Not relevant for a Ward or Room. Just the current address for contact purposes, no history
4. Managing Organisation - Must be provided for institutional locations ie Site / Ward / Room. Note: this will often be the same as the provenance of the message, but not necessarily if external locations are being referenced
5. Part Of - To describe the hierarchy - this is a reference to the parent location where relevant. Required to link room -> ward -> building -> site

Optional fields

Other fields are optional and may be populated if known - on the understanding that not all data consumers will necessarily make use of them. Points of note include:

• Mode - this must always be “instance”, and is preferably explicitly populated. “Instance” may be assumed if missing.
• Identifier: ODS Site code - Some locations will have an ODS site code, in which case this should be included to help formally identify the site
• Alias and Description - May be useful to provide additional information. Description might include information to assist visitors in finding the location - eg if being used for appointments.
• Position - Currently there is no requirement to track exact geographical coordinates

Discouraged or Removed fields

• Operational Status - Discouraged. As noted in the FHIR spec this is only relevant for beds / rooms, to indicate if they are undergoing housekeeping etc – relevant for a local care system, but not for tracking in a regional care record.
• Endpoint - Removed. Technical endpoints are captured elsewhere (ie via the Participant Registry)

Further notes on Location “Type”

We always want to know what type of services are typically provided at the location - as this is useful (primarily for direct care) to help understand why the patient may have been going there. The standard code list has some very generic entries eg “Hospital”, “Community Location”, “Community Service Centre”, “Patient’s Residence”. These should cover most eventualities at a high level, plus there are some useful more specific entries focused on healthcare.

• Please select the most specific code possible, to provide maximum context about the location to Data Consumers

• The list is perhaps not ideal, and there might be better alternatives for the UK - for example based on the NHS Data Dictionary or PRSB standards. However the binding is specified as “extensible” by FHIR which means it is simply not possible to replace it with an alternative. We therefore invite proposed additions to this code list, to be curated regionally if you have additional suggestions

• Alternatively please select the most relevant generic option and provide further detail in the “text” field. This will still be useful for other care professionals to read in a direct care scenario

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CareConnect-Location-1

Name	Flags	Card.	Type	Description & Constraints
Location		0..*	CareConnect-Location-1	Details and position information for a physical place
id	S	0..1	id	Logical id of this artifact
meta
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
identifier:odsSiteCode		0..1	Identifier	ODS Site code to identify the organisation at site level. Should be provided for locations that have one
system	S	1..1	uri	ODS Code
value	S	1..1	string	The ODS Site code name, to reflect the code used
identifier:localIdentifier	S	0..1	Identifier	Unique code or number identifying the location to its users
system	S	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.yhcr.nhs.uk/Id/local-location-identifier
value	S	1..1	string	The Local location Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique
period		0..0
status	S	1..1	code	active | suspended | inactive
operationalStatus		0..1	Coding	DISCOURAGED - this level of operational detail may be difficult to keep up-to-date and is not necessary for regional sharing
name	S	1..1	string	Name of the location as used by humans. Does not need to be unique, but preferably incorporates any hierarchy for more meaningful display. Eg 'Green Road Hospital, Ward 27, Room 5
mode		0..1	code	Always a specific instance of a location (not a generic class of location). Assume 'instance' if missing Fixed Value: instance
type	S	1..1	CodeableConcept	Type of function performed. Useful to indicate the type of activity that is likely to have happened there. EXTENSIBLE on request, eg to cover other care settings Binding: ServiceDeliveryLocationRoleType (extensible)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
telecom	S	0..*	ContactPoint	Contact details of the location. Very useful for getting in touch to find out more.
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use		0..1	code	DISCOURAGED: Not really relevant here - it is just the current telecom details of the location.
period		0..1	Period	DISCOURAGED: Preferably just relevant current details
address	S	0..1	Address	Physical location. Required when relevant (not for ward or room)
use		0..1	code	DISCOURAGED: Not really relevant here - it is just the current address of the location.
text		0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the address based on the detailed elements.
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
district	S	0..1	string	District name (aka county)
postalCode	S	0..1	string	Postal code for area
period		0..1	Period	DISCOURAGED: Preferably just relevant current details
physicalType	S	1..1	CodeableConcept	Physical form of the location. Extensible by request if additional types needed Binding: LocationType (required)
coding	S	1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
managingOrganization	S	0..1	Reference(CareConnect-Organization-1)	Organization responsible for provisioning and upkeep
reference		1..1	string	Reference to a resource (could be Contained)
identifier		0..1	Identifier	If relevant could include an id
display		1..1	string	Description of the referenced resource
partOf	S	0..1	Reference(CareConnect-Location-1)	Another Location this one is physically part of. Must be provided for Ward->Site and Room->Ward to build the hierarchy
reference		1..1	string	Reference to a resource (could be Contained)
identifier		0..1	Identifier	If relevant could include an id
display		1..1	string	Description of the referenced resource
endpoint		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Location.type	extensible	ServiceDeliveryLocationRoleType
Location.physicalType	required	LocationType

Name	Flags	Card.	Type	Description & Constraints
Location		0..*	CareConnect-Location-1	Details and position information for a physical place
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Unique code or number identifying the location to its users Slice: Unordered, Open At End by value:system
identifier:odsSiteCode	Σ	0..1	Identifier	ODS Site code to identify the organisation at site level. Should be provided for locations that have one
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	ODS Code Fixed Value: https://fhir.nhs.uk/Id/ods-site-code
value	SΣ	1..1	string	The ODS Site code name, to reflect the code used Example General: 123456
identifier:localIdentifier	SΣ	0..1	Identifier	Unique code or number identifying the location to its users
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.yhcr.nhs.uk/Id/local-location-identifier
value	SΣ	1..1	string	The Local location Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
status	?!SΣ	1..1	code	active | suspended | inactive Binding: LocationStatus (required): Indicates whether the location is still in use.
operationalStatus	Σ	0..1	Coding	DISCOURAGED - this level of operational detail may be difficult to keep up-to-date and is not necessary for regional sharing Binding: v2 Bed Status (preferred): The operational status if the location (where typically a bed/room)
name	SΣ	1..1	string	Name of the location as used by humans. Does not need to be unique, but preferably incorporates any hierarchy for more meaningful display. Eg 'Green Road Hospital, Ward 27, Room 5
mode	?!Σ	0..1	code	Always a specific instance of a location (not a generic class of location). Assume 'instance' if missing Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations. Fixed Value: instance
type	SΣ	1..1	CodeableConcept	Type of function performed. Useful to indicate the type of activity that is likely to have happened there. EXTENSIBLE on request, eg to cover other care settings Binding: ServiceDeliveryLocationRoleType (extensible)
telecom	S	0..*	ContactPoint	Contact details of the location. Very useful for getting in touch to find out more.
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point
value	SΣ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current telecom details of the location. Binding: ContactPointUse (required): Use of contact point
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details
address	S	0..1	Address	Physical location. Required when relevant (not for ward or room)
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current address of the location. Binding: AddressUse (required): The use of an address Example General: home
text	Σ	0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the address based on the detailed elements. 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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details Example General: {"start":"2010-03-23","end":"2010-07-01"}
physicalType	SΣ	1..1	CodeableConcept	Physical form of the location. Extensible by request if additional types needed Binding: LocationType (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
managingOrganization	SΣ	0..1	Reference(CareConnect-Organization-1)	Organization responsible for provisioning and upkeep
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
partOf	S	0..1	Reference(CareConnect-Location-1)	Another Location this one is physically part of. Must be provided for Ward->Site and Room->Ward to build the hierarchy
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Location.meta.security	extensible	All Security Labels
Location.meta.tag	example	Common Tags
Location.meta.tag:Source	example	Common Tags
Location.meta.tag:Provenance	example	Common Tags
Location.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Location.identifier:odsSiteCode.use	required	IdentifierUse
Location.identifier:localIdentifier.use	required	IdentifierUse
Location.status	required	LocationStatus
Location.operationalStatus	preferred	v2 Bed Status
Location.mode	required	Fixed Value: instance
Location.type	extensible	ServiceDeliveryLocationRoleType
Location.telecom.system	required	ContactPointSystem
Location.telecom.use	required	ContactPointUse
Location.address.use	required	AddressUse
Location.physicalType	required	LocationType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Location	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Location	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Location	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Location	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()

Name	Flags	Card.	Type	Description & Constraints
Location		0..*	CareConnect-Location-1	Details and position information for a physical place
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Unique code or number identifying the location to its users Slice: Unordered, Open At End by value:system
identifier:odsSiteCode	Σ	0..1	Identifier	ODS Site code to identify the organisation at site level. Should be provided for locations that have one
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	ODS Code Fixed Value: https://fhir.nhs.uk/Id/ods-site-code
value	SΣ	1..1	string	The ODS Site code name, to reflect the code used Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
identifier:localIdentifier	SΣ	0..1	Identifier	Unique code or number identifying the location to its users
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.yhcr.nhs.uk/Id/local-location-identifier
value	SΣ	1..1	string	The Local location Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	active | suspended | inactive Binding: LocationStatus (required): Indicates whether the location is still in use.
operationalStatus	Σ	0..1	Coding	DISCOURAGED - this level of operational detail may be difficult to keep up-to-date and is not necessary for regional sharing Binding: v2 Bed Status (preferred): The operational status if the location (where typically a bed/room)
name	SΣ	1..1	string	Name of the location as used by humans. Does not need to be unique, but preferably incorporates any hierarchy for more meaningful display. Eg 'Green Road Hospital, Ward 27, Room 5
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	Always a specific instance of a location (not a generic class of location). Assume 'instance' if missing Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations. Fixed Value: instance
type	SΣ	1..1	CodeableConcept	Type of function performed. Useful to indicate the type of activity that is likely to have happened there. EXTENSIBLE on request, eg to cover other care settings Binding: ServiceDeliveryLocationRoleType (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
telecom	S	0..*	ContactPoint	Contact details of the location. Very useful for getting in touch to find out more.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point
value	SΣ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current telecom details of the location. Binding: ContactPointUse (required): Use of contact point
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details
address	S	0..1	Address	Physical location. Required when relevant (not for ward or room)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current address of the location. 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	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the address based on the detailed elements. 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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details Example General: {"start":"2010-03-23","end":"2010-07-01"}
physicalType	SΣ	1..1	CodeableConcept	Physical form of the location. Extensible by request if additional types needed Binding: LocationType (required)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
position		0..1	BackboneElement	The absolute geographic location
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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(CareConnect-Organization-1)	Organization responsible for provisioning and upkeep
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
partOf	S	0..1	Reference(CareConnect-Location-1)	Another Location this one is physically part of. Must be provided for Ward->Site and Room->Ward to build the hierarchy
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Location.meta.security	extensible	All Security Labels
Location.meta.tag	example	Common Tags
Location.meta.tag:Source	example	Common Tags
Location.meta.tag:Provenance	example	Common Tags
Location.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Location.identifier:odsSiteCode.use	required	IdentifierUse
Location.identifier:odsSiteCode.type	extensible	Identifier Type Codes
Location.identifier:localIdentifier.use	required	IdentifierUse
Location.identifier:localIdentifier.type	extensible	Identifier Type Codes
Location.status	required	LocationStatus
Location.operationalStatus	preferred	v2 Bed Status
Location.mode	required	Fixed Value: instance
Location.type	extensible	ServiceDeliveryLocationRoleType
Location.telecom.system	required	ContactPointSystem
Location.telecom.use	required	ContactPointUse
Location.address.use	required	AddressUse
Location.address.type	required	AddressType
Location.physicalType	required	LocationType

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

Differential View

This structure is derived from CareConnect-Location-1

Name	Flags	Card.	Type	Description & Constraints
Location		0..*	CareConnect-Location-1	Details and position information for a physical place
id	S	0..1	id	Logical id of this artifact
meta
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	S	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security		0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers
Slices for tag		0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system
tag:Source	S	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	S	1..1	code	The Data Provider Id of the system supplying the data
display	S	1..1	string	Name of the system supplying the data
tag:Provenance	S	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data
system		1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	S	1..1	code	The ODS Code of the organisation responsible for the data
display	S	1..1	string	Name of the organisation supplying the data
implicitRules		0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation)
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
identifier:odsSiteCode		0..1	Identifier	ODS Site code to identify the organisation at site level. Should be provided for locations that have one
system	S	1..1	uri	ODS Code
value	S	1..1	string	The ODS Site code name, to reflect the code used
identifier:localIdentifier	S	0..1	Identifier	Unique code or number identifying the location to its users
system	S	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.yhcr.nhs.uk/Id/local-location-identifier
value	S	1..1	string	The Local location Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique
period		0..0
status	S	1..1	code	active | suspended | inactive
operationalStatus		0..1	Coding	DISCOURAGED - this level of operational detail may be difficult to keep up-to-date and is not necessary for regional sharing
name	S	1..1	string	Name of the location as used by humans. Does not need to be unique, but preferably incorporates any hierarchy for more meaningful display. Eg 'Green Road Hospital, Ward 27, Room 5
mode		0..1	code	Always a specific instance of a location (not a generic class of location). Assume 'instance' if missing Fixed Value: instance
type	S	1..1	CodeableConcept	Type of function performed. Useful to indicate the type of activity that is likely to have happened there. EXTENSIBLE on request, eg to cover other care settings Binding: ServiceDeliveryLocationRoleType (extensible)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
telecom	S	0..*	ContactPoint	Contact details of the location. Very useful for getting in touch to find out more.
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use		0..1	code	DISCOURAGED: Not really relevant here - it is just the current telecom details of the location.
period		0..1	Period	DISCOURAGED: Preferably just relevant current details
address	S	0..1	Address	Physical location. Required when relevant (not for ward or room)
use		0..1	code	DISCOURAGED: Not really relevant here - it is just the current address of the location.
text		0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the address based on the detailed elements.
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
district	S	0..1	string	District name (aka county)
postalCode	S	0..1	string	Postal code for area
period		0..1	Period	DISCOURAGED: Preferably just relevant current details
physicalType	S	1..1	CodeableConcept	Physical form of the location. Extensible by request if additional types needed Binding: LocationType (required)
coding	S	1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
managingOrganization	S	0..1	Reference(CareConnect-Organization-1)	Organization responsible for provisioning and upkeep
reference		1..1	string	Reference to a resource (could be Contained)
identifier		0..1	Identifier	If relevant could include an id
display		1..1	string	Description of the referenced resource
partOf	S	0..1	Reference(CareConnect-Location-1)	Another Location this one is physically part of. Must be provided for Ward->Site and Room->Ward to build the hierarchy
reference		1..1	string	Reference to a resource (could be Contained)
identifier		0..1	Identifier	If relevant could include an id
display		1..1	string	Description of the referenced resource
endpoint		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Location.type	extensible	ServiceDeliveryLocationRoleType
Location.physicalType	required	LocationType

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Location		0..*	CareConnect-Location-1	Details and position information for a physical place
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Unique code or number identifying the location to its users Slice: Unordered, Open At End by value:system
identifier:odsSiteCode	Σ	0..1	Identifier	ODS Site code to identify the organisation at site level. Should be provided for locations that have one
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	ODS Code Fixed Value: https://fhir.nhs.uk/Id/ods-site-code
value	SΣ	1..1	string	The ODS Site code name, to reflect the code used Example General: 123456
identifier:localIdentifier	SΣ	0..1	Identifier	Unique code or number identifying the location to its users
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.yhcr.nhs.uk/Id/local-location-identifier
value	SΣ	1..1	string	The Local location Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
status	?!SΣ	1..1	code	active | suspended | inactive Binding: LocationStatus (required): Indicates whether the location is still in use.
operationalStatus	Σ	0..1	Coding	DISCOURAGED - this level of operational detail may be difficult to keep up-to-date and is not necessary for regional sharing Binding: v2 Bed Status (preferred): The operational status if the location (where typically a bed/room)
name	SΣ	1..1	string	Name of the location as used by humans. Does not need to be unique, but preferably incorporates any hierarchy for more meaningful display. Eg 'Green Road Hospital, Ward 27, Room 5
mode	?!Σ	0..1	code	Always a specific instance of a location (not a generic class of location). Assume 'instance' if missing Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations. Fixed Value: instance
type	SΣ	1..1	CodeableConcept	Type of function performed. Useful to indicate the type of activity that is likely to have happened there. EXTENSIBLE on request, eg to cover other care settings Binding: ServiceDeliveryLocationRoleType (extensible)
telecom	S	0..*	ContactPoint	Contact details of the location. Very useful for getting in touch to find out more.
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point
value	SΣ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current telecom details of the location. Binding: ContactPointUse (required): Use of contact point
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details
address	S	0..1	Address	Physical location. Required when relevant (not for ward or room)
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current address of the location. Binding: AddressUse (required): The use of an address Example General: home
text	Σ	0..1	string	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the address based on the detailed elements. 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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details Example General: {"start":"2010-03-23","end":"2010-07-01"}
physicalType	SΣ	1..1	CodeableConcept	Physical form of the location. Extensible by request if additional types needed Binding: LocationType (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
managingOrganization	SΣ	0..1	Reference(CareConnect-Organization-1)	Organization responsible for provisioning and upkeep
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
partOf	S	0..1	Reference(CareConnect-Location-1)	Another Location this one is physically part of. Must be provided for Ward->Site and Room->Ward to build the hierarchy
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Location.meta.security	extensible	All Security Labels
Location.meta.tag	example	Common Tags
Location.meta.tag:Source	example	Common Tags
Location.meta.tag:Provenance	example	Common Tags
Location.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Location.identifier:odsSiteCode.use	required	IdentifierUse
Location.identifier:localIdentifier.use	required	IdentifierUse
Location.status	required	LocationStatus
Location.operationalStatus	preferred	v2 Bed Status
Location.mode	required	Fixed Value: instance
Location.type	extensible	ServiceDeliveryLocationRoleType
Location.telecom.system	required	ContactPointSystem
Location.telecom.use	required	ContactPointUse
Location.address.use	required	AddressUse
Location.physicalType	required	LocationType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Location	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Location	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Location	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Location	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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Location		0..*	CareConnect-Location-1	Details and position information for a physical place
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	MANDATORY except in Contained Resources. When the resource version last changed.
profile	SΣ	0..*	uri	Profiles this resource claims to conform to. Should list (i) this profile (ii) underlying CareConnect profile
security	Σ	0..*	Coding	DISCOURAGED - may not be honoured by Data Consumers Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Slices for tag	Σ	0..*	Coding	Tags applied to this resource Slice: Unordered, Open by value:system Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
tag:Source	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The Data Provider Id (and display text) of the system supplying the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Source
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The Data Provider Id of the system supplying the data
display	SΣ	1..1	string	Name of the system supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
tag:Provenance	SΣ	0..1	Coding	MANDATORY except in Contained Resources. The ODS Code (and display text) of the organisation responsible for the data Binding: Common Tags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://yhcr.nhs.uk/Provenance
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	The ODS Code of the organisation responsible for the data
display	SΣ	1..1	string	Name of the organisation supplying the data
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
implicitRules	?!Σ	0..1	uri	DISCOURAGED - may not be honoured by Data Consumers
language		0..1	code	English is assumed (not currently a multi-lingual implementation) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	DISCOURAGED - the preferred approach is to offer structured data fields which a Data Consumer can then render and present in a manner most suited to its users
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Unique code or number identifying the location to its users Slice: Unordered, Open At End by value:system
identifier:odsSiteCode	Σ	0..1	Identifier	ODS Site code to identify the organisation at site level. Should be provided for locations that have one
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	ODS Code Fixed Value: https://fhir.nhs.uk/Id/ods-site-code
value	SΣ	1..1	string	The ODS Site code name, to reflect the code used Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
identifier:localIdentifier	SΣ	0..1	Identifier	Unique code or number identifying the location to its users
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.yhcr.nhs.uk/Id/local-location-identifier
value	SΣ	1..1	string	The Local location Identifier. Please prefix with ODS code plus period (XXX.) to ensure unique Example General: 123456
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	active | suspended | inactive Binding: LocationStatus (required): Indicates whether the location is still in use.
operationalStatus	Σ	0..1	Coding	DISCOURAGED - this level of operational detail may be difficult to keep up-to-date and is not necessary for regional sharing Binding: v2 Bed Status (preferred): The operational status if the location (where typically a bed/room)
name	SΣ	1..1	string	Name of the location as used by humans. Does not need to be unique, but preferably incorporates any hierarchy for more meaningful display. Eg 'Green Road Hospital, Ward 27, Room 5
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	Always a specific instance of a location (not a generic class of location). Assume 'instance' if missing Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations. Fixed Value: instance
type	SΣ	1..1	CodeableConcept	Type of function performed. Useful to indicate the type of activity that is likely to have happened there. EXTENSIBLE on request, eg to cover other care settings Binding: ServiceDeliveryLocationRoleType (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
telecom	S	0..*	ContactPoint	Contact details of the location. Very useful for getting in touch to find out more.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point
value	SΣ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current telecom details of the location. Binding: ContactPointUse (required): Use of contact point
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details
address	S	0..1	Address	Physical location. Required when relevant (not for ward or room)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	DISCOURAGED: Not really relevant here - it is just the current address of the location. 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	DISCOURAGED: Please do not rely on this. Providers might not populate and Consumers might not use. Instead display the address based on the detailed elements. 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
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	DISCOURAGED: Preferably just relevant current details Example General: {"start":"2010-03-23","end":"2010-07-01"}
physicalType	SΣ	1..1	CodeableConcept	Physical form of the location. Extensible by request if additional types needed Binding: LocationType (required)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
position		0..1	BackboneElement	The absolute geographic location
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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(CareConnect-Organization-1)	Organization responsible for provisioning and upkeep
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
partOf	S	0..1	Reference(CareConnect-Location-1)	Another Location this one is physically part of. Must be provided for Ward->Site and Room->Ward to build the hierarchy
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Reference to a resource (could be Contained)
identifier	Σ	0..1	Identifier	If relevant could include an id
display	Σ	1..1	string	Description of the referenced resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Location.meta.security	extensible	All Security Labels
Location.meta.tag	example	Common Tags
Location.meta.tag:Source	example	Common Tags
Location.meta.tag:Provenance	example	Common Tags
Location.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Location.identifier:odsSiteCode.use	required	IdentifierUse
Location.identifier:odsSiteCode.type	extensible	Identifier Type Codes
Location.identifier:localIdentifier.use	required	IdentifierUse
Location.identifier:localIdentifier.type	extensible	Identifier Type Codes
Location.status	required	LocationStatus
Location.operationalStatus	preferred	v2 Bed Status
Location.mode	required	Fixed Value: instance
Location.type	extensible	ServiceDeliveryLocationRoleType
Location.telecom.system	required	ContactPointSystem
Location.telecom.use	required	ContactPointUse
Location.address.use	required	AddressUse
Location.address.type	required	AddressType
Location.physicalType	required	LocationType

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

This structure is derived from CareConnect-Location-1

Summary

Mandatory: 8 elements (17 nested mandatory elements)
Must-Support: 30 elements
Fixed Value: 4 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

• The element Location.meta.tag is sliced based on the value of value:system