Primary Care Attachment Extension¶
| Canonical | ../StructureDefinition/nexus-emr-primary-care-attachment |
|---|---|
| Status | draft · 1.26.0 |
| Base | Extension (constraint) |
| Context | Patient (element) |
| Source | FSH · JSON |
A patient's current formal primary-care roster/enrollment/attachment. Distinct from Patient.generalPractitioner (local clinical responsibility / MRP): this captures the provider(s) to whom the patient is formally rostered/enrolled/attached, who may be local or remote. At most one attachment per patient per clinic/EMR tenant.
Elements / Differential
What this profile constrains beyond Extension. Anything not listed is unchanged from the base; muted type/cardinality values are the base's, shown for context.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension | Patient's current primary-care attachment/enrollment | |||
| extension | 1..* | Extension | i | |
| extension:providers | S | 0..* | Extension | Enrolled/attached provider(s) (normally one; >1 for Alberta shared panels) i |
| extension | 1..* | Extension | i | |
| extension:provider | S | 1..1 | Extension | Provider to whom the patient is formally attached (may be local or remote) i |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: provider |
|
| value[x] | 0..1 | Reference(PractitionerRole Profile | Practitioner Profile) | ||
| extension:confirmedAt | S | 0..1 | Extension | Date this patient-provider relationship was confirmed (not a generic audit timestamp) i |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: confirmedAt |
|
| value[x] | 0..1 | dateTime | ||
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: providers |
|
| value[x] | 0..0 | 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 | ||
| extension:status | S | 1..1 | Extension | pending | enrolled | attached | terminated | not-enrolled | fee-for-service i |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: status |
|
| value[x] | 0..1 | code | Binding: Primary Care Attachment Status (extensible)e.g. pending · enrolled · attached … |
|
| extension:effectivePeriod | S | 0..1 | Extension | When the attachment is/was effective i |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: effectivePeriod |
|
| value[x] | 0..1 | Period | ||
| extension:consentStatus | 0..1 | Extension | Consent status for the attachment (text or code) i | |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: consentStatus |
|
| value[x] | 0..1 | CodeableConcept | ||
| extension:terminationReason | 0..1 | Extension | Why the attachment ended (text or code) i | |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: terminationReason |
|
| value[x] | 0..1 | CodeableConcept | Binding: Roster Termination Reason Value Set (extensible)e.g. health-number-error · deceased-per-ministry · deceased-per-physician … |
|
| extension:externalIdentifier | 0..1 | Extension | External/provincial attachment identifier, if any i | |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: externalIdentifier |
|
| value[x] | 0..1 | Identifier | ||
| extension:jurisdictionalStatus | 0..1 | Extension | Provincial/jurisdictional attachment status, if tracked (text or code) i | |
| extension | 0..0 | Extension | i | |
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: jurisdictionalStatus |
|
| value[x] | 0..1 | CodeableConcept | ||
| url | 1..1 | http://hl7.org/fhirpath/System.String | i Fixed: ../StructureDefinition/nexus-emr-primary-care-attachment |
|
| value[x] | 0..0 | 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 |