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 / Key elements
The working view: must-support, required, modifier and sliced elements from the effective (snapshot) definition.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension | 0..* | Patient's current primary-care attachment/enrollment Invariants: ele-1, ext-1 |
||
| extension | 1..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| extension:providers | S | 0..* | Extension | Enrolled/attached provider(s) (normally one; >1 for Alberta shared panels) i Invariants: ele-1, ext-1 |
| extension | 1..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| extension:provider | S | 1..1 | Extension | Provider to whom the patient is formally attached (may be local or remote) i Invariants: ele-1, ext-1 |
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: provider |
|
| extension:confirmedAt | S | 0..1 | Extension | Date this patient-provider relationship was confirmed (not a generic audit timestamp) i Invariants: ele-1, ext-1 |
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: confirmedAt |
|
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: providers |
|
| extension:status | S | 1..1 | Extension | pending | enrolled | attached | terminated | not-enrolled | fee-for-service i Invariants: ele-1, ext-1 |
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: status |
|
| extension:effectivePeriod | S | 0..1 | Extension | When the attachment is/was effective i Invariants: ele-1, ext-1 |
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: effectivePeriod |
|
| extension:consentStatus | 0..1 | Extension | Consent status for the attachment (text or code) i Invariants: ele-1, ext-1 |
|
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: consentStatus |
|
| extension:terminationReason | 0..1 | Extension | Why the attachment ended (text or code) i Invariants: ele-1, ext-1 |
|
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: terminationReason |
|
| extension:externalIdentifier | 0..1 | Extension | External/provincial attachment identifier, if any i Invariants: ele-1, ext-1 |
|
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: externalIdentifier |
|
| extension:jurisdictionalStatus | 0..1 | Extension | Provincial/jurisdictional attachment status, if tracked (text or code) i Invariants: ele-1, ext-1 |
|
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: jurisdictionalStatus |
|
| url | 1..1 | http://hl7.org/fhirpath/System.String | identifies the meaning of the extension i Fixed: ../StructureDefinition/nexus-emr-primary-care-attachment |