FHIR Extensions

HealthGorilla uses the FHIR Extensions mechanism to define additional attributes.
See: https://hl7.org/fhir/STU3/defining-extensions.html

Worker Compensation

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/account-wc
Status: active.
Extension maintained by: Health Gorilla
The Worker Compensation property.
Context of Use: Use on element: Account

Request Group - Account

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-account
Status: active.
Extension maintained by: Health Gorilla
Bill to the specified account.
Context of Use: Use on element: RequestGroup

Patient Location

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/patient-location
Status: active.
Extension maintained by: Health Gorilla
The current location of the patient - room/bed, facility.
Context of Use: Use on element: DiagnosticReport

Related Person Employer

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/relatedperson-employer
Status: active.
Extension maintained by: Health Gorilla
The employer of the given person.
Context of Use: Use on element: RelatedPerson

Record Recorder

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/record-recorder
Status: active.
Extension maintained by: Health Gorilla
The individual who recorded the record and takes responsibility for its content.
Context of Use: Use on element: Procedure, MedicationStatement, FamilyMemberHistory, Encounter, CarePlan

RequestGroup - Performer

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-performer
Status: active.
Extension maintained by: Health Gorilla
The desired performer for doing the diagnostic testing.
Context of Use: Use on element: RequestGroup

RequestGroup - Requester

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-requester
Status: active.
Extension maintained by: Health Gorilla
Who/what is requesting the diagnostic procedure.
Context of Use: Use on element: RequestGroup

...
<extension url="https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-requester">
        <extension url="agent">
            <valueReference>
                <reference value="#practitioner"/>
            </valueReference>
        </extension>
        <extension url="onBehalfOf">
            <valueReference>
                <reference value="#organization"/>
            </valueReference>
        </extension>
    </extension>
...

RequestGroup - ReasonCode

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-reasoncode
Status: active.
Extension maintained by: Health Gorilla
An explanation or justification for why this diagnostic investigation is being requested in coded or textual form. This is often for billing purposes.
Context of Use: Use on element: RequestGroup

RequestGroup - Specimen

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-specimen
Status: active.
Extension maintained by: Health Gorilla
One or more specimens that the laboratory procedure will use.
Context of Use: Use on element: RequestGroup

RequestGroup - AuthorizedBy

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-authorizedBy
Status: active.
Extension maintained by: Health Gorilla
The organization who authorized the order.
Context of Use: Use on element: RequestGroup

RequestGroup - DeliveryOptions

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-deliveryOptions
Status: draft.
Extension maintained by: Health Gorilla
Delivery options for the given order.
Context of Use: Use on element: RequestGroup

RequestGroup - SupervisingProvider

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/requestgroup-supervisingprovider
Status: active.
Extension maintained by: Health Gorilla
Adds a supervising provider electronic signature to a lab requisition.
Context of Use: Use on element: RequestGroup

Performer - Location

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/performer-location
Status: active.
Extension maintained by: Health Gorilla
Facility location that processes the given order.
Context of Use: Use on element: RequestGroup

Operationoutcome - OrderSplitting

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/operationoutcome-order-splitting
Status: active.
Extension maintained by: Health Gorilla
Contains tests grouped in the particular way.
Context of Use: Use on element: OperationOutcome

Provider Compendium

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/provider-compendium
Status: active.
Extension maintained by: Health Gorilla
Refers to the set of tests that can be ordered in the given HealthCare Provider.
Context of Use: Use on element: Organization, Location

Questionnaire - RequiredWhenSpecimenCollected

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-requiredwhenspecimen
Status: active.
Extension maintained by: Health Gorilla
Indicates that AOE answer is required, if a specimen has been collected.
Context of Use: Use on element: Questionnaire.item

Questionnaire - Constraints

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/questionnaire-constraints
Status: active.
Extension maintained by: Health Gorilla
Contains different constraints related to the given AOE.
Context of Use: Use on element: Questionnaire.item

Diagnostic Report - Fasting

https://www.healthgorilla.com/fhir/StructureDefinition/diagnosticreport-fasting

Status: active. Extension maintained by: Health Gorilla

The Fasting status of Diagnostic Report.

Context of Use: Use on element: DiagnosticReport

Diagnostic Report - Interpretation

https://www.healthgorilla.com/fhir/StructureDefinition/diagnosticreport-interpretation

Status: active. Extension maintained by: Health Gorilla

A categorical assessment of a laboratory report (known as 'abnormal flag').

Context of Use: Use on element: DiagnosticReport

Diagnostic Report - Reporting Priority

https://www.healthgorilla.com/fhir/StructureDefinition/diagnosticreport-reportingPriority

Status: active. Extension maintained by: Health Gorilla

A set of codes that describe the urgency at which the report should be given to the clinician.

Context of Use: Use on element: DiagnosticReport

DocumentReference - On-Demand

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/documentreference-ondemand
Status: active.
Extension maintained by: Health Gorilla
Indicates that this is a IHE ITI On-Demand Document.
Context of Use: Use on element: DocumentReference

ReferralRequest - Recipient

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/referralrequest-recipient
Status: active.
Extension maintained by: Health Gorilla
Who is the recipient of the referral.
Context of Use: Use on element: ReferralRequest

{
  "url":"https://www.healthgorilla.com/fhir/StructureDefinition/referralrequest-recipient",
  "extension": [
  {
    "url": "agent",
    "valueReference": {
    	"reference": "Practitioner/974e04546c424b6f687bf587",
      "display": "Dr. John Michael Doe"
    }
  },
  {
  	"url": "onBehalfOf",
    "valueReference": {
    	"reference": "Organization/t-974e04549053f5b7257b292c",
     	"display": "Sacred Heart  Hospital"
    }
	}
  ]
}

ReferralRequest - Reply

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/referralrequest-reply
Status: active.
Extension maintained by: Health Gorilla
The reply on the incoming referral.
Context of Use: Use on element: ReferralRequest

{
	"url":"https://www.healthgorilla.com/fhir/StructureDefinition/referralrequest-reply",
	"valueReference": {
  		"identifier": {
    		"system": "https://www.healthgorilla.com",
        	"value": "f2cbc35ee0ea0223658835ba"
    	}
 	}
}

ReferralRequest - DeliveryOptions

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/referralrequest-deliveryOptions
Status: draft.
Extension maintained by: Health Gorilla
Delivery options for the given referral.
Context of Use: Use on element: ReferralRequest

{
	"url": "https://www.healthgorilla.com/fhir/StructureDefinition/referralrequest-deliveryOptions",
	"extension": [
   {
   		"url": "method",
      "valueContactPoint": {
      	"system": "fax",
     		"value": "000 000 0000"
      }
    },
  	{
    	"url": "method",
      "valueContactPoint": {
      	"system": "email",
        "value": "[email protected]"
     }
    },
  	{
    	"url": "method",
      "valueContactPoint": {
      	"system": "sms",
       	"value": "+1 000 000 0000"
      }
   	}
   	]
}

Observation - Reflected By

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/observation-reflectedBy
Status: draft.
Extension maintained by: Health Gorilla
Indicates that this is a lab-generated result for test not on the original order. Contains reference to observation that reflexes creating this lab-generated order.
Context of Use: Use on element: Observation (observation group)

{
   "url":"https://www.healthgorilla.com/fhir/StructureDefinition/observation-reflectedBy",
   "valueReference":{
      "reference":"Observation/sampleb5bcd352fa66d608668c9d0d-2-1",
      "display":"SODIUM, SERUM"
   }
}

Subscription - Channel Secret

URL for this extension:https://www.healthgorilla.com/fhir/StructureDefinition/subscription-channelSecret
Extension maintained by: Health Gorilla
In order to further secure Subscription notifications we added a HMAC-SHA signature capability to the request to provide both data integrity and the authenticity of a message.

{
	"url":
  "https://www.healthgorilla.com/fhir/StructureDefinition/subscription-channelSecret",
  "extension": [
  	{
    	"url": "value",
    	"valueString": "my-signing-key"
    },
    {
      "url": "id",
      "valueString": "key-1"
    },
    {
      "url": "end",
      "valueDateTime": "2022-02-02T02:02:02+03:00"
    }
  ]
}

PractitionerRole - Read-only

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/practitioner-role-readonly
Extension maintained by: Health Gorilla
To create users with read-only access
Context of Use: Use on element: PractitionerRole

"extension": [
    {
      "url": "https://www.healthgorilla.com/fhir/StructureDefinition/practitioner-role-readonly",
      "valueBoolean": true
    }
  ]

Condition - encounter

URL for this extension: https://www.healthgorilla.com/fhir/StructureDefinition/condition-encounter
Status: active.
Extension maintained by: Health Gorilla
To create a list of references to encounter associated with the condition
Context of Use: Use on element: Condition