Projo FHIR Documentation - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Projo Flag ( Experimental )

Review flag raised by the route-to-review bounded action when the clinical router cannot enroll the patient in a follow-up plan. Carries the bounded-action code on Flag.code, a clinical category, a deterministic routing-resource identifier for idempotency, and the Patient subject. The flag signals to a human reviewer that a routing decision needs manual attention.

Documentation-only artifact. Projo's runtime extensions, code systems, identifier systems and search parameter are TypeScript constants and bootstrap-time resources, NOT deployed StructureDefinitions. This StructureDefinition exists to document the contract; the source of truth is src/functions/src/lib/fhir/types.ts and docs/FHIR_EXTENSIONS.md.

Usages:

• Examples for this Profile: Flag/ExampleRoutingFlag

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Flag		0..*	Flag	Route-to-review flag (clinical routing)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	routing-resource identifier (<qrId>:review)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://projo.evoleen.com/fhir/identifier/routing-resource
status	?!Σ	1..1	code	active (always) Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Fixed Value: active
category	Σ	1..1	CodeableConcept	clinical (flag-category code system) Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/flag-category
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: clinical
code	Σ	1..1	CodeableConcept	route-to-review (bounded-action code system) Binding: FlagCode (example): Detail codes identifying specific flagged issues.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://projo.evoleen.com/fhir/CodeSystem/bounded-action
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: route-to-review
subject	Σ	1..1	Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)	Patient reference
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Flag.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Flag.status	Base	required	FlagStatus	📍4.0.1	FHIR Std.
Flag.category	Base	example	Flag Category	📍4.0.1	FHIR Std.
Flag.code	Base	example	Flag Code	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Flag	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Flag	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Flag	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()
dom-5	error	Flag	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Flag	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Flag

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Flag		0..*	Flag	Route-to-review flag (clinical routing)
identifier		1..*	Identifier	routing-resource identifier (<qrId>:review)
system		1..1	uri	The namespace for the identifier value Fixed Value: https://projo.evoleen.com/fhir/identifier/routing-resource
status		1..1	code	active (always) Fixed Value: active
category		1..1	CodeableConcept	clinical (flag-category code system)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/flag-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: clinical
code		1..1	CodeableConcept	route-to-review (bounded-action code system)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://projo.evoleen.com/fhir/CodeSystem/bounded-action
code		1..1	code	Symbol in syntax defined by the system Fixed Value: route-to-review
subject		1..1	Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)	Patient reference
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Flag		0..*	Flag	Route-to-review flag (clinical routing)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	routing-resource identifier (<qrId>:review)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (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	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://projo.evoleen.com/fhir/identifier/routing-resource
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	active (always) Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Fixed Value: active
category	Σ	1..1	CodeableConcept	clinical (flag-category code system) Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
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: http://terminology.hl7.org/CodeSystem/flag-category
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: clinical
display	Σ	0..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
code	Σ	1..1	CodeableConcept	route-to-review (bounded-action code system) Binding: FlagCode (example): Detail codes identifying specific flagged issues.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
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://projo.evoleen.com/fhir/CodeSystem/bounded-action
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: route-to-review
display	Σ	0..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
subject	Σ	1..1	Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)	Patient reference
period	Σ	0..1	Period	Time period when flag is active
encounter	Σ	0..1	Reference(Encounter)	Alert relevant during encounter
author	Σ	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole)	Flag creator
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Flag.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Flag.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Flag.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Flag.status	Base	required	FlagStatus	📍4.0.1	FHIR Std.
Flag.category	Base	example	Flag Category	📍4.0.1	FHIR Std.
Flag.code	Base	example	Flag Code	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Flag	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Flag	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Flag	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()
dom-5	error	Flag	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Flag	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Flag

Summary

Mandatory: 9 elements
Fixed: 6 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Flag		0..*	Flag	Route-to-review flag (clinical routing)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	routing-resource identifier (<qrId>:review)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://projo.evoleen.com/fhir/identifier/routing-resource
status	?!Σ	1..1	code	active (always) Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Fixed Value: active
category	Σ	1..1	CodeableConcept	clinical (flag-category code system) Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/flag-category
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: clinical
code	Σ	1..1	CodeableConcept	route-to-review (bounded-action code system) Binding: FlagCode (example): Detail codes identifying specific flagged issues.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://projo.evoleen.com/fhir/CodeSystem/bounded-action
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: route-to-review
subject	Σ	1..1	Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)	Patient reference
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Flag.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Flag.status	Base	required	FlagStatus	📍4.0.1	FHIR Std.
Flag.category	Base	example	Flag Category	📍4.0.1	FHIR Std.
Flag.code	Base	example	Flag Code	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Flag	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Flag	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Flag	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()
dom-5	error	Flag	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Flag	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Flag

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Flag		0..*	Flag	Route-to-review flag (clinical routing)
identifier		1..*	Identifier	routing-resource identifier (<qrId>:review)
system		1..1	uri	The namespace for the identifier value Fixed Value: https://projo.evoleen.com/fhir/identifier/routing-resource
status		1..1	code	active (always) Fixed Value: active
category		1..1	CodeableConcept	clinical (flag-category code system)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/flag-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: clinical
code		1..1	CodeableConcept	route-to-review (bounded-action code system)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: https://projo.evoleen.com/fhir/CodeSystem/bounded-action
code		1..1	code	Symbol in syntax defined by the system Fixed Value: route-to-review
subject		1..1	Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)	Patient reference
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Flag		0..*	Flag	Route-to-review flag (clinical routing)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	routing-resource identifier (<qrId>:review)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (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	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://projo.evoleen.com/fhir/identifier/routing-resource
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	active (always) Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Fixed Value: active
category	Σ	1..1	CodeableConcept	clinical (flag-category code system) Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
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: http://terminology.hl7.org/CodeSystem/flag-category
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: clinical
display	Σ	0..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
code	Σ	1..1	CodeableConcept	route-to-review (bounded-action code system) Binding: FlagCode (example): Detail codes identifying specific flagged issues.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
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://projo.evoleen.com/fhir/CodeSystem/bounded-action
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: route-to-review
display	Σ	0..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
subject	Σ	1..1	Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)	Patient reference
period	Σ	0..1	Period	Time period when flag is active
encounter	Σ	0..1	Reference(Encounter)	Alert relevant during encounter
author	Σ	0..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole)	Flag creator
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Flag.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Flag.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Flag.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Flag.status	Base	required	FlagStatus	📍4.0.1	FHIR Std.
Flag.category	Base	example	Flag Category	📍4.0.1	FHIR Std.
Flag.code	Base	example	Flag Code	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Flag	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Flag	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Flag	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()
dom-5	error	Flag	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Flag	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Flag

Summary

Mandatory: 9 elements
Fixed: 6 elements

Other representations of profile: CSV, Excel, Schematron