Clinical Practice Guidelines (CPG) on EBMonFHIR
1.0.1 - ci-build
Clinical Practice Guidelines (CPG) on EBMonFHIR, published by Universitätsmedizin Greifswald. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CEOsys/cpg-on-ebm-on-fhir/ and changes regularly. See the Directory of published versions
Draft as of 2021-12-03 |
Definitions for the recommendation-action resource profile.
Guidance on how to interpret the contents of this table can be found here
0. ActivityDefinition | |
Invariants | no-timing-if-dosage-specified: If a dosage is specified, there SHALL be no timing element at the same level (instead the timing element of dosage should be used) (dosage.exists() implies timing.exists().not() ) |
2. ActivityDefinition.meta | |
Control | 1..? |
Must Support | true |
4. ActivityDefinition.meta.source | |
Must Support | true |
6. ActivityDefinition.meta.profile | |
Control | 1..? |
Must Support | true |
8. ActivityDefinition.extension | |
Control | 2..? |
10. ActivityDefinition.extension:knowledgeCapability | |
Slice Name | knowledgeCapability |
Control | 0..1 |
12. ActivityDefinition.extension:knowledgeCapability.extension | |
Control | 0..0 |
14. ActivityDefinition.extension:knowledgeCapability.value[x] | |
Control | 1..? |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Pattern Value | computable |
16. ActivityDefinition.extension:knowledgeRepresentationLevel | |
Slice Name | knowledgeRepresentationLevel |
Control | 1..1 |
18. ActivityDefinition.extension:knowledgeRepresentationLevel.extension | |
Control | 0..0 |
20. ActivityDefinition.extension:knowledgeRepresentationLevel.value[x] | |
Control | 1..? |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Pattern Value | structured |
22. ActivityDefinition.url | |
Must Support | true |
24. ActivityDefinition.subject[x] | |
Control | 1..? |
Type | CodeableConcept, Reference(Group) |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Pattern Value | { |
26. ActivityDefinition.code | |
Control | 1..? |
28. ActivityDefinition.doNotPerform | |
Must Support | true |
30. ActivityDefinition.timing[x] | |
Type | Timing, dateTime, Period, Duration, Range, Age |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Invariants | code-xor-repeat: Either a code or a repeat structure should be defined, but not both (code.empty() or repeat.empty() ) |
32. ActivityDefinition.timing[x].extension:relativeTime | |
Slice Name | relativeTime |
Control | 0..* |
Type | Extension(RelativeTime) (Complex Extension) |
34. ActivityDefinition.timing[x].repeat | |
Control | 1..? |
Must Support | true |
36. ActivityDefinition.timing[x].repeat.bounds[x] | |
Control | 0..0 |
38. ActivityDefinition.timing[x].repeat.count | |
Short | Minimal number of times this event should be repeated |
40. ActivityDefinition.timing[x].repeat.countMax | |
Short | Maximum number of times this event should be repeated |
42. ActivityDefinition.timing[x].repeat.duration | |
Short | Minimal duration this event should last |
44. ActivityDefinition.timing[x].repeat.durationMax | |
Short | Maximal duration this event should last |
46. ActivityDefinition.timing[x].repeat.frequency | |
Short | Indicates the minimal number of repetitions that should occur within a period. I.e. Event occurs frequency times per period |
48. ActivityDefinition.timing[x].repeat.frequencyMax | |
Short | Indicates the maximum number of repetitions that should occur within a period. I.e. Event occurs frequency times per period |
50. ActivityDefinition.timing[x].repeat.period | |
Short | The minimal duration to which the frequency applies. I.e. Event occurs frequency times per period |
52. ActivityDefinition.timing[x].repeat.periodMax | |
Short | The maximum duration to which the frequency applies. I.e. Event occurs frequency times per period |
54. ActivityDefinition.product[x] | |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Must Support | true |
56. ActivityDefinition.quantity | |
Must Support | true |
58. ActivityDefinition.dosage | |
Must Support | true |
60. ActivityDefinition.dosage.timing | |
Invariants | code-xor-repeat: Either a code or a repeat structure should be defined, but not both (code.empty() or repeat.empty() ) |
62. ActivityDefinition.dosage.timing.repeat | |
Must Support | true |
64. ActivityDefinition.dosage.timing.repeat.bounds[x] | |
Control | 0..0 |
66. ActivityDefinition.dosage.timing.repeat.count | |
Short | Minimal number of times this event should be repeated |
68. ActivityDefinition.dosage.timing.repeat.countMax | |
Short | Maximum number of times this event should be repeated |
70. ActivityDefinition.dosage.timing.repeat.duration | |
Short | Minimal duration this event should last |
72. ActivityDefinition.dosage.timing.repeat.durationMax | |
Short | Maximal duration this event should last |
74. ActivityDefinition.dosage.timing.repeat.frequency | |
Short | Indicates the minimal number of repetitions that should occur within a period. I.e. Event occurs frequency times per period |
76. ActivityDefinition.dosage.timing.repeat.frequencyMax | |
Short | Indicates the maximum number of repetitions that should occur within a period. I.e. Event occurs frequency times per period |
78. ActivityDefinition.dosage.timing.repeat.period | |
Short | The minimal duration to which the frequency applies. I.e. Event occurs frequency times per period |
80. ActivityDefinition.dosage.timing.repeat.periodMax | |
Short | The maximum duration to which the frequency applies. I.e. Event occurs frequency times per period |
82. ActivityDefinition.bodySite | |
Must Support | true |
Guidance on how to interpret the contents of this table can be found here
0. ActivityDefinition | |
Definition | This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context. |
Short | The definition of a specific activity to be taken, independent of any particular patient or context |
Control | 10..1* |
Is Modifier | false |
Must Support | false |
Summary | false |
Invariants | adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}') )dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources ( contained.contained.empty() )dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )no-timing-if-dosage-specified: If a dosage is specified, there SHALL be no timing element at the same level (instead the timing element of dosage should be used) ( dosage.exists() implies timing.exists().not() )cnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')) |
2. ActivityDefinition.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. |
Short | Metadata about the resource |
Control | 10..1 |
Type | Meta |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. ActivityDefinition.meta.source | |
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. |
Short | Identifies where the resource comes from |
Comments | The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. |
Control | 0..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
6. ActivityDefinition.meta.profile | |
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. |
Short | Profiles this resource claims to conform to |
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
Control | 10..* |
Type | canonical(StructureDefinition) |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
8. ActivityDefinition.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretationThis element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
10. ActivityDefinition.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 20..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on ActivityDefinition.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
12. ActivityDefinition.extension:knowledgeCapability | |
Slice Name | knowledgeCapability |
Definition | Defines a knowledge capability afforded by this knowledge artifact. |
Short | shareable | computable | publishable | executable |
Control | 1..1 This element is affected by the following invariants: ele-1 |
Type | Extension(knowledgeCapability) (Extension Type: code) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
14. ActivityDefinition.extension:knowledgeCapability.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..0* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on ActivityDefinition.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
16. ActivityDefinition.extension:knowledgeCapability.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
Fixed Value | http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability |
18. ActivityDefinition.extension:knowledgeCapability.value[x] | |
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
Short | Value of extension |
Control | 10..1 This element is affected by the following invariants: ext-1 |
Binding | The codes SHALL be taken from For codes, see CPG Knowledge Capability (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-capability )A knowledge capability provided by a knowledge artifact |
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Pattern Value | computable |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. ActivityDefinition.extension:knowledgeRepresentationLevel | |
Slice Name | knowledgeRepresentationLevel |
Definition | Defines a knowledge representation level provided by this knowledge artifact. |
Short | narrative | semi-structured | structured | executable |
Control | 1..1 This element is affected by the following invariants: ele-1 |
Type | Extension(knowledgeRepresentationLevel) (Extension Type: code) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
22. ActivityDefinition.extension:knowledgeRepresentationLevel.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..0* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on ActivityDefinition.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
24. ActivityDefinition.extension:knowledgeRepresentationLevel.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
Fixed Value | http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel |
26. ActivityDefinition.extension:knowledgeRepresentationLevel.value[x] | |
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
Short | Value of extension |
Control | 10..1 This element is affected by the following invariants: ext-1 |
Binding | The codes SHALL be taken from For codes, see CPG Knowledge Representation Level (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-representation-level )A level of knowledge representation provided by this artifact |
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Pattern Value | structured |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. ActivityDefinition.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
30. ActivityDefinition.url | |
Definition | An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers. An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers. |
Short | Canonical identifier for this activity definition, represented as a URI (globally unique) |
Comments | Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions. In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions. In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found. |
Control | 10..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Allows the activity definition to be referenced by a single globally unique identifier. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )cnl-1: URL should not contain | or # - these characters make processing canonical references problematic (exists() implies matches('^[^|# ]+$')) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. ActivityDefinition.identifier | |
Definition | A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance. |
Short | Additional identifier for the activity definition |
Comments | Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
34. ActivityDefinition.version | |
Definition | The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets. |
Short | Business version of the activity definition |
Comments | There may be different activity definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version]. There may be different activity definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version. |
Note | This is a business version Id, not a resource version Id (see discussion) |
Control | 10..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
36. ActivityDefinition.name | |
Definition | A natural language name identifying the activity definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. |
Short | Name for this activity definition (computer friendly) |
Comments | The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly. |
Control | 10..1 This element is affected by the following invariants: inv-0, cnl-0 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Support human navigation and code generation. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
38. ActivityDefinition.title | |
Definition | A short, descriptive, user-friendly title for the activity definition. |
Short | Name for this activity definition (human friendly) |
Comments | This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
40. ActivityDefinition.status | |
Definition | The status of this activity definition. Enables tracking the life-cycle of the content. |
Short | draft | active | retired | unknown |
Comments | Allows filtering of activity definitions that are appropriate for use versus not. Allows filtering of activity definitions that are appropriate for use versus not. See guidance around (not) making local changes to elements here. |
Control | 1..1 |
Binding | The codes SHALL be taken from publication-status|4.0.1http://hl7.org/fhir/ValueSet/publication-status|5.0.0 (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 )The lifecycle status of an artifact. |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
42. ActivityDefinition.experimental | |
Definition | A Boolean value to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. |
Short | For testing purposes, not real usage |
Comments | Allows filtering of activity definitions that are appropriate for use versus not. |
Control | 10..1 |
Type | boolean |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Enables experimental content to be developed following the same lifecycle that would be used for a production-level activity definition. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
44. ActivityDefinition.subject[x] | |
Definition | A code or group definition that describes the intended subject of the activity being defined. A code, group definition, or canonical reference that describes or identifies the intended subject of the activity being defined. Canonical references are allowed to support the definition of protocols for drug and substance quality specifications, and is allowed to reference a MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, or PackagedProductDefinition resource. |
Short | Type of individual the activity definition is intended for |
Comments | Note that the choice of canonical for the subject element was introduced in R4B to support pharmaceutical quality use cases. To ensure as much backwards-compatibility as possible, it is recommended to only use the new canonical type with these use cases. |
Control | 10..1 |
Binding | Unless not suitable, these codes SHALL be taken from subject-typehttp://hl7.org/fhir/ValueSet/participant-resource-types (extensible to http://hl7.org/fhir/ValueSet/subject-type )The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.). |
Type | CodeableConcept, Reference(Group, MedicinalProductDefinition, SubstanceDefinition, AdministrableProductDefinition, ManufacturedItemDefinition, PackagedProductDefinition), canonical(EvidenceVariable) |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Must Support | true |
Summary | false |
Meaning if Missing | Patient |
Pattern Value | { |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
46. ActivityDefinition.date | |
Definition | The date (and optionally time) when the activity definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes. The date (and optionally time) when the activity definition was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes. |
Short | Date last changed |
Comments | Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. See guidance around (not) making local changes to elements here. |
Control | 0..1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Alternate Names | Revision Date |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
48. ActivityDefinition.publisher | |
Definition | The name of the organization or individual that published the activity definition. The name of the organization or individual responsible for the release and ongoing maintenance of the activity definition. |
Short | Name of the publisher (organization or individual)Name of the publisher/steward (organization or individual) |
Comments | Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context. |
Control | 10..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Helps establish the "authority/credibility" of the activity definition. May also allow for contact. |
Alternate Names | steward |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
50. ActivityDefinition.contact | |
Definition | Contact details to assist a user in finding and communicating with the publisher. |
Short | Contact details for the publisher |
Comments | May be a web site, an email address, a telephone number, etc. May be a web site, an email address, a telephone number, etc. See guidance around (not) making local changes to elements here. |
Control | 0..* |
Type | ContactDetail |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
52. ActivityDefinition.description | |
Definition | A free text natural language description of the activity definition from a consumer's perspective. |
Short | Natural language description of the activity definition |
Comments | This description can be used to capture details such as why the activity definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created). This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created). |
Control | 10..1 |
Type | markdown |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Alternate Names | scope |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. ActivityDefinition.useContext | |
Definition | The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate activity definition instances. |
Short | The context that the content is intended to support |
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. |
Control | 0..* |
Type | UsageContext |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Assist in searching for appropriate content. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
56. ActivityDefinition.jurisdiction | |
Definition | A legal or geographic region in which the activity definition is intended to be used. |
Short | Intended jurisdiction for activity definition (if applicable) |
Comments | It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended. It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.) |
Control | 0..* |
Binding | Unless not suitable, these codes SHALL be taken from JurisdictionValueSethttp://hl7.org/fhir/ValueSet/jurisdiction (extensible to http://hl7.org/fhir/ValueSet/jurisdiction )Countries and regions within which this artifact is targeted for use. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. ActivityDefinition.library | |
Definition | A reference to a Library resource containing any formal logic used by the activity definition. |
Short | Logic used by the activity definition |
Control | 0..1* |
Type | canonical(Library) |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
60. ActivityDefinition.kind | |
Definition | A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always, this is a Request resource. A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. |
Short | Kind of resource |
Comments | May determine what types of extensions are permitted. The kind element may only specify Request resource types to facilitate considering user input as part of processing the result of any automated clinical reasoning processes. To support creation of event resources, such as Observations, RiskAssessments, and DetectedIssues, use a Task resource with the focus of the task set to the event resource to be created. Note that the kind of resource to be created may determine what types of extensions are permitted. |
Control | 10..1 |
Binding | The codes SHALL be taken from request-resource-types|4.0.1http://hl7.org/fhir/ValueSet/request-resource-types|5.0.0 (required to http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 )The kind of activity the definition is describing. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
62. ActivityDefinition.profile | |
Definition | A profile to which the target of the activity definition is expected to conform. |
Short | What profile the resource needs to conform to |
Control | 0..1 |
Type | canonical(StructureDefinition) |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | false |
Requirements | Allows profiles to be used to describe the types of activities that can be performed within a workflow, protocol, or order set. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
64. ActivityDefinition.code | |
Definition | Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. |
Short | Detail type of activity |
Comments | Tends to be less relevant for activities involving particular products. |
Control | 10..1 |
Binding | For example codes, see ProcedureCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-code (example to http://hl7.org/fhir/ValueSet/procedure-code )Detailed type of the activity; e.g. CBC. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Allows matching performed to planned as well as validation against protocols. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
66. ActivityDefinition.doNotPerform | |
Definition | Set this to true if the definition is to indicate that a particular activity should NOT be performed. If true, this element should be interpreted to reinforce a negative coding. For example NPO as a code with a doNotPerform of true would still indicate to NOT perform the action. |
Short | True if the activity should not be performed |
Comments | This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the "remove" type of a PlanDefinition or RequestGroup. This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the "remove" type of a PlanDefinition or RequestOrchestration. |
Control | 0..1 |
Type | boolean |
Is Modifier | true because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
68. ActivityDefinition.timing[x] | |
Definition | The period, timing or frequency upon which the described activity is to occur. The timing or frequency upon which the described activity is to occur. |
Short | When activity is to occur |
Comments | The intent of the timing element is to provide timing when the action should be performed. As a definitional resource, this timing is interpreted as part of an apply operation so that the timing of the result actions in a CarePlan or RequestOrchestration, for example, would be specified by evaluating the timing definition in the context of the apply and setting the resulting timing on the appropriate elements of the target resource. If the timing is an Age, the activity is expected to be performed when the subject is the given Age. When the timing is a Duration, the activity is expected to be performed within the specified duration from the apply. When the timing is a Range, it may be a range of Ages or Durations, providing a range for the expected timing of the resulting activity. When the timing is a Timing, it is establishing a schedule for the timing of the resulting activity. |
Control | 0..1 |
Type | Timing, Duration, Range, Age |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Allows prompting for activities and detection of missed planned activities. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )code-xor-repeat: Either a code or a repeat structure should be defined, but not both ( code.empty() or repeat.empty() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
70. ActivityDefinition.timing[x].extension:relativeTime | |
Slice Name | relativeTime |
Definition | Timing in which the characteristic is determined. |
Short | Timing in which the characteristic is determined |
Control | 0..* |
Type | Extension(RelativeTime) (Complex Extension) |
Is Modifier | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
72. ActivityDefinition.timing[x].modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
74. ActivityDefinition.timing[x].repeat | |
Definition | A set of rules that describe when the event is scheduled. |
Short | When the event is to occur |
Control | 10..1 |
Type | Element |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Many timing schedules are determined by regular repetitions. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty()) |
76. ActivityDefinition.timing[x].repeat.bounds[x] | |
Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
Short | Length/Range of lengths, or (Start and/or end) limits |
Control | 0..01 |
Type | Choice of: Duration, Range, Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
78. ActivityDefinition.timing[x].repeat.count | |
Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. |
Short | Minimal number of times this event should be repeatedNumber of times to repeat |
Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. |
Control | 0..1 This element is affected by the following invariants: tim-8 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Repetitions may be limited by end time or total occurrences. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
80. ActivityDefinition.timing[x].repeat.countMax | |
Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. |
Short | Maximum number of times this event should be repeatedMaximum number of times to repeat |
Control | 0..1 This element is affected by the following invariants: tim-8 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
82. ActivityDefinition.timing[x].repeat.duration | |
Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. |
Short | Minimal duration this event should lastHow long when it happens |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
Control | 0..1 This element is affected by the following invariants: tim-7, tim-1, tim-4 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
84. ActivityDefinition.timing[x].repeat.durationMax | |
Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. |
Short | Maximal duration this event should lastHow long when it happens (Max) |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
Control | 0..1 This element is affected by the following invariants: tim-7 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
86. ActivityDefinition.timing[x].repeat.frequency | |
Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. |
Short | Indicates the minimal number of repetitions that should occur within a period. I.e. Event occurs frequency times per periodIndicates the number of repetitions that should occur within a period. I.e. Event occurs frequency times per period |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
88. ActivityDefinition.timing[x].repeat.frequencyMax | |
Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. |
Short | Indicates the maximum number of repetitions that should occur within a period. I.e. Event occurs frequency times per periodEvent occurs up to frequencyMax times per period |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
90. ActivityDefinition.timing[x].repeat.period | |
Definition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. |
Short | The minimal duration to which the frequency applies. I.e. Event occurs frequency times per periodThe duration to which the frequency applies. I.e. Event occurs frequency times per period |
Control | 0..1 This element is affected by the following invariants: tim-6, tim-5, tim-2 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
92. ActivityDefinition.timing[x].repeat.periodMax | |
Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. |
Short | The maximum duration to which the frequency applies. I.e. Event occurs frequency times per periodUpper limit of period (3-4 hours) |
Control | 0..1 This element is affected by the following invariants: tim-6 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
94. ActivityDefinition.timing[x].repeat.when | |
Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. |
Short | Code for time period of occurrence |
Comments | When more than one event is listed, the event is tied to the union of the specified events. |
Control | 0..* This element is affected by the following invariants: tim-9, tim-10 |
Binding | The codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|5.0.0 (required to http://hl7.org/fhir/ValueSet/event-timing|5.0.0 )Real-world event relating to the schedule. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
96. ActivityDefinition.location | |
Definition | Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc. |
Short | Where it should happen |
Comments | May reference a specific clinical location or may just identify a type of location. |
Control | 0..1 |
Type | ReferenceCodeableReference(Location) |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Helps in planning of activity. |
Alternate Names | facility |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
98. ActivityDefinition.participant | |
Definition | Indicates who should participate in performing the action described. |
Short | Who should participate in the action |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
100. ActivityDefinition.participant.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
102. ActivityDefinition.participant.type | |
Definition | The type of participant in the action. |
Short | patient | practitioner | related-person | devicecareteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson |
Control | 10..1 |
Binding | The codes SHALL be taken from action-participant-type|4.0.1http://hl7.org/fhir/ValueSet/action-participant-type|5.0.0 (required to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 )The type of participant in the activity. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
104. ActivityDefinition.product[x] | |
Definition | Identifies the food, drug or other product being consumed or supplied in the activity. |
Short | What's administered/supplied |
Control | 0..1 |
Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes (example to http://hl7.org/fhir/ValueSet/medication-codes )Code describing the type of substance or medication. |
Type | Choice of: Reference(Medication, Substance, Ingredient, SubstanceDefinition), CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
106. ActivityDefinition.quantity | |
Definition | Identifies the quantity expected to be consumed at once (per dose, per meal, etc.). |
Short | How much is administered/consumed/supplied |
Control | 0..1 |
Type | Quantity(SimpleQuantity) |
Is Modifier | false |
Must Support | true |
Summary | false |
Alternate Names | dose |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
108. ActivityDefinition.dosage | |
Definition | Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources. |
Short | Detailed dosage instructions |
Comments | If a dosage instruction is used, the definition should not specify timing or quantity. |
Control | 0..* |
Type | Dosage |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
110. ActivityDefinition.dosage.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
112. ActivityDefinition.dosage.timing | |
Definition | When medication should be administered. |
Short | When medication should be administered |
Comments | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. |
Control | 0..1 |
Type | Timing |
Is Modifier | false |
Summary | true |
Requirements | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) code-xor-repeat: Either a code or a repeat structure should be defined, but not both ( code.empty() or repeat.empty() ) |
114. ActivityDefinition.dosage.timing.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
116. ActivityDefinition.dosage.timing.repeat | |
Definition | A set of rules that describe when the event is scheduled. |
Short | When the event is to occur |
Control | 0..1 |
Type | Element |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Many timing schedules are determined by regular repetitions. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty()) |
118. ActivityDefinition.dosage.timing.repeat.bounds[x] | |
Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
Short | Length/Range of lengths, or (Start and/or end) limits |
Control | 0..01 |
Type | Choice of: Duration, Range, Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
120. ActivityDefinition.dosage.timing.repeat.count | |
Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. |
Short | Minimal number of times this event should be repeatedNumber of times to repeat |
Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. |
Control | 0..1 This element is affected by the following invariants: tim-8 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Repetitions may be limited by end time or total occurrences. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
122. ActivityDefinition.dosage.timing.repeat.countMax | |
Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. |
Short | Maximum number of times this event should be repeatedMaximum number of times to repeat |
Control | 0..1 This element is affected by the following invariants: tim-8 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
124. ActivityDefinition.dosage.timing.repeat.duration | |
Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. |
Short | Minimal duration this event should lastHow long when it happens |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
Control | 0..1 This element is affected by the following invariants: tim-7, tim-1, tim-4 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
126. ActivityDefinition.dosage.timing.repeat.durationMax | |
Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. |
Short | Maximal duration this event should lastHow long when it happens (Max) |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
Control | 0..1 This element is affected by the following invariants: tim-7 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
128. ActivityDefinition.dosage.timing.repeat.frequency | |
Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. |
Short | Indicates the minimal number of repetitions that should occur within a period. I.e. Event occurs frequency times per periodIndicates the number of repetitions that should occur within a period. I.e. Event occurs frequency times per period |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
130. ActivityDefinition.dosage.timing.repeat.frequencyMax | |
Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. |
Short | Indicates the maximum number of repetitions that should occur within a period. I.e. Event occurs frequency times per periodEvent occurs up to frequencyMax times per period |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
132. ActivityDefinition.dosage.timing.repeat.period | |
Definition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. |
Short | The minimal duration to which the frequency applies. I.e. Event occurs frequency times per periodThe duration to which the frequency applies. I.e. Event occurs frequency times per period |
Control | 0..1 This element is affected by the following invariants: tim-6, tim-5, tim-2 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
134. ActivityDefinition.dosage.timing.repeat.periodMax | |
Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. |
Short | The maximum duration to which the frequency applies. I.e. Event occurs frequency times per periodUpper limit of period (3-4 hours) |
Control | 0..1 This element is affected by the following invariants: tim-6 |
Type | decimal |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
136. ActivityDefinition.dosage.timing.repeat.when | |
Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. |
Short | Code for time period of occurrence |
Comments | When more than one event is listed, the event is tied to the union of the specified events. |
Control | 0..* This element is affected by the following invariants: tim-9, tim-10 |
Binding | The codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|5.0.0 (required to http://hl7.org/fhir/ValueSet/event-timing|5.0.0 )Real-world event relating to the schedule. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
138. ActivityDefinition.bodySite | |
Definition | Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites). |
Short | What part of body to perform on |
Comments | Only used if not implicit in the code found in ServiceRequest.type. |
Control | 0..* |
Binding | For example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site (example to http://hl7.org/fhir/ValueSet/body-site )A code that identifies the anatomical location. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Knowing where the procedure is made is important for tracking if multiple sites are possible. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
140. ActivityDefinition.dynamicValue | |
Definition | Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the request resource that would contain the result. |
Short | Dynamic aspects of the definition |
Comments | Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform. |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
142. ActivityDefinition.dynamicValue.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
144. ActivityDefinition.dynamicValue.path | |
Definition | The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the Simple FHIRPath Profile for full details). The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolvable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the Simple FHIRPath Profile for full details). |
Short | The path to the element to be set dynamically |
Comments | The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation. The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation. |
Control | 1..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
146. ActivityDefinition.dynamicValue.expression | |
Definition | An expression specifying the value of the customized element. |
Short | An expression that provides the dynamic value for the customization |
Comments | The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element. |
Control | 1..1 |
Type | Expression |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. ActivityDefinition | |||||
Definition | This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context. | ||||
Short | The definition of a specific activity to be taken, independent of any particular patient or context | ||||
Control | 1..1 | ||||
Is Modifier | false | ||||
Must Support | false | ||||
Summary | false | ||||
Invariants | adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}') )dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources ( contained.contained.empty() )dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )no-timing-if-dosage-specified: If a dosage is specified, there SHALL be no timing element at the same level (instead the timing element of dosage should be used) ( dosage.exists() implies timing.exists().not() ) | ||||
2. ActivityDefinition.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. ActivityDefinition.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 1..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. ActivityDefinition.meta.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
8. ActivityDefinition.meta.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.meta.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
10. ActivityDefinition.meta.versionId | |||||
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. | ||||
Short | Version specific identifier | ||||
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. ActivityDefinition.meta.lastUpdated | |||||
Definition | When the resource last changed - e.g. when the version changed. | ||||
Short | When the resource version last changed | ||||
Comments | This element is generally omitted in instances submitted in a PUT or POST. Instead, it is populated in the response instance and when retrieving information using a GET. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. | ||||
Control | 0..1 | ||||
Type | instant | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
14. ActivityDefinition.meta.source | |||||
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. | ||||
Short | Identifies where the resource comes from | ||||
Comments | The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
16. ActivityDefinition.meta.profile | |||||
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||||
Short | Profiles this resource claims to conform to | ||||
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. | ||||
Control | 1..* | ||||
Type | canonical(StructureDefinition) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
18. ActivityDefinition.meta.security | |||||
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. | ||||
Short | Security Labels applied to this resource | ||||
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from AllSecurityLabels (extensible to http://hl7.org/fhir/ValueSet/security-labels )Security Labels from the Healthcare Privacy and Security Classification System. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. ActivityDefinition.meta.tag | |||||
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. | ||||
Short | Tags applied to this resource | ||||
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
Control | 0..* | ||||
Binding | For example codes, see CommonTags (example to http://hl7.org/fhir/ValueSet/common-tags )Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. ActivityDefinition.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. ActivityDefinition.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. ActivityDefinition.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. ActivityDefinition.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
30. ActivityDefinition.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 2..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
32. ActivityDefinition.extension:knowledgeCapability | |||||
Slice Name | knowledgeCapability | ||||
Definition | Defines a knowledge capability afforded by this knowledge artifact. | ||||
Short | shareable | computable | publishable | executable | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(knowledgeCapability) (Extension Type: code) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
34. ActivityDefinition.extension:knowledgeCapability.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
36. ActivityDefinition.extension:knowledgeCapability.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
38. ActivityDefinition.extension:knowledgeCapability.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability | ||||
40. ActivityDefinition.extension:knowledgeCapability.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from CPG Knowledge Capability (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-capability )A knowledge capability provided by a knowledge artifact | ||||
Type | code | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Pattern Value | computable | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. ActivityDefinition.extension:knowledgeRepresentationLevel | |||||
Slice Name | knowledgeRepresentationLevel | ||||
Definition | Defines a knowledge representation level provided by this knowledge artifact. | ||||
Short | narrative | semi-structured | structured | executable | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(knowledgeRepresentationLevel) (Extension Type: code) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
44. ActivityDefinition.extension:knowledgeRepresentationLevel.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
46. ActivityDefinition.extension:knowledgeRepresentationLevel.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
48. ActivityDefinition.extension:knowledgeRepresentationLevel.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel | ||||
50. ActivityDefinition.extension:knowledgeRepresentationLevel.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from CPG Knowledge Representation Level (required to http://hl7.org/fhir/uv/cpg/ValueSet/cpg-knowledge-representation-level )A level of knowledge representation provided by this artifact | ||||
Type | code | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Pattern Value | structured | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. ActivityDefinition.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
54. ActivityDefinition.url | |||||
Definition | An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers. | ||||
Short | Canonical identifier for this activity definition, represented as a URI (globally unique) | ||||
Comments | Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions. In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Allows the activity definition to be referenced by a single globally unique identifier. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. ActivityDefinition.identifier | |||||
Definition | A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance. | ||||
Short | Additional identifier for the activity definition | ||||
Comments | Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. ActivityDefinition.version | |||||
Definition | The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets. | ||||
Short | Business version of the activity definition | ||||
Comments | There may be different activity definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version]. | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. ActivityDefinition.name | |||||
Definition | A natural language name identifying the activity definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. | ||||
Short | Name for this activity definition (computer friendly) | ||||
Comments | The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly. | ||||
Control | 1..1 This element is affected by the following invariants: inv-0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Support human navigation and code generation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
62. ActivityDefinition.title | |||||
Definition | A short, descriptive, user-friendly title for the activity definition. | ||||
Short | Name for this activity definition (human friendly) | ||||
Comments | This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. ActivityDefinition.subtitle | |||||
Definition | An explanatory or alternate title for the activity definition giving additional information about its content. | ||||
Short | Subordinate title of the activity definition | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. ActivityDefinition.status | |||||
Definition | The status of this activity definition. Enables tracking the life-cycle of the content. | ||||
Short | draft | active | retired | unknown | ||||
Comments | Allows filtering of activity definitions that are appropriate for use versus not. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from publication-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 )The lifecycle status of an artifact. | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. ActivityDefinition.experimental | |||||
Definition | A Boolean value to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. | ||||
Short | For testing purposes, not real usage | ||||
Comments | Allows filtering of activity definitions that are appropriate for use versus not. | ||||
Control | 1..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Enables experimental content to be developed following the same lifecycle that would be used for a production-level activity definition. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. ActivityDefinition.subject[x] | |||||
Definition | A code or group definition that describes the intended subject of the activity being defined. | ||||
Short | Type of individual the activity definition is intended for | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from subject-type (extensible to http://hl7.org/fhir/ValueSet/subject-type )The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Meaning if Missing | Patient | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. ActivityDefinition.date | |||||
Definition | The date (and optionally time) when the activity definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes. | ||||
Short | Date last changed | ||||
Comments | Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | Revision Date | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. ActivityDefinition.publisher | |||||
Definition | The name of the organization or individual that published the activity definition. | ||||
Short | Name of the publisher (organization or individual) | ||||
Comments | Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Helps establish the "authority/credibility" of the activity definition. May also allow for contact. | ||||
Alternate Names | steward | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. ActivityDefinition.contact | |||||
Definition | Contact details to assist a user in finding and communicating with the publisher. | ||||
Short | Contact details for the publisher | ||||
Comments | May be a web site, an email address, a telephone number, etc. | ||||
Control | 0..* | ||||
Type | ContactDetail | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
78. ActivityDefinition.description | |||||
Definition | A free text natural language description of the activity definition from a consumer's perspective. | ||||
Short | Natural language description of the activity definition | ||||
Comments | This description can be used to capture details such as why the activity definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created). | ||||
Control | 1..1 | ||||
Type | markdown | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | scope | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
80. ActivityDefinition.useContext | |||||
Definition | The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate activity definition instances. | ||||
Short | The context that the content is intended to support | ||||
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. | ||||
Control | 0..* | ||||
Type | UsageContext | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Assist in searching for appropriate content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. ActivityDefinition.jurisdiction | |||||
Definition | A legal or geographic region in which the activity definition is intended to be used. | ||||
Short | Intended jurisdiction for activity definition (if applicable) | ||||
Comments | It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended. | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from JurisdictionValueSet (extensible to http://hl7.org/fhir/ValueSet/jurisdiction )Countries and regions within which this artifact is targeted for use. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. ActivityDefinition.purpose | |||||
Definition | Explanation of why this activity definition is needed and why it has been designed as it has. | ||||
Short | Why this activity definition is defined | ||||
Comments | This element does not describe the usage of the activity definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this activity definition. | ||||
Control | 0..1 | ||||
Type | markdown | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. ActivityDefinition.usage | |||||
Definition | A detailed description of how the activity definition is used from a clinical perspective. | ||||
Short | Describes the clinical usage of the activity definition | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. ActivityDefinition.copyright | |||||
Definition | A copyright statement relating to the activity definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the activity definition. | ||||
Short | Use and/or publishing restrictions | ||||
Control | 0..1 | ||||
Type | markdown | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Consumers must be able to determine any legal restrictions on the use of the activity definition and/or its content. | ||||
Alternate Names | License, Restrictions | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. ActivityDefinition.approvalDate | |||||
Definition | The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. | ||||
Short | When the activity definition was approved by publisher | ||||
Comments | The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. | ||||
Control | 0..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. ActivityDefinition.lastReviewDate | |||||
Definition | The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. | ||||
Short | When the activity definition was last reviewed | ||||
Comments | If specified, this date follows the original approval date. | ||||
Control | 0..1 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Requirements | Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
94. ActivityDefinition.effectivePeriod | |||||
Definition | The period during which the activity definition content was or is planned to be in active use. | ||||
Short | When the activity definition is expected to be used | ||||
Comments | The effective period for a activity definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the activity definition are or are expected to be used instead. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
96. ActivityDefinition.topic | |||||
Definition | Descriptive topics related to the content of the activity. Topics provide a high-level categorization of the activity that can be useful for filtering and searching. | ||||
Short | E.g. Education, Treatment, Assessment, etc. | ||||
Control | 0..* | ||||
Binding | For example codes, see DefinitionTopic (example to http://hl7.org/fhir/ValueSet/definition-topic )High-level categorization of the definition, used for searching, sorting, and filtering. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Repositories must be able to determine how to categorize the activity definition so that it can be found by topical searches. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
98. ActivityDefinition.author | |||||
Definition | An individiual or organization primarily involved in the creation and maintenance of the content. | ||||
Short | Who authored the content | ||||
Control | 0..* | ||||
Type | ContactDetail | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
100. ActivityDefinition.editor | |||||
Definition | An individual or organization primarily responsible for internal coherence of the content. | ||||
Short | Who edited the content | ||||
Control | 0..* | ||||
Type | ContactDetail | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
102. ActivityDefinition.reviewer | |||||
Definition | An individual or organization primarily responsible for review of some aspect of the content. | ||||
Short | Who reviewed the content | ||||
Control | 0..* | ||||
Type | ContactDetail | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
104. ActivityDefinition.endorser | |||||
Definition | An individual or organization responsible for officially endorsing the content for use in some setting. | ||||
Short | Who endorsed the content | ||||
Control | 0..* | ||||
Type | ContactDetail | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
106. ActivityDefinition.relatedArtifact | |||||
Definition | Related artifacts such as additional documentation, justification, or bibliographic references. | ||||
Short | Additional documentation, citations, etc. | ||||
Comments | Each related artifact is either an attachment, or a reference to another resource, but not both. | ||||
Control | 0..* | ||||
Type | RelatedArtifact | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Activity definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
108. ActivityDefinition.library | |||||
Definition | A reference to a Library resource containing any formal logic used by the activity definition. | ||||
Short | Logic used by the activity definition | ||||
Control | 0..1 | ||||
Type | canonical(Library) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. ActivityDefinition.kind | |||||
Definition | A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always, this is a Request resource. | ||||
Short | Kind of resource | ||||
Comments | May determine what types of extensions are permitted. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from request-resource-types|4.0.1 (required to http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 )The kind of activity the definition is describing. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. ActivityDefinition.profile | |||||
Definition | A profile to which the target of the activity definition is expected to conform. | ||||
Short | What profile the resource needs to conform to | ||||
Control | 0..1 | ||||
Type | canonical(StructureDefinition) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Allows profiles to be used to describe the types of activities that can be performed within a workflow, protocol, or order set. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. ActivityDefinition.code | |||||
Definition | Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | ||||
Short | Detail type of activity | ||||
Comments | Tends to be less relevant for activities involving particular products. | ||||
Control | 1..1 | ||||
Binding | For example codes, see ProcedureCodesSNOMEDCT (example to http://hl7.org/fhir/ValueSet/procedure-code )Detailed type of the activity; e.g. CBC. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Allows matching performed to planned as well as validation against protocols. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
116. ActivityDefinition.intent | |||||
Definition | Indicates the level of authority/intentionality associated with the activity and where the request should fit into the workflow chain. | ||||
Short | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from request-intent|4.0.1 (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 )Codes indicating the degree of authority/intentionality associated with a request. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
118. ActivityDefinition.priority | |||||
Definition | Indicates how quickly the activity should be addressed with respect to other requests. | ||||
Short | routine | urgent | asap | stat | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from request-priority|4.0.1 (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 )Identifies the level of importance to be assigned to actioning the request. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
120. ActivityDefinition.doNotPerform | |||||
Definition | Set this to true if the definition is to indicate that a particular activity should NOT be performed. If true, this element should be interpreted to reinforce a negative coding. For example NPO as a code with a doNotPerform of true would still indicate to NOT perform the action. | ||||
Short | True if the activity should not be performed | ||||
Comments | This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the "remove" type of a PlanDefinition or RequestGroup. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
122. ActivityDefinition.timing[x] | |||||
Definition | The period, timing or frequency upon which the described activity is to occur. | ||||
Short | When activity is to occur | ||||
Control | 0..1 | ||||
Type | Timing | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Allows prompting for activities and detection of missed planned activities. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )code-xor-repeat: Either a code or a repeat structure should be defined, but not both ( code.empty() or repeat.empty() ) | ||||
124. ActivityDefinition.timing[x].id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
126. ActivityDefinition.timing[x].extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.timing[x].extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
128. ActivityDefinition.timing[x].extension:relativeTime | |||||
Slice Name | relativeTime | ||||
Definition | Timing in which the characteristic is determined. | ||||
Short | Timing in which the characteristic is determined | ||||
Control | 0..* | ||||
Type | Extension(RelativeTime) (Complex Extension) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
130. ActivityDefinition.timing[x].modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
132. ActivityDefinition.timing[x].event | |||||
Definition | Identifies specific times when the event occurs. | ||||
Short | When the event occurs | ||||
Control | 0..* | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
134. ActivityDefinition.timing[x].repeat | |||||
Definition | A set of rules that describe when the event is scheduled. | ||||
Short | When the event is to occur | ||||
Control | 1..1 | ||||
Type | Element | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Many timing schedules are determined by regular repetitions. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists() )tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists() )tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0 )tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0 )tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists() )tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists() )tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists() )tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse()) )tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty() ) | ||||
136. ActivityDefinition.timing[x].repeat.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
138. ActivityDefinition.timing[x].repeat.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.timing[x].repeat.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
140. ActivityDefinition.timing[x].repeat.bounds[x] | |||||
Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
Short | Length/Range of lengths, or (Start and/or end) limits | ||||
Control | 0..0 | ||||
Type | Choice of: Duration, Range, Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
142. ActivityDefinition.timing[x].repeat.count | |||||
Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. | ||||
Short | Minimal number of times this event should be repeated | ||||
Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. | ||||
Control | 0..1 This element is affected by the following invariants: tim-8 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Repetitions may be limited by end time or total occurrences. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
144. ActivityDefinition.timing[x].repeat.countMax | |||||
Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. | ||||
Short | Maximum number of times this event should be repeated | ||||
Control | 0..1 This element is affected by the following invariants: tim-8 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
146. ActivityDefinition.timing[x].repeat.duration | |||||
Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. | ||||
Short | Minimal duration this event should last | ||||
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..1 This element is affected by the following invariants: tim-7, tim-1, tim-4 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
148. ActivityDefinition.timing[x].repeat.durationMax | |||||
Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. | ||||
Short | Maximal duration this event should last | ||||
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..1 This element is affected by the following invariants: tim-7 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
150. ActivityDefinition.timing[x].repeat.durationUnit | |||||
Definition | The units of time for the duration, in UCUM units Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence. | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Control | 0..1 This element is affected by the following invariants: tim-1 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
152. ActivityDefinition.timing[x].repeat.frequency | |||||
Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. | ||||
Short | Indicates the minimal number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
154. ActivityDefinition.timing[x].repeat.frequencyMax | |||||
Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. | ||||
Short | Indicates the maximum number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
156. ActivityDefinition.timing[x].repeat.period | |||||
Definition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. | ||||
Short | The minimal duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
Control | 0..1 This element is affected by the following invariants: tim-6, tim-5, tim-2 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
158. ActivityDefinition.timing[x].repeat.periodMax | |||||
Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. | ||||
Short | The maximum duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
Control | 0..1 This element is affected by the following invariants: tim-6 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
160. ActivityDefinition.timing[x].repeat.periodUnit | |||||
Definition | The units of time for the period in UCUM units Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence. | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Control | 0..1 This element is affected by the following invariants: tim-2 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
162. ActivityDefinition.timing[x].repeat.dayOfWeek | |||||
Definition | If one or more days of week is provided, then the action happens only on the specified day(s). | ||||
Short | mon | tue | wed | thu | fri | sat | sun | ||||
Comments | If no days are specified, the action is assumed to happen every day as otherwise specified. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from DaysOfWeek (required to http://hl7.org/fhir/ValueSet/days-of-week|5.0.0 ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
164. ActivityDefinition.timing[x].repeat.timeOfDay | |||||
Definition | Specified time of day for action to take place. | ||||
Short | Time of day for action | ||||
Comments | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. If there's a timeOfDay, there cannot be a when, or vice versa. | ||||
Control | 0..* This element is affected by the following invariants: tim-10 | ||||
Type | time | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
166. ActivityDefinition.timing[x].repeat.when | |||||
Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. | ||||
Short | Code for time period of occurrence | ||||
Comments | When more than one event is listed, the event is tied to the union of the specified events. | ||||
Control | 0..* This element is affected by the following invariants: tim-9, tim-10 | ||||
Binding | The codes SHALL be taken from EventTiming (required to http://hl7.org/fhir/ValueSet/event-timing|5.0.0 )Real-world event relating to the schedule. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
168. ActivityDefinition.timing[x].repeat.offset | |||||
Definition | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. | ||||
Short | Minutes from event (before or after) | ||||
Control | 0..1 This element is affected by the following invariants: tim-9 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
170. ActivityDefinition.timing[x].code | |||||
Definition | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). | ||||
Short | C | BID | TID | QID | AM | PM | QD | QOD | + | ||||
Comments | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation )Code for a known / defined timing pattern. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
172. ActivityDefinition.location | |||||
Definition | Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc. | ||||
Short | Where it should happen | ||||
Comments | May reference a specific clinical location or may just identify a type of location. | ||||
Control | 0..1 | ||||
Type | Reference(Location) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Helps in planning of activity. | ||||
Alternate Names | facility | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
174. ActivityDefinition.participant | |||||
Definition | Indicates who should participate in performing the action described. | ||||
Short | Who should participate in the action | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
176. ActivityDefinition.participant.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
178. ActivityDefinition.participant.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
180. ActivityDefinition.participant.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
182. ActivityDefinition.participant.type | |||||
Definition | The type of participant in the action. | ||||
Short | patient | practitioner | related-person | device | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from action-participant-type|4.0.1 (required to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 )The type of participant in the activity. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
184. ActivityDefinition.participant.role | |||||
Definition | The role the participant should play in performing the described action. | ||||
Short | E.g. Nurse, Surgeon, Parent, etc. | ||||
Control | 0..1 | ||||
Binding | For example codes, see action-participant-role (example to http://hl7.org/fhir/ValueSet/action-participant-role )Defines roles played by participants for the action. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
186. ActivityDefinition.product[x] | |||||
Definition | Identifies the food, drug or other product being consumed or supplied in the activity. | ||||
Short | What's administered/supplied | ||||
Control | 0..1 | ||||
Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes )Code describing the type of substance or medication. | ||||
Type | Choice of: Reference(Medication, Substance), CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
188. ActivityDefinition.quantity | |||||
Definition | Identifies the quantity expected to be consumed at once (per dose, per meal, etc.). | ||||
Short | How much is administered/consumed/supplied | ||||
Control | 0..1 | ||||
Type | Quantity(SimpleQuantity) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Alternate Names | dose | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
190. ActivityDefinition.dosage | |||||
Definition | Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources. | ||||
Short | Detailed dosage instructions | ||||
Comments | If a dosage instruction is used, the definition should not specify timing or quantity. | ||||
Control | 0..* | ||||
Type | Dosage | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
192. ActivityDefinition.dosage.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
194. ActivityDefinition.dosage.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.dosage.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
196. ActivityDefinition.dosage.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
198. ActivityDefinition.dosage.sequence | |||||
Definition | Indicates the order in which the dosage instructions should be applied or interpreted. | ||||
Short | The order of the dosage instructions | ||||
Control | 0..1 | ||||
Type | integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
200. ActivityDefinition.dosage.text | |||||
Definition | Free text dosage instructions e.g. SIG. | ||||
Short | Free text dosage instructions e.g. SIG | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
202. ActivityDefinition.dosage.additionalInstruction | |||||
Definition | Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). | ||||
Short | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | ||||
Comments | Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or take "immediately following drug x") should be populated in dosage.text. | ||||
Control | 0..* | ||||
Binding | For example codes, see SNOMEDCTAdditionalDosageInstructions (example to http://hl7.org/fhir/ValueSet/additional-instruction-codes )A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
204. ActivityDefinition.dosage.patientInstruction | |||||
Definition | Instructions in terms that are understood by the patient or consumer. | ||||
Short | Patient or consumer oriented instructions | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
206. ActivityDefinition.dosage.timing | |||||
Definition | When medication should be administered. | ||||
Short | When medication should be administered | ||||
Comments | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. | ||||
Control | 0..1 | ||||
Type | Timing | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )code-xor-repeat: Either a code or a repeat structure should be defined, but not both ( code.empty() or repeat.empty() ) | ||||
208. ActivityDefinition.dosage.timing.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | id | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
210. ActivityDefinition.dosage.timing.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.dosage.timing.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
212. ActivityDefinition.dosage.timing.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
214. ActivityDefinition.dosage.timing.event | |||||
Definition | Identifies specific times when the event occurs. | ||||
Short | When the event occurs | ||||
Control | 0..* | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
216. ActivityDefinition.dosage.timing.repeat | |||||
Definition | A set of rules that describe when the event is scheduled. | ||||
Short | When the event is to occur | ||||
Control | 0..1 | ||||
Type | Element | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Many timing schedules are determined by regular repetitions. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists() )tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists() )tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0 )tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0 )tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists() )tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists() )tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists() )tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse()) )tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty() ) | ||||
218. ActivityDefinition.dosage.timing.repeat.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
220. ActivityDefinition.dosage.timing.repeat.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.dosage.timing.repeat.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
222. ActivityDefinition.dosage.timing.repeat.bounds[x] | |||||
Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
Short | Length/Range of lengths, or (Start and/or end) limits | ||||
Control | 0..0 | ||||
Type | Choice of: Duration, Range, Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
224. ActivityDefinition.dosage.timing.repeat.count | |||||
Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. | ||||
Short | Minimal number of times this event should be repeated | ||||
Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. | ||||
Control | 0..1 This element is affected by the following invariants: tim-8 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Repetitions may be limited by end time or total occurrences. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
226. ActivityDefinition.dosage.timing.repeat.countMax | |||||
Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. | ||||
Short | Maximum number of times this event should be repeated | ||||
Control | 0..1 This element is affected by the following invariants: tim-8 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
228. ActivityDefinition.dosage.timing.repeat.duration | |||||
Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. | ||||
Short | Minimal duration this event should last | ||||
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..1 This element is affected by the following invariants: tim-7, tim-1, tim-4 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
230. ActivityDefinition.dosage.timing.repeat.durationMax | |||||
Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. | ||||
Short | Maximal duration this event should last | ||||
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..1 This element is affected by the following invariants: tim-7 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
232. ActivityDefinition.dosage.timing.repeat.durationUnit | |||||
Definition | The units of time for the duration, in UCUM units Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence. | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Control | 0..1 This element is affected by the following invariants: tim-1 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
234. ActivityDefinition.dosage.timing.repeat.frequency | |||||
Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. | ||||
Short | Indicates the minimal number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
236. ActivityDefinition.dosage.timing.repeat.frequencyMax | |||||
Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. | ||||
Short | Indicates the maximum number of repetitions that should occur within a period. I.e. Event occurs frequency times per period | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
238. ActivityDefinition.dosage.timing.repeat.period | |||||
Definition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. | ||||
Short | The minimal duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
Control | 0..1 This element is affected by the following invariants: tim-6, tim-5, tim-2 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
240. ActivityDefinition.dosage.timing.repeat.periodMax | |||||
Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. | ||||
Short | The maximum duration to which the frequency applies. I.e. Event occurs frequency times per period | ||||
Control | 0..1 This element is affected by the following invariants: tim-6 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
242. ActivityDefinition.dosage.timing.repeat.periodUnit | |||||
Definition | The units of time for the period in UCUM units Normal practice is to use the 'mo' code as a calendar month when calculating the next occurrence. | ||||
Short | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Control | 0..1 This element is affected by the following invariants: tim-2 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 )A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
244. ActivityDefinition.dosage.timing.repeat.dayOfWeek | |||||
Definition | If one or more days of week is provided, then the action happens only on the specified day(s). | ||||
Short | mon | tue | wed | thu | fri | sat | sun | ||||
Comments | If no days are specified, the action is assumed to happen every day as otherwise specified. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from DaysOfWeek (required to http://hl7.org/fhir/ValueSet/days-of-week|5.0.0 ) | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
246. ActivityDefinition.dosage.timing.repeat.timeOfDay | |||||
Definition | Specified time of day for action to take place. | ||||
Short | Time of day for action | ||||
Comments | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. If there's a timeOfDay, there cannot be a when, or vice versa. | ||||
Control | 0..* This element is affected by the following invariants: tim-10 | ||||
Type | time | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
248. ActivityDefinition.dosage.timing.repeat.when | |||||
Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. | ||||
Short | Code for time period of occurrence | ||||
Comments | When more than one event is listed, the event is tied to the union of the specified events. | ||||
Control | 0..* This element is affected by the following invariants: tim-9, tim-10 | ||||
Binding | The codes SHALL be taken from EventTiming (required to http://hl7.org/fhir/ValueSet/event-timing|5.0.0 )Real-world event relating to the schedule. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
250. ActivityDefinition.dosage.timing.repeat.offset | |||||
Definition | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. | ||||
Short | Minutes from event (before or after) | ||||
Control | 0..1 This element is affected by the following invariants: tim-9 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
252. ActivityDefinition.dosage.timing.code | |||||
Definition | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). | ||||
Short | C | BID | TID | QID | AM | PM | QD | QOD | + | ||||
Comments | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation )Code for a known / defined timing pattern. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
254. ActivityDefinition.dosage.asNeeded | |||||
Definition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option). | ||||
Short | Take "as needed" | ||||
Comments | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. | ||||
Control | 0..1 This element is affected by the following invariants: dos-1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
256. ActivityDefinition.dosage.asNeededFor | |||||
Definition | Indicates whether the Medication is only taken based on a precondition for taking the Medication (CodeableConcept). | ||||
Short | Take "as needed" (for x) | ||||
Comments | Can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be False, then the dose is given according to the schedule and is not "prn" or "as needed". | ||||
Control | 0..* This element is affected by the following invariants: dos-1 | ||||
Binding | For example codes, see SNOMEDCTMedicationAsNeededReasonCodes (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason )A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
258. ActivityDefinition.dosage.site | |||||
Definition | Body site to administer to. | ||||
Short | Body site to administer to | ||||
Comments | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension http://hl7.org/fhir/StructureDefinition/bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. | ||||
Control | 0..1 | ||||
Binding | For example codes, see SNOMEDCTAnatomicalStructureAdministrationSites (example to http://hl7.org/fhir/ValueSet/approach-site-codes )A coded concept describing the site location the medicine enters into or onto the body. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | A coded specification of the anatomic site where the medication first enters the body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
260. ActivityDefinition.dosage.route | |||||
Definition | How drug should enter body. | ||||
Short | How drug should enter body | ||||
Control | 0..1 | ||||
Binding | For example codes, see SNOMEDCTRouteCodes (example to http://hl7.org/fhir/ValueSet/route-codes )A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
262. ActivityDefinition.dosage.method | |||||
Definition | Technique for administering medication. | ||||
Short | Technique for administering medication | ||||
Comments | Terminologies used often pre-coordinate this term with the route and or form of administration. | ||||
Control | 0..1 | ||||
Binding | For example codes, see SNOMEDCTAdministrationMethodCodes (example to http://hl7.org/fhir/ValueSet/administration-method-codes )A coded concept describing the technique by which the medicine is administered. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
264. ActivityDefinition.dosage.doseAndRate | |||||
Definition | Depending on the resource,this is the amount of medication administered, to be administered or typical amount to be administered. | ||||
Short | Amount of medication administered, to be administered or typical amount to be administered | ||||
Control | 0..* | ||||
Type | Element | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
266. ActivityDefinition.dosage.doseAndRate.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
268. ActivityDefinition.dosage.doseAndRate.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on ActivityDefinition.dosage.doseAndRate.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
270. ActivityDefinition.dosage.doseAndRate.type | |||||
Definition | The kind of dose or rate specified, for example, ordered or calculated. | ||||
Short | The kind of dose or rate specified | ||||
Control | 0..1 | ||||
Binding | For example codes, see DoseAndRateType (example to http://terminology.hl7.org/ValueSet/dose-rate-type )The kind of dose or rate specified. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | If the type is not populated, assume to be "ordered". | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
272. ActivityDefinition.dosage.doseAndRate.dose[x] | |||||
Definition | Amount of medication per dose. | ||||
Short | Amount of medication per dose | ||||
Comments | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. | ||||
Control | 0..1 | ||||
Type | Choice of: Range, Quantity(SimpleQuantity) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | The amount of therapeutic or other substance given at one administration event. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
274. ActivityDefinition.dosage.doseAndRate.rate[x] | |||||
Definition | Amount of medication per unit of time. | ||||
Short | Amount of medication per unit of time | ||||
Comments | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammar where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
Control | 0..1 | ||||
Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
276. ActivityDefinition.dosage.maxDosePerPeriod | |||||
Definition | Upper limit on medication per unit of time. | ||||
Short | Upper limit on medication per unit of time | ||||
Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". | ||||
Control | 0..* | ||||
Type | Ratio | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
278. ActivityDefinition.dosage.maxDosePerAdministration | |||||
Definition | Upper limit on medication per administration. | ||||
Short | Upper limit on medication per administration | ||||
Comments | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. | ||||
Control | 0..1 | ||||
Type | Quantity(SimpleQuantity) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
280. ActivityDefinition.dosage.maxDosePerLifetime | |||||
Definition | Upper limit on medication per lifetime of the patient. | ||||
Short | Upper limit on medication per lifetime of the patient | ||||
Control | 0..1 | ||||
Type | Quantity(SimpleQuantity) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
282. ActivityDefinition.bodySite | |||||
Definition | Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites). | ||||
Short | What part of body to perform on | ||||
Comments | Only used if not implicit in the code found in ServiceRequest.type. | ||||
Control | 0..* | ||||
Binding | For example codes, see SNOMEDCTBodyStructures (example to http://hl7.org/fhir/ValueSet/body-site )A code that identifies the anatomical location. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Knowing where the procedure is made is important for tracking if multiple sites are possible. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
284. ActivityDefinition.specimenRequirement | |||||
Definition | Defines specimen requirements for the action to be performed, such as required specimens for a lab test. | ||||
Short | What specimens are required to perform this action | ||||
Control | 0..* | ||||
Type | Reference(SpecimenDefinition) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to represent lab order definitions. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
286. ActivityDefinition.observationRequirement | |||||
Definition | Defines observation requirements for the action to be performed, such as body weight or surface area. | ||||
Short | What observations are required to perform this action | ||||
Control | 0..* | ||||
Type | Reference(ObservationDefinition) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Needed to represent observation definitions. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
288. ActivityDefinition.observationResultRequirement | |||||
Definition | Defines the observations that are expected to be produced by the action. | ||||
Short | What observations must be produced by this action | ||||
Control | 0..* | ||||
Type | Reference(ObservationDefinition) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
290. ActivityDefinition.transform | |||||
Definition | A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input. | ||||
Short | Transform to apply the template | ||||
Comments | Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform. | ||||
Control | 0..1 | ||||
Type | canonical(StructureMap) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
292. ActivityDefinition.dynamicValue | |||||
Definition | Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the request resource that would contain the result. | ||||
Short | Dynamic aspects of the definition | ||||
Comments | Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
294. ActivityDefinition.dynamicValue.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
296. ActivityDefinition.dynamicValue.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
298. ActivityDefinition.dynamicValue.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
300. ActivityDefinition.dynamicValue.path | |||||
Definition | The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the Simple FHIRPath Profile for full details). | ||||
Short | The path to the element to be set dynamically | ||||
Comments | The path attribute contains a Simple FHIRPath Subset that allows path traversal, but not calculation. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
302. ActivityDefinition.dynamicValue.expression | |||||
Definition | An expression specifying the value of the customized element. | ||||
Short | An expression that provides the dynamic value for the customization | ||||
Comments | The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element. | ||||
Control | 1..1 | ||||
Type | Expression | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |