Care Coordination Management
0.0.1 - ci-build Estonia (EST)

Care Coordination Management, published by Helex OÜ. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/helexlab/ig-ccm/ and changes regularly. See the Directory of published versions

Resource Profile: TaskCcm - Detailed Descriptions

Draft as of 2025-12-05

Definitions for the task-ccm resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Task
Definition

A task to be performed.

ShortA task to be performed
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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())
inv-1: Last modified date must be greater than or equal to authored-on date. (lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn)
tsk-1: Task.restriction is only allowed if the Task is seeking fulfillment and a focus is specified. (restriction.exists() implies code.coding.where(code='fulfill' and system='http://hl7.org/fhir/CodeSystem/task-code').exists() and focus.exists())
2. Task.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.

ShortA 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 its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Task.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, 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.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. Task.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 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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
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 Namesextensions, user content
Invariantsele-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())
8. Task.identifier
Definition

The business identifier for this task.

ShortTask Instance Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Task.identifier.use
Definition

The purpose of this identifier.

Shortusual | official | temp | secondary | old (If known)
Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0
(required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Task.identifier.value
Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

ShortThe value that is unique
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control10..1
This element is affected by the following invariants: ident-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
ExampleGeneral: 123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Task.instantiatesCanonical
Definition

The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.

ShortFormal definition of task
Control0..01
Typecanonical(ActivityDefinition)
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

Enables a formal definition of how the task is to be performed, enabling automation.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Task.instantiatesUri
Definition

The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.

ShortFormal definition of task
Control0..01
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

Enables a formal definition of how the task is to be performed (e.g. using BPMN, BPEL, XPDL or other formal notation to be associated with a task), enabling automation.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Task.basedOn
Definition

BasedOn refers to a higher-level authorization that triggered the creation of the task. It references a "request" resource such as a ServiceRequest, MedicationRequest, CarePlan, etc. which is distinct from the "request" resource the task is seeking to fulfill. This latter resource is referenced by focus. For example, based on a CarePlan (= basedOn), a task is created to fulfill a ServiceRequest ( = focus ) to collect a specimen from a patient.

ShortRequest fulfilled by this task
Comments

Task.basedOn is never the same as Task.focus. Task.basedOn will typically not be present for 'please fulfill' Tasks as a distinct authorization is rarely needed to request fulfillment. If the Task is seeking fulfillment of an order, the order to be fulfilled is always communicated using focus, never basedOn. However, authorization may be needed to perform other types of Task actions. As an example of when both would be present, a Task seeking suspension of a prescription might have a Task.basedOn pointing to the ServiceRequest ordering surgery (which is the driver for suspending the MedicationRequest - which would be the Task.focus).

Control0..*
TypeReference(Resource)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Task.groupIdentifier
Definition

A shared identifier common to multiple independent Task and Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time.

ShortRequisition or grouper id
Control0..01
TypeIdentifier
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

Billing and/or reporting can be linked to whether multiple requests were created as a single unit.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Task.partOf
Definition

Task that this particular task is part of.

ShortComposite task
Comments

This should usually be 0..1.

Control0..0*
TypeReference(Task)
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Task.status
Definition

The current status of the task.

Shortdraft | requested | received | accepted | +
Control1..1
BindingThe codes SHALL be taken from TaskStatushttp://hl7.org/fhir/ValueSet/task-status|5.0.0
(required to http://hl7.org/fhir/ValueSet/task-status|5.0.0)

The current status of the task.

Typecode
Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Task.businessStatus
Definition

Contains business-specific nuances of the business state.

ShortE.g. "Specimen collected", "IV prepped"
Control0..01
Binding

The domain-specific business-contextual sub-state of the task. For example: "Blood drawn", "IV inserted", "Awaiting physician signature", etc.

TypeCodeableConcept
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

There's often a need to track substates of a task - this is often variable by specific workflow implementation.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Task.intent
Definition

Indicates the "level" of actionability associated with the Task, i.e. i+R[9]Cs this a proposed task, a planned task, an actionable task, etc.

Shortunknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Comments

This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances.

In most cases, Tasks will have an intent of "order".

Control1..1
BindingThe codes SHALL be taken from TaskIntenthttp://hl7.org/fhir/ValueSet/task-intent|5.0.0
(required to http://hl7.org/fhir/ValueSet/task-intent|5.0.0)

Distinguishes whether the task is a proposal, plan or full order.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Task.priority
Definition

Indicates how quickly the Task should be addressed with respect to other requests.

Shortroutine | urgent | asap | stat
Control0..1
BindingThe codes SHALL be taken from RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|5.0.0
(required to http://hl7.org/fhir/ValueSet/request-priority|5.0.0)

The priority of a task (may affect service level applied to the task).

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Requirements

Used to identify the service level expected while performing a task.

Meaning if MissingIf missing, this task should be performed with normal priority
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Task.doNotPerform
Definition

If true indicates that the Task is asking for the specified action to not occur.

ShortTrue if Task is prohibiting action
Comments

The attributes provided with the Task qualify what is not to be done. For example, if a requestedPeriod is provided, the 'do not' request only applies within the specified time. If a requestedPerformer is specified then the 'do not' request only applies to performers of that type. Qualifiers include: code, subject, occurrence, requestedPerformer and performer.

In some cases, the Request.code may pre-coordinate prohibition into the requested action. E.g. 'NPO' (nothing by mouth), 'DNR' (do not recussitate). If this happens, doNotPerform SHALL NOT be set to true. I.e. The resource shall not have double negation. (E.g. 'Do not DNR').

doNotPerform should ONLY be used with Tasks that are tightly bounded in time or process phase. E.g. 'Do not fulfill the midnight dose of medication X tonight due to the early morning scheduled procedure, where the nurse could reasonably check off 'Med X not given at midnight as instructed'. Similarly, a decision support proposal that a patient should not be given a standard intake questionnaire (because the patient is cognitively impaired) would be marked as 'complete' or 'rejected' when the clinician preps the CarePlan or order set after reviewing the decision support results. If there is a need to create a standing order to not do something that can't be satisfied by a single 'non-action', but rather an ongoing refusal to perform the function, MedicationRequest, ServiceRequest or some other form of authorization should be used.

Control0..1
Typeboolean
Is Modifiertrue because If true, this element negates the Task. For example, instead of a request to perform a task, it is a request _not_ to perform a task.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Task.code
Definition

A name or code (or both) briefly describing what the task involves.

ShortTask Type
Comments

The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.

Control10..1
This element is affected by the following invariants: tsk-1
BindingFor example codes, see TaskCodehttp://hl7.org/fhir/ValueSet/task-code|5.0.0
(example to http://hl7.org/fhir/ValueSet/task-code|5.0.0)

Codes to identify what the task involves. These will typically be specific to a particular workflow.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Task.description
Definition

A free-text description of what is to be performed.

ShortHuman-readable explanation of task
Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Task.focus
Definition

The request being fulfilled or the resource being manipulated (changed, suspended, etc.) by this task.

ShortWhat task is acting on
Comments

If multiple resources need to be manipulated, use sub-tasks. (This ensures that status can be tracked independently for each referenced resource.).

Control10..1
This element is affected by the following invariants: tsk-1
TypeReference(Resource)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Used to identify the thing to be done.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Task.for
Definition

The entity who benefits from the performance of the service specified in the task (e.g., the patient).

ShortBeneficiary of the Task
Control10..1
TypeReference(PatientCcm, Resource)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Used to track tasks outstanding for a beneficiary. Do not use to track the task owner or creator (see owner and creator respectively). This can also affect access control.

Alternate NamesPatient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Task.encounter
Definition

The healthcare event (e.g. a patient and healthcare provider interaction) during which this task was created.

ShortHealthcare event during which this task originated
Control0..01
TypeReference(Encounter)
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

For some tasks it may be important to know the link between the encounter the task originated within.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Task.requestedPeriod
Definition

Indicates the start and/or end of the period of time when completion of the task is desired to take place.

ShortWhen the task should be performed
Comments

This is typically used when the Task is not seeking fulfillment of a focus Request, as in that case the period would be specified on the Request and/or in the Task.restriction.period. Instead, it is used for stand-alone tasks.

Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Task.executionPeriod
Definition

Identifies the time action was first taken against the task (start) and/or the time final action was taken against the task prior to marking it as completed (end).

ShortStart and end time of execution
Control0..01
TypePeriod
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Task.authoredOn
Definition

The date and time this task was created.

ShortTask Creation Date
Control10..1
This element is affected by the following invariants: inv-1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Requirements

Most often used along with lastUpdated to track duration of task to supporting monitoring and management.

Alternate NamesCreated Date
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Task.requester
Definition

The creator of the task.

ShortWho is asking for task to be done
Control10..1
TypeReference(PractitionerCcm, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Identifies who created this task. May be used by access control mechanisms (e.g., to ensure that only the creator can cancel a task).

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Task.requestedPerformer
Definition

The kind of participant or specific participant that should perform the task.

ShortWho should perform Task
Control0..*
BindingThe codes SHOULD be taken from ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role|5.0.0
(preferred to http://hl7.org/fhir/ValueSet/performer-role|5.0.0)

The type(s) of task performers allowed.

TypeCodeableReference(PractitionerCcm, Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson)
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

Use to distinguish tasks on different activity queues.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Task.requestedPerformer.concept
Definition

A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

ShortReference to a concept (by class)
Control0..01
TypeCodeableConcept
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Task.owner
Definition

Party responsible for managing task execution.

ShortResponsible individual
Comments

Tasks may be created with an owner not yet identified.

Control10..1
TypeReference(PractitionerCcm, Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Identifies who is expected to perform this task.

Alternate NamesPerformer, Executer
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Task.location
Definition

Principal physical location where this task is performed.

ShortWhere task occurs
Comments

This should only be specified when the Task to be/being performed happens or is expected to happen primarily within the bounds of a single Location. Other locations (e.g. source, destination, etc.) would either be reflected on the 'basedOn' Request or be conveyed as distinct Task.input values.

Control0..01
TypeReference(Location)
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Task.reason
Definition

A description, code, or reference indicating why this task needs to be performed.

ShortWhy task is needed
Comments

This will typically not be present for Tasks with a code of 'please fulfill' as, for those, the reason for action is conveyed on the Request pointed to by Task.focus. Some types of tasks will not need a 'reason'. E.g. a request to discharge a patient can be inferred to be 'because the patient is ready' and this would not need a reason to be stated on the Task.

Control0..0*
Binding

Indicates why the task is needed. E.g. Suspended because patient admitted to hospital.

TypeCodeableReference
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Task.insurance
Definition

Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.

ShortAssociated insurance coverage
Control0..0*
TypeReference(Coverage, ClaimResponse)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Task.note
Definition

Free-text information captured about the task as it progresses.

ShortComments made about the task
Control0..0*
TypeAnnotation
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Task.relevantHistory
Definition

Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task.

ShortKey events in history of the Task
Comments

This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.

Control0..0*
TypeReference(Provenance)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate NamesStatus History
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Task.restriction
Definition

If the Task.focus is a request resource and the task is seeking fulfillment (i.e. is asking for the request to be actioned), this element identifies any limitations on what parts of the referenced request should be actioned.

ShortConstraints on fulfillment tasks
Comments

Task.restriction can only be present if the Task is seeking fulfillment of another Request resource, and the restriction identifies what subset of the authorization conveyed by the request is supposed to be fulfilled by this Task. A possible example could be a standing order (the request) covering a significant time period and/or individuals, while the Task seeks fulfillment for only a subset of that time-period and a single individual.

Control0..01
This element is affected by the following invariants: tsk-1
TypeBackboneElement
Is Modifierfalse
Must Supportfalse
Summaryfalse
Requirements

Sometimes when fulfillment is sought, you don't want full fulfillment.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
71. Task.input
Definition

Additional information that may be needed in the execution of the task.

ShortInformation used to perform task
Control0..0*
TypeBackboneElement
Is Modifierfalse
Must Supportfalse
Summaryfalse
Requirements

Resources and data used to perform the task. This data is used in the business logic of task execution, and is stored separately because it varies between workflows.

Alternate NamesSupporting Information
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Task.output
Definition

Outputs produced by the Task.

ShortInformation produced as part of task
Control0..0*
TypeBackboneElement
Is Modifierfalse
Must Supportfalse
Summaryfalse
Requirements

Resources and data produced during the execution the task. This data is generated by the business logic of task execution, and is stored separately because it varies between workflows.

Invariantsele-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 foundhere

0. Task
2. Task.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
Must Supporttrue
4. Task.identifier.value
Control1..?
Must Supporttrue
6. Task.instantiatesCanonical
Control0..0
8. Task.instantiatesUri
Control0..0
10. Task.basedOn
Must Supporttrue
12. Task.groupIdentifier
Control0..0
14. Task.partOf
Control0..0
16. Task.status
Must Supporttrue
18. Task.businessStatus
Control0..0
20. Task.intent
Must Supporttrue
22. Task.priority
Must Supporttrue
24. Task.code
Control1..?
Must Supporttrue
26. Task.description
Control1..?
Must Supporttrue
28. Task.focus
Control1..?
Must Supporttrue
30. Task.for
Control1..?
TypeReference(PatientCcm)
Must Supporttrue
32. Task.encounter
Control0..0
34. Task.requestedPeriod
Must Supporttrue
36. Task.executionPeriod
Control0..0
38. Task.authoredOn
Control1..?
Must Supporttrue
40. Task.requester
Control1..?
TypeReference(PractitionerCcm)
Must Supporttrue
42. Task.requestedPerformer
TypeCodeableReference(PractitionerCcm)
Must Supporttrue
44. Task.requestedPerformer.concept
Control0..0
46. Task.owner
Control1..?
TypeReference(PractitionerCcm)
Must Supporttrue
48. Task.location
Control0..0
50. Task.reason
Control0..0
52. Task.insurance
Control0..0
54. Task.note
Control0..0
56. Task.relevantHistory
Control0..0
58. Task.restriction
Control0..0
60. Task.input
Control0..0
62. Task.output
Control0..0

Guidance on how to interpret the contents of this table can be foundhere

0. Task
Definition

A task to be performed.

ShortA task to be performed
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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())
inv-1: Last modified date must be greater than or equal to authored-on date. (lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn)
tsk-1: Task.restriction is only allowed if the Task is seeking fulfillment and a focus is specified. (restriction.exists() implies code.coding.where(code='fulfill' and system='http://hl7.org/fhir/CodeSystem/task-code').exists() and focus.exists())
2. Task.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

Control0..1
Typeid
Is Modifierfalse
Must Supportfalse
Summarytrue
4. Task.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.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Task.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.

ShortA 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 its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Task.language
Definition

The base language in which the resource is written.

ShortLanguage 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).

Control0..1
BindingThe codes SHALL be taken from AllLanguages
(required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

IETF language tag for a human language

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Task.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.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have a 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.

Control0..1
This element is affected by the following invariants: dom-6
TypeNarrative
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Task.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, 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.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Task.extension
Definition

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.

ShortAdditional 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.

Control0..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
16. Task.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 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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
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 Namesextensions, user content
Invariantsele-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())
18. Task.identifier
Definition

The business identifier for this task.

ShortTask Instance Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Task.identifier.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
This element is affected by the following invariants: ele-1
Typeid
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. Task.identifier.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.

ShortAdditional 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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on Task.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 24. Task.identifier.use
    Definition

    The purpose of this identifier.

    Shortusual | official | temp | secondary | old (If known)
    Comments

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Control0..1
    BindingThe codes SHALL be taken from IdentifierUse
    (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

    Identifies the purpose for this identifier, if known .

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Task.identifier.type
    Definition

    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

    ShortDescription of identifier
    Comments

    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from IdentifierTypeCodes
    (extensible to http://hl7.org/fhir/ValueSet/identifier-type|5.0.0)

    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Requirements

    Allows users to make use of identifiers when the identifier system is not known.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Task.identifier.system
    Definition

    Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

    ShortThe namespace for the identifier value
    Comments

    Identifier.system is always case sensitive.

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    ExampleGeneral: http://www.acme.com/identifiers/patient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Task.identifier.value
    Definition

    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    ShortThe value that is unique
    Comments

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Control1..1
    This element is affected by the following invariants: ident-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    ExampleGeneral: 123456
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Task.identifier.period
    Definition

    Time period during which identifier is/was valid for use.

    ShortTime period when id is/was valid for use
    Control0..1
    TypePeriod
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Task.identifier.assigner
    Definition

    Organization that issued/manages the identifier.

    ShortOrganization that issued id (may be just text)
    Comments

    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

    Control0..1
    TypeReference(Organization)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Task.instantiatesCanonical
    Definition

    The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.

    ShortFormal definition of task
    Control0..0
    Typecanonical(ActivityDefinition)
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Enables a formal definition of how the task is to be performed, enabling automation.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Task.instantiatesUri
    Definition

    The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.

    ShortFormal definition of task
    Control0..0
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Enables a formal definition of how the task is to be performed (e.g. using BPMN, BPEL, XPDL or other formal notation to be associated with a task), enabling automation.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Task.basedOn
    Definition

    BasedOn refers to a higher-level authorization that triggered the creation of the task. It references a "request" resource such as a ServiceRequest, MedicationRequest, CarePlan, etc. which is distinct from the "request" resource the task is seeking to fulfill. This latter resource is referenced by focus. For example, based on a CarePlan (= basedOn), a task is created to fulfill a ServiceRequest ( = focus ) to collect a specimen from a patient.

    ShortRequest fulfilled by this task
    Comments

    Task.basedOn is never the same as Task.focus. Task.basedOn will typically not be present for 'please fulfill' Tasks as a distinct authorization is rarely needed to request fulfillment. If the Task is seeking fulfillment of an order, the order to be fulfilled is always communicated using focus, never basedOn. However, authorization may be needed to perform other types of Task actions. As an example of when both would be present, a Task seeking suspension of a prescription might have a Task.basedOn pointing to the ServiceRequest ordering surgery (which is the driver for suspending the MedicationRequest - which would be the Task.focus).

    Control0..*
    TypeReference(Resource)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Task.groupIdentifier
    Definition

    A shared identifier common to multiple independent Task and Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time.

    ShortRequisition or grouper id
    Control0..0
    TypeIdentifier
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Billing and/or reporting can be linked to whether multiple requests were created as a single unit.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Task.partOf
    Definition

    Task that this particular task is part of.

    ShortComposite task
    Comments

    This should usually be 0..1.

    Control0..0
    TypeReference(Task)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Task.status
    Definition

    The current status of the task.

    Shortdraft | requested | received | accepted | +
    Control1..1
    BindingThe codes SHALL be taken from TaskStatus
    (required to http://hl7.org/fhir/ValueSet/task-status|5.0.0)

    The current status of the task.

    Typecode
    Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Task.statusReason
    Definition

    An explanation as to why this task is held, failed, was refused, etc.

    ShortReason for current status
    Comments

    This applies to the current status. Look at the history of the task to see reasons for past statuses.

    Control0..1
    BindingFor example codes, see TaskStatusReason
    (example to http://hl7.org/fhir/ValueSet/task-status-reason|5.0.0)

    Codes to identify the reason for current status. These will typically be specific to a particular workflow.

    TypeCodeableReference
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Task.businessStatus
    Definition

    Contains business-specific nuances of the business state.

    ShortE.g. "Specimen collected", "IV prepped"
    Control0..0
    Binding

    The domain-specific business-contextual sub-state of the task. For example: "Blood drawn", "IV inserted", "Awaiting physician signature", etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    There's often a need to track substates of a task - this is often variable by specific workflow implementation.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. Task.intent
    Definition

    Indicates the "level" of actionability associated with the Task, i.e. i+R[9]Cs this a proposed task, a planned task, an actionable task, etc.

    Shortunknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Comments

    This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances.

    In most cases, Tasks will have an intent of "order".

    Control1..1
    BindingThe codes SHALL be taken from TaskIntent
    (required to http://hl7.org/fhir/ValueSet/task-intent|5.0.0)

    Distinguishes whether the task is a proposal, plan or full order.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    54. Task.priority
    Definition

    Indicates how quickly the Task should be addressed with respect to other requests.

    Shortroutine | urgent | asap | stat
    Control0..1
    BindingThe codes SHALL be taken from RequestPriority
    (required to http://hl7.org/fhir/ValueSet/request-priority|5.0.0)

    The priority of a task (may affect service level applied to the task).

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Requirements

    Used to identify the service level expected while performing a task.

    Meaning if MissingIf missing, this task should be performed with normal priority
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Task.doNotPerform
    Definition

    If true indicates that the Task is asking for the specified action to not occur.

    ShortTrue if Task is prohibiting action
    Comments

    The attributes provided with the Task qualify what is not to be done. For example, if a requestedPeriod is provided, the 'do not' request only applies within the specified time. If a requestedPerformer is specified then the 'do not' request only applies to performers of that type. Qualifiers include: code, subject, occurrence, requestedPerformer and performer.

    In some cases, the Request.code may pre-coordinate prohibition into the requested action. E.g. 'NPO' (nothing by mouth), 'DNR' (do not recussitate). If this happens, doNotPerform SHALL NOT be set to true. I.e. The resource shall not have double negation. (E.g. 'Do not DNR').

    doNotPerform should ONLY be used with Tasks that are tightly bounded in time or process phase. E.g. 'Do not fulfill the midnight dose of medication X tonight due to the early morning scheduled procedure, where the nurse could reasonably check off 'Med X not given at midnight as instructed'. Similarly, a decision support proposal that a patient should not be given a standard intake questionnaire (because the patient is cognitively impaired) would be marked as 'complete' or 'rejected' when the clinician preps the CarePlan or order set after reviewing the decision support results. If there is a need to create a standing order to not do something that can't be satisfied by a single 'non-action', but rather an ongoing refusal to perform the function, MedicationRequest, ServiceRequest or some other form of authorization should be used.

    Control0..1
    Typeboolean
    Is Modifiertrue because If true, this element negates the Task. For example, instead of a request to perform a task, it is a request _not_ to perform a task.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. Task.code
    Definition

    A name or code (or both) briefly describing what the task involves.

    ShortTask Type
    Comments

    The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.

    Control1..1
    This element is affected by the following invariants: tsk-1
    BindingFor example codes, see TaskCode
    (example to http://hl7.org/fhir/ValueSet/task-code|5.0.0)

    Codes to identify what the task involves. These will typically be specific to a particular workflow.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. Task.description
    Definition

    A free-text description of what is to be performed.

    ShortHuman-readable explanation of task
    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. Task.focus
    Definition

    The request being fulfilled or the resource being manipulated (changed, suspended, etc.) by this task.

    ShortWhat task is acting on
    Comments

    If multiple resources need to be manipulated, use sub-tasks. (This ensures that status can be tracked independently for each referenced resource.).

    Control1..1
    This element is affected by the following invariants: tsk-1
    TypeReference(Resource)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Used to identify the thing to be done.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. Task.for
    Definition

    The entity who benefits from the performance of the service specified in the task (e.g., the patient).

    ShortBeneficiary of the Task
    Control1..1
    TypeReference(PatientCcm)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Used to track tasks outstanding for a beneficiary. Do not use to track the task owner or creator (see owner and creator respectively). This can also affect access control.

    Alternate NamesPatient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Task.encounter
    Definition

    The healthcare event (e.g. a patient and healthcare provider interaction) during which this task was created.

    ShortHealthcare event during which this task originated
    Control0..0
    TypeReference(Encounter)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    For some tasks it may be important to know the link between the encounter the task originated within.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. Task.requestedPeriod
    Definition

    Indicates the start and/or end of the period of time when completion of the task is desired to take place.

    ShortWhen the task should be performed
    Comments

    This is typically used when the Task is not seeking fulfillment of a focus Request, as in that case the period would be specified on the Request and/or in the Task.restriction.period. Instead, it is used for stand-alone tasks.

    Control0..1
    TypePeriod
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. Task.executionPeriod
    Definition

    Identifies the time action was first taken against the task (start) and/or the time final action was taken against the task prior to marking it as completed (end).

    ShortStart and end time of execution
    Control0..0
    TypePeriod
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    72. Task.authoredOn
    Definition

    The date and time this task was created.

    ShortTask Creation Date
    Control1..1
    This element is affected by the following invariants: inv-1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Requirements

    Most often used along with lastUpdated to track duration of task to supporting monitoring and management.

    Alternate NamesCreated Date
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    74. Task.lastModified
    Definition

    The date and time of last modification to this task.

    ShortTask Last Modified Date
    Control0..1
    This element is affected by the following invariants: inv-1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Used along with history to track task activity and time in a particular task state. This enables monitoring and management.

    Alternate NamesUpdate Date
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    76. Task.requester
    Definition

    The creator of the task.

    ShortWho is asking for task to be done
    Control1..1
    TypeReference(PractitionerCcm)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Identifies who created this task. May be used by access control mechanisms (e.g., to ensure that only the creator can cancel a task).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    78. Task.requestedPerformer
    Definition

    The kind of participant or specific participant that should perform the task.

    ShortWho should perform Task
    Control0..*
    BindingThe codes SHOULD be taken from ProcedurePerformerRoleCodes
    (preferred to http://hl7.org/fhir/ValueSet/performer-role|5.0.0)

    The type(s) of task performers allowed.

    TypeCodeableReference(PractitionerCcm)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    Use to distinguish tasks on different activity queues.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    80. Task.requestedPerformer.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    This element is affected by the following invariants: ele-1
    Typeid
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    82. Task.requestedPerformer.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.

    ShortAdditional 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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-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())
    SlicingThis element introduces a set of slices on Task.requestedPerformer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 84. Task.requestedPerformer.concept
      Definition

      A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.

      ShortReference to a concept (by class)
      Control0..0
      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. Task.requestedPerformer.reference
      Definition

      A reference to a resource the provides exact details about the information being referenced.

      ShortReference to a resource (by instance)
      Control0..1
      TypeReference
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. Task.owner
      Definition

      Party responsible for managing task execution.

      ShortResponsible individual
      Comments

      Tasks may be created with an owner not yet identified.

      Control1..1
      TypeReference(PractitionerCcm)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Identifies who is expected to perform this task.

      Alternate NamesPerformer, Executer
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. Task.performer
      Definition

      The entity who performed the requested task.

      ShortWho or what performed the task
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. Task.performer.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      This element is affected by the following invariants: ele-1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      94. Task.performer.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.

      ShortAdditional 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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-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())
      96. Task.performer.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).

      ShortExtensions 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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      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 Namesextensions, user content, modifiers
      Invariantsele-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())
      98. Task.performer.function
      Definition

      A code or description of the performer of the task.

      ShortType of performance
      Control0..1
      Binding

      Codes to identify types of task performers.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      100. Task.performer.actor
      Definition

      The actor or entity who performed the task.

      ShortWho performed the task
      Control1..1
      TypeReference(Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      102. Task.location
      Definition

      Principal physical location where this task is performed.

      ShortWhere task occurs
      Comments

      This should only be specified when the Task to be/being performed happens or is expected to happen primarily within the bounds of a single Location. Other locations (e.g. source, destination, etc.) would either be reflected on the 'basedOn' Request or be conveyed as distinct Task.input values.

      Control0..0
      TypeReference(Location)
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Requirements

      Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      104. Task.reason
      Definition

      A description, code, or reference indicating why this task needs to be performed.

      ShortWhy task is needed
      Comments

      This will typically not be present for Tasks with a code of 'please fulfill' as, for those, the reason for action is conveyed on the Request pointed to by Task.focus. Some types of tasks will not need a 'reason'. E.g. a request to discharge a patient can be inferred to be 'because the patient is ready' and this would not need a reason to be stated on the Task.

      Control0..0
      Binding

      Indicates why the task is needed. E.g. Suspended because patient admitted to hospital.

      TypeCodeableReference
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      106. Task.insurance
      Definition

      Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.

      ShortAssociated insurance coverage
      Control0..0
      TypeReference(Coverage, ClaimResponse)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      108. Task.note
      Definition

      Free-text information captured about the task as it progresses.

      ShortComments made about the task
      Control0..0
      TypeAnnotation
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      110. Task.relevantHistory
      Definition

      Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task.

      ShortKey events in history of the Task
      Comments

      This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.

      Control0..0
      TypeReference(Provenance)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate NamesStatus History
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      112. Task.restriction
      Definition

      If the Task.focus is a request resource and the task is seeking fulfillment (i.e. is asking for the request to be actioned), this element identifies any limitations on what parts of the referenced request should be actioned.

      ShortConstraints on fulfillment tasks
      Comments

      Task.restriction can only be present if the Task is seeking fulfillment of another Request resource, and the restriction identifies what subset of the authorization conveyed by the request is supposed to be fulfilled by this Task. A possible example could be a standing order (the request) covering a significant time period and/or individuals, while the Task seeks fulfillment for only a subset of that time-period and a single individual.

      Control0..0
      This element is affected by the following invariants: tsk-1
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      Sometimes when fulfillment is sought, you don't want full fulfillment.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      120. Task.input
      Definition

      Additional information that may be needed in the execution of the task.

      ShortInformation used to perform task
      Control0..0
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      Resources and data used to perform the task. This data is used in the business logic of task execution, and is stored separately because it varies between workflows.

      Alternate NamesSupporting Information
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      127. Task.output
      Definition

      Outputs produced by the Task.

      ShortInformation produced as part of task
      Control0..0
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Requirements

      Resources and data produced during the execution the task. This data is generated by the business logic of task execution, and is stored separately because it varies between workflows.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))