ServiceDefinition - FHIR v1.8.0

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

14.4.10 Resource ServiceDefinition - Operations

This resource has 2 operations associated with it:

$evaluate	Evaluate
$data-requirements	Data Requirements

For more information about operations, including how they are invoked, see Operations.

14.4.10.1 Evaluate

The evaluate operation requests clinical decision support guidance based on a specific decision support module

Formal Definition (as a OperationDefinition).

URL: [base]/ServiceDefinition/[id]/$evaluate

In Parameters:

Name

Cardinality

Type

Binding

Profile

Documentation

requestId

0..1

An optional client-provided identifier to track the request.

evaluateAtDateTime

0..1

dateTime

An optional date and time specifying that the evaluation should be performed as though it was the given date and time. The most direct implication of this is that references to "Now" within the evaluation logic of the module should result in this value. In addition, wherever possible, the data accessed by the module should appear as though it was accessed at this time. The evaluateAtDateTime value may be any time in the past or future, enabling both retrospective and prospective scenarios. If no value is provided, the date and time of the request is assumed.

inputParameters

0..1

Parameters

The input parameters for a request, if any. These parameters are defined by the module that is the target of the evaluation, and typically supply patient-independent information to the module.

inputData

0..*

Any

The input data for the request. These data are defined by the data requirements of the module and typically provide patient-dependent information.

patient

0..1

Reference(Patient)

The patient in context, if any.

encounter

0..1

Reference(Encounter)

The encounter in context, if any.

initiatingOrganization

0..1

Reference(Organization)

The organization initiating the request.

initiatingPerson

0..1

Reference(Patient|Practitioner|RelatedPerson)

The person initiating the request.

userType

0..1

CodeableConcept

The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.).

userLanguage

0..1

CodeableConcept

Preferred language of the person using the system.

userTaskContext

0..1

CodeableConcept

The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources.

receivingOrganization

0..1

Reference(Organization)

The organization that will receive the response.

receivingPerson

0..1

Reference(Patient|Practitioner|RelatedPerson)

The person in the receiving organization that will receive the response.

recipientType

0..1

CodeableConcept

The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.).

recipientLanguage

0..1

CodeableConcept

Preferred language of the person that will consume the content.

setting

0..1

CodeableConcept

The current setting of the request (inpatient, outpatient, etc).

settingContext

0..1

CodeableConcept

Additional detail about the setting of the request, if any.

Out Parameters:

Name

Cardinality

Type

Binding

Profile

Documentation

return

1..1

GuidanceResponse

The result of the request as a GuidanceResponse resource.

Note: as this the only out parameter, it is a resource, and it has the name 'return', the result of this operation is returned directly as a resource

14.4.10.1.1 Examples

Request guideline appropriate ordering assessment (Request):

POST [base]/ServiceDefinition/example/$evaluate

<?xml version="1.0" encoding="UTF-8"?>
<Parameters xmlns="http://hl7.org/fhir">
  <id value="evaluate-operation-request-example"/>
  <!--  This example demonstrates the $evaluate operation against a DecisionSupportServiceModule resource. -->
  <parameter>
    <name value="requestId"/>
    <valueString value="guidanceRequest1"/>
  </parameter>
  <parameter>
    <name value="setting"/>
    <valueCoding>
      <system value="http://hl7.org/fhir/encounter-class"/>
      <code value="inpatient"/>
    </valueCoding>
  </parameter>
  <parameter>
    <name value="patient"/>
    <resource>
      <Patient>
        <id value="example"/>
        <meta>
          <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient"/>
          <profile value="http://hl7.org/fhir/StructureDefinition/gao-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
        </div>
        </text>
        <!--  MRN assigned by ACME healthcare on 6-May 2001  -->
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="MRN"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.36.146.595.217.0.1"/>
          <value value="12345"/>
          <period>
            <start value="2001-05-06"/>
          </period>
          <assigner>
            <display value="Acme Healthcare"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <!--  Peter James Chalmers, but called "Jim"  -->
        <name>
          <use value="official"/>
          <family value="Chalmers"/>
          <given value="Peter"/>
          <given value="James"/>
        </name>
        <name>
          <use value="usual"/>
          <given value="Jim"/>
        </name>
        <telecom>
          <use value="home"/>
          <!--  home communication details aren't known  -->
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="(03) 5555 6473"/>
          <use value="work"/>
        </telecom>
        <!--  use FHIR code system for male / female  -->
        <gender value="male"/>
        <birthDate value="1974-12-25">
          <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
            <valueDateTime value="1974-12-25T14:35:45-05:00"/>
          </extension>
        </birthDate>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="534 Erewhon St"/>
          <city value="PleasantVille"/>
          <state value="Vic"/>
          <postalCode value="3999"/>
        </address>
        <contact>
          <relationship>
            <coding>
              <system value="http://hl7.org/fhir/patient-contact-relationship"/>
              <code value="partner"/>
            </coding>
          </relationship>
          <name>
            <family value="du">
              <!--  the "du" part is a family name prefix (VV in iso 21090)  -->
              <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                <valueCode value="VV"/>
              </extension>
            </family>
            <family value="Marché"/>
            <given value="Bénédicte"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="+33 (237) 998327"/>
          </telecom>
        </contact>
        <managingOrganization>
          <reference value="Organization/1"/>
        </managingOrganization>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="order"/>
    <resource>
      <Order>
        <id value="order1"/>
        <meta>
          <profile value="http://hl7.org/fhir/StructureDefinition/gao-order"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">

        </div>
        </text>
        <contained>
          <DiagnosticRequest>
            <id value="DiagnosticRequest1"/>
            <meta>
              <profile value="http://hl7.org/fhir/StructureDefinition/gao-diagnosticrequest"/>
            </meta>
            <subject>
              <reference value="Patient/example"/>
            </subject>
            <item>
              <code>
                <coding>
                  <!--  TODO: This will need to use the ACR Commons code  -->
                  <system value="http://www.ama-assn.org/go/cpt"/>
                  <code value="70450"/>
                  <display value="CT, head, wo iv contrast"/>
                </coding>
              </code>
            </item>
          </DiagnosticRequest>
        </contained>
        <date value="2012-12-28T09:03:04+11:00"/>
        <subject>
          <reference value="Patient/example"/>
        </subject>
        <source>
          <reference value="Practitioner/example"/>
        </source>
        <reasonCodeableConcept>
          <coding>
            <!--  TODO: This will need to use the ACR Commons code  -->
            <system value="http://hl7.org/fhir/sid/icd-9"/>
            <code value="70450"/>
            <display value="Headache, Chronic, no new features"/>
          </coding>
        </reasonCodeableConcept>
        <detail>
          <reference value="#DiagnosticRequest1"/>
        </detail>
      </Order>
    </resource>
  </parameter>
</Parameters>

Request an InfoButton evaluate (Request):

POST [base]/ServiceDefinition/infobutton/$evaluate

<?xml version="1.0" encoding="UTF-8"?>
<Parameters xmlns="http://hl7.org/fhir">
  <id value="infobutton-evaluate-request"/>
  <!--  This example demonstrates the $evaluate operation to represent InfoButton using an appropriately defined ServiceDefinition. -->
  <parameter>
    <name value="requestId"/>
    <valueString value="InfoButtonRequest2"/>
  </parameter>
  <parameter>
    <name value="userTaskContext"/>
    <valueCoding>
      <system value="urn:oid:2.16.840.1.113883.5.4"/>
      <code value="PROBLISTREV"/>
      <display value="Problem List Review"/>
    </valueCoding>
  </parameter>
  <parameter>
    <name value="patient"/>
    <resource>
      <Patient xmlns="http://hl7.org/fhir">
        <id value="example"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">
            <table>
              <tbody>
                <tr>
                  <td>Name</td>
                  <td>Peter James
                          <b>Chalmers</b>(&quot;Jim&quot;)</td>
                </tr>
                <tr>
                  <td>Address</td>
                  <td>534 Erewhon, Pleasantville, Vic, 3999</td>
                </tr>
                <tr>
                  <td>Contacts</td>
                  <td>Home: unknown. Work: (03) 5555 6473</td>
                </tr>
                <tr>
                  <td>Id</td>
                  <td>MRN: 12345 (Acme Healthcare)</td>
                </tr>
              </tbody>
            </table>
          </div>
        </text>
        <!--    MRN assigned by ACME healthcare on 6-May 2001    -->
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.36.146.595.217.0.1"/>
          <value value="12345"/>
          <period>
            <start value="2001-05-06"/>
          </period>
          <assigner>
            <display value="Acme Healthcare"/>
          </assigner>
        </identifier>
        <active value="true"/>
        <!--    Peter James Chalmers, but called "Jim"    -->
        <name>
          <use value="official"/>
          <family value="Chalmers"/>
          <given value="Peter"/>
          <given value="James"/>
        </name>
        <name>
          <use value="usual"/>
          <given value="Jim"/>
        </name>
        <telecom>
          <use value="home"/>
          <!--    home communication details aren't known    -->
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="(03) 5555 6473"/>
          <use value="work"/>
        </telecom>
        <!--    use FHIR code system for male / female    -->
        <gender value="male"/>
        <birthDate value="1974-12-25">
          <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
            <valueDateTime value="1974-12-25T14:35:45-05:00"/>
          </extension>
        </birthDate>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <type value="both"/>
          <line value="534 Erewhon St"/>
          <city value="PleasantVille"/>
          <district value="Rainbow"/>
          <state value="Vic"/>
          <postalCode value="3999"/>
          <period>
            <start value="1974-12-25"/>
          </period>
        </address>
        <contact>
          <relationship>
            <coding>
              <system value="http://hl7.org/fhir/patient-contact-relationship"/>
              <code value="partner"/>
            </coding>
          </relationship>
          <name>
            <family value="du">
              <!--    the "du" part is a family name prefix (VV in iso 21090)    -->
              <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
                <valueCode value="VV"/>
              </extension>
            </family>
            <family value="Marché"/>
            <given value="Bénédicte"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="+33 (237) 998327"/>
          </telecom>
          <gender value="female"/>
          <period>
            <!--    The contact relationship started in 2012    -->
            <start value="2012"/>
          </period>
        </contact>
        <managingOrganization>
          <reference value="Organization/1"/>
        </managingOrganization>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="mainSearchCriteria"/>
    <valueCodeableConcept>
      <coding>
        <system value="http://hl7.org/fhir/sid/icd-9"/>
        <code value="493"/>
        <display value="Asthma"/>
      </coding>
    </valueCodeableConcept>
  </parameter>
</Parameters>

Returned on successful InfoButton request (Response):

HTTP/1.1 200 OK

<?xml version="1.0" encoding="UTF-8"?>
<GuidanceResponse xmlns="http://hl7.org/fhir">
  <!-- This example demonstrates the response to an $evaluate operation using the GuidanceResponse resource. -->
  <contained>
    <Parameters >
      <id value="outputParameters1"/>
      <parameter>
        <name value="order"/>
        <valueReference>
          <reference value="#order1"/>
        </valueReference>
      </parameter>
      <parameter>
        <name value="result"/>
        <resource>
          <!-- GAO Result, profile of Basic -->
          <Basic>
            <id value="result1"/> <!-- Could also be the Response Identifier (guidanceResponse1 in this example)? -->
            <meta>
              <!-- TODO: Profile url for GAO Result profile -->
              <!--profile value="http://hl7.org/fhir/StructureDefinition/result-gao-gao-result"/-->
            </meta>
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-score">
              <valueDecimal value="7"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-item">
              <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-item#code">
                <valueCodeableConcept>
                  <coding>
                    <!-- TODO: This will need to use the ACR Commons code -->
                    <system value="http://www.ama-assn.org/go/cpt"/>
                    <code value="70450"/>
                    <display value="CT, head, wo iv contrast"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
            </extension>
            <!-- Appropriate Use Criteria Identifier -->
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-guideline">
              <valueUri value="http://someguidelineprovider.org/radiology-appropriateness-guidelines.html"/>
            </extension>
            <!-- Certified HealthCare Information Technology Identifier -->
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-device">
              <valueReference>
                <reference value="#device1"/>
              </valueReference>
            </extension>
            <!-- Provider NPI -->
            <extension url="http://hl7.org/fhir/StructureDefinition/result-gao-practitioner">
              <valueIdentifier>
                <value value="exampleNPI"/>
              </valueIdentifier>
            </extension>
            <identifier>
              <value value="result1"/>
            </identifier>
            <code>
              <coding>
                <code value="within"/>
                <display value="Order is within identified guidelines"/>
              </coding>
            </code>
            <subject>
              <reference value="#order1"/>
            </subject>
          </Basic>
        </resource>
      </parameter>
    </Parameters>
  </contained>
  <requestId value="guidanceRequest1"/>
  <module>
    <reference value="ServiceDefinition/example"/>
  </module>
  <status value="success"/>
  <outputParameters>
    <reference value="#outputParameters1"/>
  </outputParameters>
</GuidanceResponse>

HTTP/1.1 200 OK

<?xml version="1.0"?>
<GuidanceResponse xmlns="http://hl7.org/fhir">
  <id value="InfoButtonResponse3"/>
  <contained>
    <DocumentReference>
      <id value="InfoButtonResponse1"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="34895-3"/>
          <display value="Education note"/>
        </coding>
      </type>
      <class>
        <coding>
          <system value="http://healthwise.org/doctype"/>
          <code value="special"/>
        </coding>
      </class>
      <author>
        <reference value="Organization/healthwise"/>
      </author>
      <custodian>
        <reference value="Organization/healthwise"/>
      </custodian>
      <created value="2016-06-30T17:08:27Z"/>
      <indexed value="2016-06-30T17:08:27Z"/>
      <status value="current"/>
      <docStatus>
        <coding>
          <system value="http://hl7.org/fhir/composition-status"/>
          <code value="final"/>
          <display value="final"/>
        </coding>
      </docStatus>
      <description value="Asthma in Teens and Adults"/>
      <content>
        <attachment>
          <contentType value="application/atom+xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/html"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348?lang=en-us&amp;hw.format=rhtml&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348.xml?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="application/pdf"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/hw271348.pdf?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
    </DocumentReference>
  </contained>
  <contained>
    <DocumentReference>
      <id value="InfoButtonResponse2"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="34895-3"/>
          <display value="Education note"/>
        </coding>
      </type>
      <class>
        <coding>
          <system value="http://healthwise.org/doctype"/>
          <code value="conditioncenter"/>
        </coding>
      </class>
      <author>
        <reference value="Organization/healthwise"/>
      </author>
      <custodian>
        <reference value="Organization/healthwise"/>
      </custodian>
      <created value="2016-06-30T17:08:27Z"/>
      <indexed value="2016-06-30T17:08:27Z"/>
      <status value="current"/>
      <docStatus>
        <coding>
          <system value="http://hl7.org/fhir/composition-status"/>
          <code value="final"/>
          <display value="final"/>
        </coding>
      </docStatus>
      <description value="Asthma"/>
      <content>
        <attachment>
          <contentType value="application/atom+xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/html"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042?lang=en-us&amp;hw.format=rhtml&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042.xml?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="application/pdf"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/center1042.pdf?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
    </DocumentReference>
  </contained>
  <contained>
    <DocumentReference>
      <id value="InfoButtonResponse3"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="34895-3"/>
          <display value="Education note"/>
        </coding>
      </type>
      <class>
        <coding>
          <system value="http://healthwise.org/doctype"/>
          <code value="actionset"/>
        </coding>
      </class>
      <author>
        <reference value="Organization/healthwise"/>
      </author>
      <custodian>
        <reference value="Organization/healthwise"/>
      </custodian>
      <created value="2016-06-30T17:08:27Z"/>
      <indexed value="2016-06-30T17:08:27Z"/>
      <status value="current"/>
      <docStatus>
        <coding>
          <system value="http://hl7.org/fhir/composition-status"/>
          <code value="final"/>
          <display value="final"/>
        </coding>
      </docStatus>
      <description value="Asthma: Using an Asthma Action Plan"/>
      <content>
        <attachment>
          <contentType value="application/atom+xml"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/aa6560?lang=en-us&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/html"/>
          <language value="en-us"/>
          <url value="https://ixbapi.test.test-products.local/KnowledgeContent/aa6560?lang=en-us&amp;hw.format=rhtml&amp;hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
        </attachment>
      </content>
      <content>
        <attachment>
          <contentType value="text/xml"/>
          <language value="en-us"/>
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    <documentation>
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  <action>
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    <documentation>
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    <description value="Gastroesophageal reflux disease (GERD) is the abnormal&#x9;backflow, or reflux, of stomach juices into the esophagus, the tube that leads from the throat to the stomach."/>
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    <documentation>
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  <action>
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    <documentation>
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        <reference value="#InfoButtonResponse19"/>
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  <action>
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    <documentation>
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    <documentation>
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  <action>
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    <description value="Example(s): Elixophyllin,Theochron (theophylline)"/>
    <documentation>
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        <reference value="#InfoButtonResponse22"/>
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  <action>
    <title value="Anticholinergics for Asthma"/>
    <description value="Example(s): Atrovent (ipratropium),Combivent,DuoNeb (ipratropium and albuterol)"/>
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    <documentation>
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  <action>
    <title value="Leukotriene Pathway Modifiers for Long-Term Control of Asthma"/>
    <description value="Example(s): Singulair (montelukast),Accolate (zafirlukast),Zyflo (zileuton)"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse25"/>
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  </action>
  <action>
    <title value="Controlling Dust, Dust Mites, and Other Allergens in Your Home"/>
    <description value="Dust builds up throughout your home. The dust may contain substances that trigger asthma symptoms, such as wheezing or coughing, or another allergic reaction, such as the rash of&#x9;atopic dermatitis or stuffy nose of&#x9;allergic rhinitis. These..."/>
    <documentation>
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  <action>
    <title value="Inhaled corticosteroids for asthma"/>
    <description value="What are the most important things you need to know about your medicines?"/>
    <documentation>
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  <action>
    <title value="Inhaled quick-relief medicines for asthma"/>
    <description value="What are the most important things you need to know about your medicines?"/>
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  <action>
    <title value="Steroid Medicine for Asthma: Myths and Facts"/>
    <description value="Asthma is more than a day-to-day problem that makes your life difficult. Over time it damages your airways and lungs. That damage can lead to serious health problems.  So it's important to keep your asthma under control with medicine."/>
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  <action>
    <title value="Nebulizer for Asthma Treatment"/>
    <description value="A nebulizer is a device used to deliver liquid medicine in the form of a fine mist (aerosol). It is sometimes used for&#x9;asthma because:"/>
    <documentation>
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  </action>
  <action>
    <title value="Asthma and Vocal Cord Problems"/>
    <description value="Vocal cord dysfunction is the uncontrolled closing of the vocal cords when you breathe in. The symptoms can seem to be the same as those of asthma and may occur alone or along with asthma. If you have asthma and vocal cord dysfunction, it may..."/>
    <documentation>
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      <resource>
        <reference value="#InfoButtonResponse31"/>
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  <action>
    <title value="Asthma Action Plan: Green Zone"/>
    <description value="An asthma action plan is based on zones defined by your symptoms, your peak flow, or both. It tells you what to do if you or your child has a sudden increase in asthma symptoms (asthma attack)."/>
    <documentation>
      <type value="documentation"/>
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  </action>
  <action>
    <title value="Asthma: Peak Expiratory Flow and Personal Best"/>
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    <documentation>
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  </action>
  <action>
    <title value="Asthma: How to Overcome Treatment Obstacles"/>
    <description value="Asthma is a long-lasting (chronic) disease that may&#xA;&#x9;&#x9;last throughout your life—you must treat it long term. But following a&#xA;&#x9;&#x9;management plan can be difficult over a long period of time."/>
    <documentation>
      <type value="documentation"/>
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  </action>
  <action>
    <title value="Asthma and Wheezing"/>
    <description value="Wheezing is a whistling noise that occurs when the&#xA;&#x9;&#x9;bronchial tubes, which carry air to the lungs, narrow&#xA;&#x9;&#x9;because of&#xA;&#x9;&#x9;inflammation or&#xA;&#x9;&#x9;mucus buildup. Wheezing is often present in&#xA;&#x9;&#x9;asthma."/>
    <documentation>
      <type value="documentation"/>
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        <reference value="#InfoButtonResponse35"/>
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  </action>
  <action>
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    <description value="As someone with&#xA;&#x9;&#x9;  asthma, you know how important it is to monitor your&#xA;&#x9;&#x9;  condition. Your doctor may want you to know how well your lungs are &quot;working.&quot; Is their ability&#xA;&#x9;&#x9;  to move air in and out staying the same, or is it getting better or&#xA;&#x9;&#x9;  worse?"/>
    <documentation>
      <type value="documentation"/>
      <resource>
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  </action>
  <action>
    <title value="Asthma: Identifying Your Triggers"/>
    <description value="Asthma is a&#xA;&#x9;&#x9;  long-lasting (chronic) disease of the&#xA;&#x9;&#x9;  respiratory system. It causes&#xA;&#x9;&#x9;  inflammation in tubes that carry air to the lungs&#xA;&#x9;&#x9;  (bronchial tubes). The inflammation makes your bronchial tubes likely to&#xA;&#x9;&#x9;  overreact to certain..."/>
    <documentation>
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  <action>
    <title value="Asthma: Using an Inhaler and Spacer"/>
    <description value="Learn the correct way to use a spacer with your inhaler."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse38"/>
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  </action>
  <action>
    <title value="Stories From People Controlling Their Asthma"/>
    <description value="Hear how others with asthma have learned to control their symptoms."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse39"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma: Myths About Inhaled Steroids"/>
    <description value="Learn common myths about inhaled steroids, which are some of the best medicines for controlling asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse40"/>
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  </action>
  <action>
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    <description value="Learn how to avoid common asthma triggers to better control your symptoms."/>
    <documentation>
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      <resource>
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  <action>
    <title value="Asthma: The Importance of Controller Medicines"/>
    <description value="Learn why your controller medicines are so important."/>
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      <resource>
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  </action>
  <action>
    <title value="Asthma: What Happens in Your Lungs"/>
    <description value="Learn what's going on in the lungs that can make it hard to breathe when you have asthma."/>
    <documentation>
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      <resource>
        <reference value="#InfoButtonResponse43"/>
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  </action>
  <action>
    <title value="Using a Metered-Dose Inhaler Without a Spacer"/>
    <description value="Learn the correct way to use an inhaler that doesn't have a spacer."/>
    <documentation>
      <type value="documentation"/>
      <resource>
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  </action>
  <action>
    <title value="Using a Dry Powder Inhaler"/>
    <description value="Learn the right way to use a dry powder inhaler to help control your asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse45"/>
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  <action>
    <title value="Checking Peak Flow"/>
    <description value="Learn how to use a peak flow meter to check how well your lungs are working."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse46"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma (Holistic)"/>
    <description value="Don’t let asthma knock the wind out of you. Asthma is a lung disorder characterized by sudden fits of wheezing, coughing, or shortness of breath. According to research or other evidence, the following self-care steps may be helpful. Try proven herbal remedies Boswellia extract (900 mg a day), ivy leaf extract (50 drops..."/>
    <documentation>
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      <resource>
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  </action>
  <action>
    <title value="Asthma (Homeopathy)"/>
    <description value="Primary RemediesArsenicum album A person needing this remedy can feel exhausted, yet be very restless and anxious. Breathing problems tend to be worse while lying down, better when sitting up, and may begin, or be the most intense, between midnight and two a.m. Dry wheezing may progress to a cough that brings up frothy..."/>
    <documentation>
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      <resource>
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  <action>
    <title value="Omalizumab for Asthma"/>
    <description value="Omalizumab (Xolair) is a medicine approved by the U.S. Food&#xA;&#x9;&#x9;and Drug Administration (FDA) for use in people age 12 and older who have moderate&#xA;&#x9;&#x9;or severe persistent&#xA;&#x9;&#x9;asthma. This medicine costs a lot more than any of the standard&#xA;&#x9;&#x9;treatments..."/>
    <documentation>
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      <resource>
        <reference value="#InfoButtonResponse49"/>
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  <action>
    <title value="Asthma: Ways to Take Inhaled Medicines"/>
    <description value="When you use inhaled&#xA;&#x9;&#x9;asthma medicine, you usually use a device that&#xA;&#x9;&#x9;delivers the medicine directly to your lungs. Different types of delivery&#xA;&#x9;&#x9;systems are available. And one type may be more suitable for certain people,&#xA;&#x9;&#x9;age groups, or..."/>
    <documentation>
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      <resource>
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  <action>
    <title value="Asthma: Overuse of Quick-Relief Medicines"/>
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    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse51"/>
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  <action>
    <title value="Asthma Diary"/>
    <description value="An asthma diary helps you keep track of how well you are managing&#xA;&#x9;&#x9;your&#xA;&#x9;&#x9;asthma."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse52"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Inhaled Corticosteroids for Long-Term Control of Asthma"/>
    <description value="Covers medicines used in metered-dose or dry powder inhaler to treat asthma. Lists generic and brand names such as budesonide (Pulmicort) and fluticasone and salmeterol (Advair). Covers how well they work and side effects."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse53"/>
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    </documentation>
  </action>
  <action>
    <title value="Asthma Action Plan"/>
    <description value="An&#xA;&#x9;&#x9;  asthma action plan is a written plan that tells you&#xA;&#x9;&#x9;  how to treat your asthma on a daily basis. The plan also helps you deal with&#xA;&#x9;&#x9;  sudden increases in your or your child&apos;s asthma symptoms (asthma attacks). You need to treat the&#xA;&#x9;&#x9; ..."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse54"/>
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    </documentation>
  </action>
  <action>
    <title value="Assessing Your Asthma Knowledge"/>
    <description value="Understanding&#xA;&#x9;&#x9;asthma can help you control your symptoms and reduce&#xA;&#x9;&#x9;your risk of&#xA;&#x9;&#x9;asthma attacks."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse55"/>
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  </action>
  <action>
    <title value="Monitoring Asthma Treatment"/>
    <description value="The severity of&#xA;&#x9;&#x9;asthma can vary, and asthma often requires changes in&#xA;&#x9;&#x9;your treatment to control it. To ensure that you are getting the proper&#xA;&#x9;&#x9;treatment, you have to continuously monitor and evaluate the disease and&#xA;&#x9;&#x9;communicate with your doctor."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse56"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Breathing Problems: Using a Dry Powder Inhaler"/>
    <description value="Covers using an inhaler to get needed medicine into lungs quickly. Describes dry powder inhalers, how they work, and why to use them. Includes pictures on how to use a dry powder inhaler."/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse57"/>
      </resource>
    </documentation>
  </action>
  <action>
    <title value="Complications of Allergic Rhinitis"/>
    <description value="Long-term (chronic)&#xA;&#x9;&#x9;allergic rhinitis may cause a number of health&#xA;&#x9;&#x9;problems, including:"/>
    <documentation>
      <type value="documentation"/>
      <resource>
        <reference value="#InfoButtonResponse58"/>
      </resource>
    </documentation>
  </action>
	</RequestGroup>
  </contained>
  <requestId value="InfoButtonRequest2"/>
  <module>
    <reference value="ServiceDefinition/infobutton"/>
  </module>
  <status value="success"/>
</GuidanceResponse>

14.4.10.2 Data Requirements

The data-requirements operation aggregates and returns the parameters and data requirements for the service module and all its dependencies as a single module definition library.

Formal Definition (as a OperationDefinition).

URL: [base]/ServiceDefinition/[id]/$data-requirements

In Parameters:

Name

Cardinality

Type

Binding

Profile

Documentation

evaluateAtDateTime

0..1

dateTime

An optional date and time specifying that the evaluation should be performed as though it was the given date and time. Data requirements returned will use this as the "Now" point for the purposes of determining the data requirements.

Out Parameters:

Name

Cardinality

Type

Binding

Profile

Documentation

return

1..1

Library

The result of the requirements gathering

Note: as this the only out parameter, it is a resource, and it has the name 'return', the result of this operation is returned directly as a resource

The effect of invoking this operation is to determine the aggregate set of data requirements and dependencies for the service module. The result is a Library resource with a type of module-definition that contains all the parameter definitions and data requirements of the service module and any libraries referenced by it. Implementations SHOULD aggregate data requirements intelligently (i.e. by collapsing overlapping data requirements).