R4 Draft for Comment
Clinical ReasoningThis page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| Clinical Decision Support Work Group | Maturity Level: 0 | Draft | Compartments: Not linked to any defined compartments |
This resource has 2 operations associated with it:
| $evaluate | Evaluate |
| $data-requirements | Data Requirements |
For more information about operations, including how they are invoked, see Operations.
The evaluate operation requests clinical decision support guidance based on a specific decision support module
The official URL for this operation definition is
http://hl7.org/fhir/OperationDefinition/ServiceDefinition-evaluate
Formal Definition (as a OperationDefinition).
URL: [base]/ServiceDefinition/[id]/$evaluate
This is not an idempotent operation
| In Parameters: | |||||
| Name | Cardinality | Type | Binding | Profile | Documentation |
| requestId | 0..1 | id | 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 | ||
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>
<ServiceRequest>
<id value="ServiceRequest1"/>
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/gao-servicerequest"/>
</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>
</ServiceRequest>
</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="#ServiceRequest1"/>
</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>("Jim")</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 assessment (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>
Returned on successful InfoButton request (Response):
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&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&hw.format=rhtml&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&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&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&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&hw.format=rhtml&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&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&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&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&hw.format=rhtml&hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
</attachment>
</content>
<content>
<attachment>
<contentType value="text/xml"/>
<language value="en-us"/>
<url value="https://ixbapi.test.test-products.local/KnowledgeContent/aa6560.xml?lang=en-us&hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
</attachment>
</content>
<content>
<attachment>
<contentType value="application/pdf"/>
<language value="en-us"/>
<url value="https://ixbapi.test.test-products.local/KnowledgeContent/aa6560.pdf?lang=en-us&hw.key=ASZ5VI7CYGWY6DQ7T45BRT4A7GXUY4JSONU3GXKSIIFHYAWMT6Z6AVG4FV7JKKNEAIUDNUOS7KOHYZ7ABJ3RR5PVOFESVTQ5A7SLPCTSJCNLTITR4NFXHGAE2U6QFAVFW"/>
</attachment>
</content>
</DocumentReference>
</contained>
<contained>
<DocumentReference>
<id value="InfoButtonResponse4"/>
<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="Breathing Problems: Using a Metered-Dose Inhaler"/>
<content>
<attachment>
<contentType value="application/atom+xml"/>
<language value="en-us"/>
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</action>
<action>
<title value="Asthma: The Importance of Controller Medicines"/>
<description value="Learn why your controller medicines are so important."/>
<documentation>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse42"/>
</resource>
</documentation>
</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>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse43"/>
</resource>
</documentation>
</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>
<reference value="#InfoButtonResponse44"/>
</resource>
</documentation>
</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"/>
</resource>
</documentation>
</action>
<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"/>
</resource>
</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>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse47"/>
</resource>
</documentation>
</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>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse48"/>
</resource>
</documentation>
</action>
<action>
<title value="Omalizumab for Asthma"/>
<description value="Omalizumab (Xolair) is a medicine approved by the U.S. Food
		and Drug Administration (FDA) for use in people age 12 and older who have moderate
		or severe persistent
		asthma. This medicine costs a lot more than any of the standard
		treatments..."/>
<documentation>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse49"/>
</resource>
</documentation>
</action>
<action>
<title value="Asthma: Ways to Take Inhaled Medicines"/>
<description value="When you use inhaled
		asthma medicine, you usually use a device that
		delivers the medicine directly to your lungs. Different types of delivery
		systems are available. And one type may be more suitable for certain people,
		age groups, or..."/>
<documentation>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse50"/>
</resource>
</documentation>
</action>
<action>
<title value="Asthma: Overuse of Quick-Relief Medicines"/>
<description value="Medicines for quick relief of the narrowed
		bronchial tubes caused by
		asthma include short-acting beta2-agonists. These
		medicines relieve sudden increases of symptoms (asthma attacks)
		quickly. But overuse may be harmful."/>
<documentation>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse51"/>
</resource>
</documentation>
</action>
<action>
<title value="Asthma Diary"/>
<description value="An asthma diary helps you keep track of how well you are managing
		your
		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"/>
</resource>
</documentation>
</action>
<action>
<title value="Asthma Action Plan"/>
<description value="An
		 asthma action plan is a written plan that tells you
		 how to treat your asthma on a daily basis. The plan also helps you deal with
		 sudden increases in your or your child's asthma symptoms (asthma attacks). You need to treat the
		 ..."/>
<documentation>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse54"/>
</resource>
</documentation>
</action>
<action>
<title value="Assessing Your Asthma Knowledge"/>
<description value="Understanding
		asthma can help you control your symptoms and reduce
		your risk of
		asthma attacks."/>
<documentation>
<type value="documentation"/>
<resource>
<reference value="#InfoButtonResponse55"/>
</resource>
</documentation>
</action>
<action>
<title value="Monitoring Asthma Treatment"/>
<description value="The severity of
		asthma can vary, and asthma often requires changes in
		your treatment to control it. To ensure that you are getting the proper
		treatment, you have to continuously monitor and evaluate the disease and
		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)
		allergic rhinitis may cause a number of health
		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>
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.
The official URL for this operation definition is
http://hl7.org/fhir/OperationDefinition/ServiceDefinition-data-requirements
Formal Definition (as a OperationDefinition).
URL: [base]/ServiceDefinition/[id]/$data-requirements
This is not an idempotent operation
| 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 is a module-definition Library that describes the aggregate parameters, data requirements, and dependencies of the service. 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).
®© HL7.org 2011+. FHIR Release 4 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:58+1100. QA Page
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