FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). 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 GroupMaturity Level: 0 DraftCompartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the ServiceDefinition resource.

ServiceDefinition
Definition

The ServiceDefinition describes a unit of decision support functionality that is made available as a service, such as immunization modules or drug-drug interaction checking.

Control1..1
ServiceDefinition.url
Definition

An absolute URI that is used to identify this service definition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this service definition is (or will be) published. The URL SHOULD include the major version of the service definition. For more information see Technical and Business Versions.

Control0..1
Typeuri
Requirements

Allows the service definition to be referenced by a single globally unique identifier.

Summarytrue
Comments

Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. Multiple instances may share the same url if they have a distinct version.

ServiceDefinition.identifier
Definition

A formal identifier that is used to identify this service definition when it is represented in other formats, or referenced in a specification, model, design or an instance. This is used for CMS or NQF identifiers for a measure artifact. Note that at least one identifier is required for non-experimental active artifacts.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Summarytrue
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this service definition outside of FHIR, where it is not possible to use the logical URI.

ServiceDefinition.version
Definition

The identifier that is used to identify this version of the service definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the service definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
Summarytrue
Comments

There may be different service definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence to a particular business version of the service definition with the format [url]|[version].

ServiceDefinition.name
Definition

A natural language name identifying the service definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Control0..1
Typestring
Requirements

Support human navigation and code generation.

Summarytrue
Comments

The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly.

ServiceDefinition.title
Definition

A short, descriptive, user-friendly title for the service definition.

Control0..1
Typestring
Summarytrue
Comments

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

ServiceDefinition.status
Definition

The status of this service definition. Enables tracking the life-cycle of the content.

Control1..1
Terminology BindingPublicationStatus (Required)
Typecode
Is Modifiertrue
Summarytrue
Comments

Allows filtering of service definitions that are appropriate for use vs. not.
This is labeled as "Is Modifier" because applications should not use a retired service definition without due consideration.

ServiceDefinition.experimental
Definition

A boolean value to indicate that this service definition is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.

Control0..1
Typeboolean
Is Modifiertrue
Requirements

Enables experimental content to be developed following the same lifecycle that would be used for a production-level service definition.

Summarytrue
Comments

Allows filtering of service definition that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental service definition in production.

ServiceDefinition.date
Definition

The date (and optionally time) when the service definition was published. The date must change if and when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the service definition changes.

Control0..1
TypedateTime
Alternate NamesRevision Date
Summarytrue
Comments

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the service definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

ServiceDefinition.publisher
Definition

The name of the individual or organization that published the service definition.

Control0..1
Typestring
Requirements

Helps establish the "authority/credibility" of the service definition. May also allow for contact.

Summarytrue
Comments

Usually an organization, but may be an individual. The publisher (or steward) of the service definition is the organization or individual primarily responsible for the maintenance and upkeep of the service definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the service definition. This item SHOULD be populated unless the information is available from context.

ServiceDefinition.description
Definition

A free text natural language description of the service definition from a consumer's perspective.

Control0..1
Typemarkdown
Comments

This description can be used to capture details such as why the service definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the service definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created).

ServiceDefinition.purpose
Definition

Explaination of why this service definition is needed and why it has been designed as it has.

Control0..1
Typemarkdown
Comments

This element does not describe the usage of the service definition Instead it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this service definition.

ServiceDefinition.usage
Definition

A detailed description of how the module is used from a clinical perspective.

Control0..1
Typestring
ServiceDefinition.approvalDate
Definition

The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

Control0..1
Typedate
Comments

The 'date' element may be more recent than the approval date because of minor changes / editorial corrections.

ServiceDefinition.lastReviewDate
Definition

The date on which the resource content was last reviewed. Review happens periodically after approval, but doesn't change the original approval date.

Control0..1
Typedate
Requirements

Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

Comments

If specified, this is usually after the approval date.

ServiceDefinition.effectivePeriod
Definition

The period during which the service definition content was or is planned to be in active use.

Control0..1
TypePeriod
Requirements

Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of a the service definition are or are expected to be used instead.

Summarytrue
Comments

The effective period for a service definition determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

ServiceDefinition.useContext
Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate service definition instances.

Control0..*
TypeUsageContext
Requirements

Assist in searching for appropriate content.

Summarytrue
Comments

When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply.

ServiceDefinition.jurisdiction
Definition

A legal or geographic region in which the service definition is intended to be used.

Control0..*
Terminology BindingJurisdiction ValueSet (Extensible)
TypeCodeableConcept
Summarytrue
Comments

It may be possible for the service definition to be used in jurisdictions other than those for which it was originally designed or intended.

ServiceDefinition.topic
Definition

Descriptive topics related to the module. Topics provide a high-level categorization of the module that can be useful for filtering and searching.

Control0..*
Terminology BindingDefinitionTopic (Example)
TypeCodeableConcept
Requirements

Repositories must be able to determine how to categorize the module so that it can be found by topical searches.

ServiceDefinition.contributor
Definition

A contributor to the content of the module, including authors, editors, reviewers, and endorsers.

Control0..*
TypeContributor
Requirements

Consumers of the content must be able to quickly determine who contributed to the content of the knowledge module.

ServiceDefinition.contact
Definition

Contact details to assist a user in finding and communicating with the publisher.

Control0..*
TypeContactDetail
Summarytrue
Comments

May be a web site, an email address, a telephone number, etc.

ServiceDefinition.copyright
Definition

A copyright statement relating to the service definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the service definition.

Control0..1
Typemarkdown
Requirements

Consumers must be able to determine any legal restrictions on the use of the service definition and/or its content.

Alternate NamesLicense; Restrictions
ServiceDefinition.relatedArtifact
Definition

Related resources such as additional documentation, justification, or bibliographic references.

Control0..*
TypeRelatedArtifact
Requirements

Modules must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

Comments

Each related resource is either an attachment, or a reference to another resource, but not both.

ServiceDefinition.trigger
Definition

The trigger element defines when the rule should be invoked. This information is used by consumers of the rule to determine how to integrate the rule into a specific workflow.

Control0..*
TypeTriggerDefinition
ServiceDefinition.dataRequirement
Definition

Data requirements are a machine processable description of the data required by the module in order to perform a successful evaluation.

Control0..*
TypeDataRequirement
ServiceDefinition.operationDefinition
Definition

A reference to the operation that is used to invoke this service.

Control0..1
TypeReference(OperationDefinition)