0.3.0 - Second STU ballot

This page is part of a downloaded copy of this specification. This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.3.0: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

## StructureDefinition: TaskQuestionnaireR4 - Detailed Descriptions

Definitions for the profile-taskquestionnaire-r4 Profile.

1. Task
Definition | A task to be performed.
Control | 0..*
Invariants | Defined on this element dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (: text.div.exists()) 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)
2. Task.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Control | 0..1
Type | id
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
3. 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.
Control | 0..1
Type | Meta
4. 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.
Control | 0..1
Type | uri
Is Modifier | true
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
5. Task.language
Definition | The base language in which the resource is written.
Control | 0..1
Binding | A human language. The codes SHOULD be taken from CommonLanguages Max Binding: AllLanguages
Type | code
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).
6. 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.
Control | 0..1
Type | Narrative
Alternate Names | narrative, html, xhtml, display
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
7. Task.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained 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.
8. 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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
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.
9. 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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
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.
10. Task.identifier
Definition | The business identifier for this task.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Must Support | true
11. 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.
Control | 1..1
Type | canonical(Questionnaire)
Must Support | true
Requirements | Enables a formal definition of how he task is to be performed, enabling automation.
12. 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.
Control | 0..1
Type | uri
Requirements | Enables a formal definition of how he task is to be performed (e.g. using BPMN, BPEL, XPDL or other formal notation to be associated with a task), enabling automation.
13. 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, ServiceRequest, CarePlan, etc. which is distinct from the "request" resource the task is seeking to fulfill. This latter resource is referenced by FocusOn. For example, based on a ServiceRequest (= BasedOn), a task is created to fulfill a procedureRequest ( = FocusOn ) to collect a specimen from a patient.
Control | 1..1
Type | Reference(Resource)
Must Support | true
14. Task.groupIdentifier
Definition | An identifier that links together multiple tasks and other requests that were created in the same context.
Control | 0..1
Type | Identifier
Requirements | Billing and/or reporting can be linked to whether multiple requests were created as a single unit.
Comments | potentially relevant for CRD in some situations.
15. Task.partOf
Definition | Task that this particular task is part of.
Control | 0..*
Type | Reference(Task)
Requirements | Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).
Comments | This should usually be 0..1.
16. Task.status
Definition | The current status of the task.
Control | 1..1
Binding | The current status of the task. The codes SHALL be taken from TaskStatus
Type | code
Is Modifier | true
Must Support | true
Requirements | These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.
Fixed Value | draft
17. Task.statusReason
Definition | An explanation as to why this task is held, failed, was refused, etc.
Control | 0..1
Binding | Codes to identify the reason for current status. These will typically be specific to a particular workflow.
Type | CodeableConcept
Comments | This applies to the current status. Look at the history of the task to see reasons for past statuses.
18. Task.businessStatus
Definition | Contains business-specific nuances of the business state.
Control | 0..1
Binding | The domain-specific business-contextual sub-state of the task. For example: "Blood drawn", "IV inserted", "Awaiting physician signature", etc.
Type | CodeableConcept
Requirements | There's often a need to track substates of a task - this is often variable by specific workflow implementation.
19. 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.
Control | 1..1
Binding | Distinguishes whether the task is a proposal, plan or full order. The codes SHALL be taken from TaskIntent
Type | code
Must Support | true
Comments | This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances. In most cases, Tasks will have an intent of "order".
20. Task.priority
Definition | Indicates how quickly the Task should be addressed with respect to other requests.
Control | 0..1
Binding | The task's priority. The codes SHALL be taken from RequestPriority
Type | code
Requirements | Used to identify the service level expected while performing a task.
Meaning if Missing | If missing, this task should be performed with normal priority
21. Task.code
Definition | A name or code (or both) briefly describing what the task involves.
Control | 1..1
Binding | CRD Task Codes The codes SHALL be taken from CRD Task Codes
Type | CodeableConcept
Must Support | true
Comments | The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.
22. Task.description
Definition | A free-text description of what is to be performed.
Control | 1..1
Type | string
Must Support | true
23. Task.focus
Definition | The request being actioned or the resource being manipulated by this task.
Control | 0..1
Type | Reference(Resource)
Requirements | Used to identify the thing to be done.
Comments | If multiple resources need to be manipulated, use sub-tasks. (This ensures that status can be tracked independently for each referenced resource.).
24. Task.for
Definition | The entity who benefits from the performance of the service specified in the task (e.g., the patient).
Control | 1..1
Type | Reference(Resource)
Must Support | true
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 Names | Patient
25. Task.encounter
Definition | The healthcare event (e.g. a patient and healthcare provider interaction) during which this task was created.
Control | 0..1
Type | Reference(EncounterR4)
Requirements | For some tasks it may be important to know the link between the encounter the task originated within.
Comments | potentially relevant for CRD in some situations.
26. 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).
Control | 0..1
Type | Period
27. Task.authoredOn
Definition | The date and time this task was created.
Control | 1..1 This element is affected by the following invariants: inv-1
Type | dateTime
Must Support | true
Requirements | Most often used along with lastUpdated to track duration of task to supporting monitoring and management.
Alternate Names | Created Date
28. Task.lastModified
Definition | The date and time of last modification to this task.
Control | 0..1 This element is affected by the following invariants: inv-1
Type | dateTime
Requirements | Used along with history to track task activity and time in a particular task state. This enables monitoring and management.
Alternate Names | Update Date
29. Task.requester
Definition | The creator of the task.
Control | 1..1
Type | Reference(PractitionerR4)
Must Support | true
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).
30. Task.performerType
Definition | The kind of participant that should perform the task.
Control | 0..*
Binding | The type(s) of task performers allowed. The codes SHOULD be taken from ProcedurePerformerRoleCodes
Type | CodeableConcept
Requirements | Use to distinguish tasks on different activity queues.
Comments | potentially relevant for CRD in some situations.
31. Task.owner
Definition | Individual organization or Device currently responsible for task execution.
Control | 1..1
Type | Reference(PractitionerR4)
Must Support | true
Requirements | Identifies who is expected to perform this task.
Alternate Names | Performer, Executer
Comments | Tasks may be created with an owner not yet identified.
32. Task.location
Definition | Principal physical location where the this task is performed.
Control | 1..1
Type | Reference(LocationR4)
Must Support | true
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).
33. Task.reasonCode
Definition | A description or code indicating why this task needs to be performed.
Control | 0..1
Binding | CRD Task Codes The codes SHALL be taken from CRD Reason Codes
Type | CodeableConcept
Must Support | true
Comments | This should only be included if there is no focus or if it differs from the reason indicated on the focus.
34. Task.reasonReference
Definition | A resource reference indicating why this task needs to be performed.
Control | 0..1
Type | Reference(Resource)
Comments | potentially relevant for CRD in some situations.
35. Task.insurance
Definition | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.
Control | 1..1
Type | Reference(CoverageR4)
Must Support | true
36. Task.note
Definition | Free-text information captured about the task as it progresses.
Control | 0..*
Type | Annotation
Comments | potentially relevant for CRD in some situations.
37. 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.
Control | 0..*
Type | Reference(Provenance)
Alternate Names | Status History
Comments | potentially relevant for CRD in some situations.
38. 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.
Control | 0..1
Type | BackboneElement
Requirements | Sometimes when fulfillment is sought, you don't want full fulfillment.
Comments | potentially relevant for CRD in some situations.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. Task.restriction.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
40. Task.restriction.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
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.
41. Task.restriction.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
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.
42. Task.restriction.repetitions
Definition | Indicates the number of times the requested action should occur.
Control | 0..1
Type | positiveInt
Requirements | E.g. order that requests monthly lab tests, fulfillment is sought for 1.
43. Task.restriction.period
Definition | Over what time-period is fulfillment sought.
Control | 0..1
Type | Period
Requirements | E.g. order that authorizes 1 year's services. Fulfillment is sought for next 3 months.
Comments | Note that period.high is the due date representing the time by which the task should be completed.
44. Task.restriction.recipient
Definition | For requests that are targeted to more than on potential recipient/target, for whom is fulfillment sought?
Control | 0..*
Type | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Group | Organization)
45. Task.input
Definition | Additional information that may be needed in the execution of the task.
Control | 0..*
Type | BackboneElement
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 Names | Supporting Information
Comments | potentially relevant for CRD in some situations.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
46. Task.input.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
47. Task.input.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
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.
48. Task.input.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
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.
49. Task.input.type
Definition | A code or description indicating how the input is intended to be used as part of the task execution.
Control | 1..1
Binding | Codes to identify types of input parameters. These will typically be specific to a particular workflow. E.g. "Comparison source", "Applicable consent", "Concomitent Medications", etc.
Type | CodeableConcept
Requirements | Inputs are named to enable task automation to bind data and pass it from one task to the next.
Alternate Names | Name
Comments | If referencing a BPMN workflow or Protocol, the "system" is the URL for the workflow definition and the code is the "name" of the required input.
50. Task.input.value[x]
Definition | The value of the input parameter as a basic type.
Control | 1..1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
[x] Note | See Choice of Data Types for further information about how to use [x]
51. Task.output
Definition | Outputs produced by the Task.
Control | 0..*
Type | BackboneElement
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.
Comments | potentially relevant for CRD in some situations.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
52. Task.output.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
53. Task.output.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
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.
54. Task.output.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
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.
55. Task.output.type
Definition | The name of the Output parameter.
Control | 1..1
Binding | Codes to identify types of input parameters. These will typically be specific to a particular workflow. E.g. "Identified issues", "Preliminary results", "Filler order", "Final results", etc.
Type | CodeableConcept
Requirements | Outputs are named to enable task automation to bind data and pass it from one task to the next.
Alternate Names | Name
56. Task.output.value[x]
Definition | The value of the Output parameter as a basic type.
Control | 1..1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
[x] Note | See Choice of Data Types for further information about how to use [x]
Requirements | Task outputs can take any form.