0.3.0 - Second STU ballot

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. The current version which supercedes this version is 1.0.0. 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.

Control0..*
InvariantsDefined 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.

Control0..1
Typeid
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.

Control0..1
TypeMeta
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.

Control0..1
Typeuri
Is Modifiertrue
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.

Control0..1
BindingA human language.
The codes SHOULD be taken from CommonLanguages
Max Binding: AllLanguages
Typecode
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.

Control0..1
TypeNarrative
Alternate Namesnarrative, 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.

Control0..*
TypeResource
Alternate Namesinline 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.

Control0..*
TypeExtension
Alternate Namesextensions, 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).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
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.

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

Control1..1
Typecanonical(Questionnaire)
Must Supporttrue
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.

Control0..1
Typeuri
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.

Control1..1
TypeReference(Resource)
Must Supporttrue
14. Task.groupIdentifier
Definition

An identifier that links together multiple tasks and other requests that were created in the same context.

Control0..1
TypeIdentifier
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.

Control0..*
TypeReference(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.

Control1..1
BindingThe current status of the task.
The codes SHALL be taken from TaskStatus
Typecode
Is Modifiertrue
Must Supporttrue
Requirements

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

Fixed Valuedraft
17. Task.statusReason
Definition

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

Control0..1
BindingCodes to identify the reason for current status. These will typically be specific to a particular workflow.
TypeCodeableConcept
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.

Control0..1
BindingThe domain-specific business-contextual sub-state of the task. For example: "Blood drawn", "IV inserted", "Awaiting physician signature", etc.
TypeCodeableConcept
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.

Control1..1
BindingDistinguishes whether the task is a proposal, plan or full order.
The codes SHALL be taken from TaskIntent
Typecode
Must Supporttrue
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.

Control0..1
BindingThe task's priority.
The codes SHALL be taken from RequestPriority
Typecode
Requirements

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

Meaning if MissingIf 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.

Control1..1
BindingCRD Task Codes
The codes SHALL be taken from CRD Task Codes
TypeCodeableConcept
Must Supporttrue
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.

Control1..1
Typestring
Must Supporttrue
23. Task.focus
Definition

The request being actioned or the resource being manipulated by this task.

Control0..1
TypeReference(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).

Control1..1
TypeReference(Resource)
Must Supporttrue
Requirements

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

Alternate NamesPatient
25. Task.encounter
Definition

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

Control0..1
TypeReference(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).

Control0..1
TypePeriod
27. Task.authoredOn
Definition

The date and time this task was created.

Control1..1 This element is affected by the following invariants: inv-1
TypedateTime
Must Supporttrue
Requirements

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

Alternate NamesCreated Date
28. Task.lastModified
Definition

The date and time of last modification to this task.

Control0..1 This element is affected by the following invariants: inv-1
TypedateTime
Requirements

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

Alternate NamesUpdate Date
29. Task.requester
Definition

The creator of the task.

Control1..1
TypeReference(PractitionerR4)
Must Supporttrue
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.

Control0..*
BindingThe type(s) of task performers allowed.
The codes SHOULD be taken from ProcedurePerformerRoleCodes
TypeCodeableConcept
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.

Control1..1
TypeReference(PractitionerR4)
Must Supporttrue
Requirements

Identifies who is expected to perform this task.

Alternate NamesPerformer, 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.

Control1..1
TypeReference(LocationR4)
Must Supporttrue
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.

Control0..1
BindingCRD Task Codes
The codes SHALL be taken from CRD Reason Codes
TypeCodeableConcept
Must Supporttrue
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.

Control0..1
TypeReference(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.

Control1..1
TypeReference(CoverageR4)
Must Supporttrue
36. Task.note
Definition

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

Control0..*
TypeAnnotation
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.

Control0..*
TypeReference(Provenance)
Alternate NamesStatus 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.

Control0..1
TypeBackboneElement
Requirements

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

Comments

potentially relevant for CRD in some situations.

InvariantsDefined 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.

Control0..1
Typestring
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.

Control0..*
TypeExtension
Alternate Namesextensions, 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).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

Control0..1
TypepositiveInt
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.

Control0..1
TypePeriod
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?

Control0..*
TypeReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Group | Organization)
45. Task.input
Definition

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

Control0..*
TypeBackboneElement
Requirements

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

Alternate NamesSupporting Information
Comments

potentially relevant for CRD in some situations.

InvariantsDefined 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.

Control0..1
Typestring
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.

Control0..*
TypeExtension
Alternate Namesextensions, 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).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

Control1..1
BindingCodes to identify types of input parameters. These will typically be specific to a particular workflow. E.g. "Comparison source", "Applicable consent", "Concomitent Medications", etc.
TypeCodeableConcept
Requirements

Inputs are named to enable task automation to bind data and pass it from one task to the next.

Alternate NamesName
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.

Control1..1
TypeChoice 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] NoteSee Choice of Data Types for further information about how to use [x]
51. Task.output
Definition

Outputs produced by the Task.

Control0..*
TypeBackboneElement
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.

InvariantsDefined 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.

Control0..1
Typestring
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.

Control0..*
TypeExtension
Alternate Namesextensions, 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).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

Control1..1
BindingCodes 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.
TypeCodeableConcept
Requirements

Outputs are named to enable task automation to bind data and pass it from one task to the next.

Alternate NamesName
56. Task.output.value[x]
Definition

The value of the Output parameter as a basic type.

Control1..1
TypeChoice 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] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Task outputs can take any form.