This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
Definitions for the profile-timing Profile.
1. Timing | |
Definition | Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out. |
Control | 0..* |
Comments | Describes the occurrence of an event that may occur multiple times. Timing schedules are used for specifying when events are expected or requested to occur, and may also be used to represent the summary of a past or ongoing event. For simplicity, the definitions of Timing components are expressed as 'future' events, but such components can also be used to describe historic or ongoing events. A Timing schedule can be a list of events and/or criteria for when the event happens, which can be expressed in a structured form and/or as a code. When both event and a repeating specification are provided, the list of events should be understood as an interpretation of the information in the repeat structure. |
2. Timing.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 |
3. Timing.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. |
Slicing | This element introduces a set of slices on Timing.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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4. Timing.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. |
5. Timing.event | |
Definition | Identifies specific times when the event occurs. |
Control | 0..* |
Type | dateTime |
Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. |
6. Timing.repeat | |
Definition | A set of rules that describe when the event is scheduled. |
Control | 0..1 |
Type | Element |
Must Support | true |
Requirements | Many timing schedules are determined by regular repetitions. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (: duration.empty() or durationUnit.exists()) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (: timeOfDay.empty() or when.empty()) tim-2: if there's a period, there needs to be period units (: period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (: duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (: period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (: periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (: durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (: countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) |
7. Timing.repeat.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 |
8. Timing.repeat.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. |
Slicing | This element introduces a set of slices on Timing.repeat.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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9. Timing.repeat.bounds[x] | |
Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
Control | 0..1 |
Type | Duration |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Slicing | This element introduces a set of slices on Timing.repeat.bounds[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
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10. Timing.repeat.bounds[x]:boundsDuration | |
SliceName | boundsDuration |
Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
Control | 0..1 |
Type | Duration |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Must Support | true |
11. Timing.repeat.count | |
Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. |
Control | 0..1 |
Type | positiveInt |
Requirements | Repetitions may be limited by end time or total occurrences. |
Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. |
12. Timing.repeat.countMax | |
Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. |
Control | 0..1 |
Type | positiveInt |
13. Timing.repeat.duration | |
Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. |
Control | 0..1 |
Type | decimal |
Must Support | true |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
14. Timing.repeat.durationMax | |
Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. |
Control | 0..1 |
Type | decimal |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
15. Timing.repeat.durationUnit | |
Definition | The units of time for the duration, in UCUM units. |
Control | 0..1 |
Binding | A unit of time (units from UCUM). The codes SHALL be taken from UnitsOfTime |
Type | code |
Must Support | true |
16. Timing.repeat.frequency | |
Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. |
Control | 0..1 |
Type | positiveInt |
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this |
17. Timing.repeat.frequencyMax | |
Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. |
Control | 0..1 |
Type | positiveInt |
18. Timing.repeat.period | |
Definition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. |
Control | 0..1 |
Type | decimal |
Must Support | true |
19. Timing.repeat.periodMax | |
Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. |
Control | 0..1 |
Type | decimal |
20. Timing.repeat.periodUnit | |
Definition | The units of time for the period in UCUM units. |
Control | 0..1 |
Binding | A unit of time (units from UCUM). The codes SHALL be taken from UnitsOfTime |
Type | code |
Must Support | true |
21. Timing.repeat.dayOfWeek | |
Definition | If one or more days of week is provided, then the action happens only on the specified day(s). |
Control | 0..* |
Binding | The codes SHALL be taken from DaysOfWeek |
Type | code |
Must Support | true |
Comments | If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. |
22. Timing.repeat.dayOfWeek.id | |
Definition | unique id for the element within a resource (for internal references) |
Control | 0..1 |
Type | string |
23. Timing.repeat.dayOfWeek.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
Slicing | This element introduces a set of slices on Timing.repeat.dayOfWeek.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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24. Timing.repeat.dayOfWeek.extension:CalendarPattern | |
SliceName | CalendarPattern |
Definition | An Extension |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(CalendarPattern) (Extension Type: code) |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
25. Timing.repeat.dayOfWeek.value | |
Definition | Primitive value for code |
Control | 0..1 |
26. Timing.repeat.timeOfDay | |
Definition | Specified time of day for action to take place. |
Control | 0..* |
Type | time |
Comments | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. |
27. Timing.repeat.when | |
Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. |
Control | 0..* |
Binding | Real world event relating to the schedule. The codes SHALL be taken from EventTiming |
Type | code |
Must Support | true |
Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. |
Comments | When more than one event is listed, the event is tied to the union of the specified events. |
28. Timing.repeat.when.id | |
Definition | unique id for the element within a resource (for internal references) |
Control | 0..1 |
Type | string |
29. Timing.repeat.when.extension | |
Definition | An Extension |
Control | 0..* |
Type | Extension |
Slicing | This element introduces a set of slices on Timing.repeat.when.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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30. Timing.repeat.when.extension:DeliveryPattern | |
SliceName | DeliveryPattern |
Definition | An Extension |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(DeliveryPattern) (Extension Type: code) |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
31. Timing.repeat.when.value | |
Definition | Primitive value for code |
Control | 0..1 |
32. Timing.repeat.offset | |
Definition | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. |
Control | 0..1 |
Type | unsignedInt |
33. Timing.code | |
Definition | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). |
Control | 0..1 |
Binding | Code for a known / defined timing pattern. The codes SHOULD be taken from TimingAbbreviation |
Type | CodeableConcept |
Comments | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). |