Physical Activity Implementation Guide
1.0.0-ballot - STU1 ballot-draft United States of America flag

This page is part of the U.S. Physical Activity IG (v1.0.0-ballot: STU 1.0 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: PATaskForReferralManagement - Detailed Descriptions

Active as of 2023-03-28

Definitions for the pa-task-for-referral-management resource profile.

Guidance on how to interpret the contents of this table can be found here.

1. Task
Definition

Represents a request for fulfillment of a physical activity-related referral or order and supports management of the same.

A task to be performed.

InvariantsDefined on this element
pa-taskrm-1: Task.statusReason is required if Task.status is 'rejected', 'on-hold', 'cancelled', or 'failed' and is not permitted otherwise. (: statusReason.exists() = (status='rejected' or status='on-hold' or status='cancelled' or status='failed'))
2. Task.implicitRules
Control0..01
3. Task.modifierExtension
Control0..0*
4. Task.status
Control This element is affected by the following invariants: pa-taskrm-1
BindingThe codes SHALL be taken from PA Referral Task StatusThe codes SHALL be taken from TaskStatus
Must Supporttrue
5. Task.statusReason
Control This element is affected by the following invariants: pa-taskrm-1
Must Supporttrue
6. Task.statusReason.text
Control0..?
Must Supporttrue
7. Task.businessStatus
Comments

... This may be used to convey more fine-grained status if such tracking is supported by the performer (and of interest to the requester). Support for this element is optional.

8. Task.businessStatus.text
Control1..?
Must Supporttrue
9. Task.intent
Pattern Valueorder
10. Task.priority
Must Supporttrue
11. Task.code
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.org/fhir/CodeSystem/task-code"/>
    <code value="fulfill"/>
  </coding>
</valueCodeableConcept>
12. Task.focus
Control10..1
TypeReference(ReferenceRest)(PAServiceRequest|Resource)
Must Supporttrue
13. Task.for
Control10..1
TypeReference(ReferenceRest)(USCorePatientProfile|Resource)
Must Supporttrue
14. Task.authoredOn
Control10..1
Must Supporttrue
15. Task.owner
TypeReference(ReferenceRest)(USCorePractitionerProfile|USCorePractitionerRoleProfile|USCoreOrganizationProfile|Practitioner|PractitionerRole|Organization|CareTeam|HealthcareService|Patient|Device|RelatedPerson)
Must Supporttrue
Must Support TypesReference(USCorePractitionerProfile|USCorePractitionerRoleProfile|USCoreOrganizationProfile)
16. Task.note
Must Supporttrue
17. Task.note.author[x]
Control1..?
TypeReference(ReferenceRest)(USCorePractitionerProfile)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
18. Task.note.time
Control1..?
Must Supporttrue
19. Task.note.text
Control0..?
Must Supporttrue
20. Task.output
SlicingThis element introduces a set of slices on Task.output. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ type
  • pattern @ type,
21. Task.output.modifierExtension
Control0..0*
22. Task.output:PerformedActivity
SliceNamePerformedActivity
Control0..*
Must Supporttrue
23. Task.output:PerformedActivity.type
Control0..?
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
    <code value="resulting-activity"/>
  </coding>
</valueCodeableConcept>
24. Task.output:PerformedActivity.value[x]
Control0..?
TypeChoice of: CodeableConcept, Reference(ReferenceRest)(PADiagnosticReport|Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Must Support TypesChoice of: CodeableConcept, Reference(PADiagnosticReport)
SlicingThis element introduces a set of slices on Task.output.value[x]. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
25. Task.output:PerformedActivity.valueCodeableConcept
Control0..1
TypeCodeableConcept
Must Supporttrue
Must Support TypesCodeableConcept
26. Task.output:PerformedActivity.valueCodeableConcept.text
Control1..?
Must Supporttrue
27. Task.output:PerformedActivity.valueReference
Control0..1
TypeReference(ReferenceRest)(PADiagnosticReport|Resource)
Must Supporttrue
Must Support TypesReference(PADiagnosticReport)
Comments

This element MAY resolve to a contained resource in situations where the resulting report is not available from a stand-alone endpoint

Guidance on how to interpret the contents of this table can be found here.

1. Task
Definition

Represents a request for fulfillment of a physical activity-related referral or order and supports management of the same.

A task to be performed.

Control0..*
Summaryfalse
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)
pa-taskrm-1: Task.statusReason is required if Task.status is 'rejected', 'on-hold', 'cancelled', or 'failed' and is not permitted otherwise. (: statusReason.exists() = (status='rejected' or status='on-hold' or status='cancelled' or status='failed'))
2. 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..01
Typeuri
Is Modifiertrue
Summarytrue
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
3. Task.modifierExtension
Definition

An Extension

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..0*
TypeExtension
Is Modifiertrue
Summaryfalse
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.

InvariantsDefined 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())
4. Task.status
Definition

The current status of the task.

Control1..1 This element is affected by the following invariants: pa-taskrm-1
BindingThe codes SHALL be taken from PA Referral Task StatusThe codes SHALL be taken from TaskStatus
Typecode
Is Modifiertrue
Must Supporttrue
Summarytrue
Requirements

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

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. Task.statusReason
Definition

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

Control0..1 This element is affected by the following invariants: pa-taskrm-1
Binding

Codes to identify the reason for current status. These will typically be specific to a particular workflow.

TypeCodeableConcept
Must Supporttrue
Summarytrue
Comments

This applies to the current status. Look at the history of the task to see reasons for past statuses.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
6. Task.statusReason.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control0..1
Typestring
Must Supporttrue
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. Task.businessStatus
Definition

Contains business-specific nuances of the business state.

Control0..1
Binding

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

TypeCodeableConcept
Summarytrue
Requirements

There's often a need to track substates of a task - this is often variable by specific workflow implementation.

Comments

This may be used to convey more fine-grained status if such tracking is supported by the performer (and of interest to the requester). Support for this element is optional.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
8. Task.businessStatus.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control10..1
Typestring
Must Supporttrue
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. 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
BindingThe codes SHALL be taken from TaskIntent

Distinguishes whether the task is a proposal, plan or full order.

Typecode
Summarytrue
Comments

This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances.

In most cases, Tasks will have an intent of "order".

Pattern Valueorder
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
10. Task.priority
Definition

Indicates how quickly the Task should be addressed with respect to other requests.

Control0..1
BindingThe codes SHALL be taken from RequestPriority

The task's priority.

Typecode
Must Supporttrue
Summaryfalse
Requirements

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

Meaning if MissingIf missing, this task should be performed with normal priority
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Task.code
Definition

A name or code (or both) briefly describing what the task involves.

Control0..1
BindingFor example codes, see TaskCode

Codes to identify what the task involves. These will typically be specific to a particular workflow.

TypeCodeableConcept
Summarytrue
Comments

The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.org/fhir/CodeSystem/task-code"/>
    <code value="fulfill"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. Task.focus
Definition

A reference from one resource to another.

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

Control10..1
TypeReference(ReferenceRest)(PAServiceRequest|Resource)
Must Supporttrue
Summarytrue
Requirements

Used to identify the thing to be done.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

If multiple resources need to be manipulated, use sub-tasks. (This ensures that status can be tracked independently for each referenced resource.).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. Task.for
Definition

A reference from one resource to another.

The entity who benefits from the performance of the service specified in the task (e.g., the patient).

Control10..1
TypeReference(ReferenceRest)(USCorePatientProfile|Resource)
Must Supporttrue
Summarytrue
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
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Task.authoredOn
Definition

The date and time this task was created.

Control10..1 This element is affected by the following invariants: inv-1
TypedateTime
Must Supporttrue
Summaryfalse
Requirements

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

Alternate NamesCreated Date
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. Task.owner
Definition

A reference from one resource to another.

Individual organization or Device currently responsible for task execution.

Control0..1
TypeReference(ReferenceRest)(USCorePractitionerProfile|USCorePractitionerRoleProfile|USCoreOrganizationProfile|Practitioner|PractitionerRole|Organization|CareTeam|HealthcareService|Patient|Device|RelatedPerson)
Must Supporttrue
Must Support TypesReference(USCorePractitionerProfile|USCorePractitionerRoleProfile|USCoreOrganizationProfile)
Summarytrue
Requirements

Identifies who is expected to perform this task.

Alternate NamesPerformer, Executer
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

Tasks may be created with an owner not yet identified.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. Task.note
Definition

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

Control0..*
TypeAnnotation
Must Supporttrue
Summaryfalse
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Task.note.author[x]
Definition

A reference from one resource to another.

The individual responsible for making the annotation.

Control10..1
TypeChoice of: Reference(ReferenceRest)(USCorePractitionerProfile|Practitioner|Patient|RelatedPerson|Organization), string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Summarytrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

Organization is used when there's no need for specific attribution as to who made the comment.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
18. Task.note.time
Definition

Indicates when this particular annotation was made.

Control10..1
TypedateTime
Must Supporttrue
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Task.note.text
Definition

The text of the annotation in markdown format.

Control1..1
Typemarkdown
Must Supporttrue
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. Task.output
Definition

Outputs produced by the Task.

Control0..*
TypeBackboneElement
Summaryfalse
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Task.output. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ type
  • pattern @ type,
21. Task.output.modifierExtension
Definition

An Extension

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..0*
TypeExtension
Is Modifiertrue
Summarytrue
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.

InvariantsDefined 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())
22. Task.output.type
Definition

The name of the Output parameter.

Control1..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.

TypeCodeableConcept
Summaryfalse
Requirements

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

Alternate NamesName
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. 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, Meta
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summaryfalse
Requirements

Task outputs can take any form.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Task.output:PerformedActivity
SliceNamePerformedActivity
Definition

Outputs produced by the Task.

Control0..*
TypeBackboneElement
Must Supporttrue
Summaryfalse
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. Task.output:PerformedActivity.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
Summarytrue
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.

InvariantsDefined 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())
26. Task.output:PerformedActivity.type
Definition

The name of the Output parameter.

Control1..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.

TypeCodeableConcept
Summaryfalse
Requirements

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

Alternate NamesName
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
    <code value="resulting-activity"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. Task.output:PerformedActivity.value[x]
Definition

The value of the Output parameter as a basic type.

Control1..1
TypeChoice of: CodeableConcept, Reference(ReferenceRest)(PADiagnosticReport|Resource), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Must Support TypesChoice of: CodeableConcept, Reference(PADiagnosticReport), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
Summaryfalse
Requirements

Task outputs can take any form.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Task.output.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
  • type @ $this
28. Task.output:PerformedActivity.value[x]:valueCodeableConcept
SliceNamevalueCodeableConcept
Definition

The value of the Output parameter as a basic type.

Control01..1
TypeChoice of: CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Must Support TypesCodeableConceptbase64Binary
Summaryfalse
Requirements

Task outputs can take any form.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. Task.output:PerformedActivity.value[x]:valueCodeableConcept.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control10..1
Typestring
Must Supporttrue
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. Task.output:PerformedActivity.value[x]:valueReference
SliceNamevalueReference
Definition

A reference from one resource to another.

The value of the Output parameter as a basic type.

Control01..1
TypeChoice of: Reference(ReferenceRest)(PADiagnosticReport|Resource), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Must Support TypesReferencebase64Binary(PADiagnosticReport)
Summaryfalse
Requirements

Task outputs can take any form.

Comments

This element MAY resolve to a contained resource in situations where the resulting report is not available from a stand-alone endpoint

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here.

1. Task
Definition

Represents a request for fulfillment of a physical activity-related referral or order and supports management of the same.

Control0..*
Summaryfalse
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
Summarytrue
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
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
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..0
Typeuri
Is Modifiertrue
Summarytrue
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. Task.language
Definition

The base language in which the resource is written.

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages A human language
Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Summaryfalse
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).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
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
Summaryfalse
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
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
Summaryfalse
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
Summaryfalse
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.

InvariantsDefined 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())
9. Task.modifierExtension
Definition

An Extension

Control0..0
TypeExtension
Is Modifiertrue
Summaryfalse
InvariantsDefined 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())
10. Task.identifier
Definition

The business identifier for this task.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Summaryfalse
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
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.

Control0..1
Typecanonical(ActivityDefinition)
Summarytrue
Requirements

Enables a formal definition of how he task is to be performed, enabling automation.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
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
Summarytrue
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
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.

Control0..*
TypeReference(Resource)
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Task.groupIdentifier
Definition

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

Control0..1
TypeIdentifier
Summarytrue
Requirements

Billing and/or reporting can be linked to whether multiple requests were created as a single unit.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. Task.partOf
Definition

Task that this particular task is part of.

Control0..*
TypeReference(Task)
Summarytrue
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. Task.status
Definition

The current status of the task.

Control1..1 This element is affected by the following invariants: pa-taskrm-1
BindingThe codes SHALL be taken from PA Referral Task Status
Typecode
Is Modifiertrue
Must Supporttrue
Summarytrue
Requirements

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

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Task.statusReason
Definition

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

Control0..1 This element is affected by the following invariants: pa-taskrm-1
Binding

Codes to identify the reason for current status. These will typically be specific to a particular workflow.

TypeCodeableConcept
Must Supporttrue
Summarytrue
Comments

This applies to the current status. Look at the history of the task to see reasons for past statuses.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
18. Task.statusReason.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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
19. Task.statusReason.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
Summaryfalse
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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Task.statusReason.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
20. Task.statusReason.coding
Definition

A reference to a code defined by a terminology system.

Control0..*
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. Task.statusReason.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control0..1
Typestring
Must Supporttrue
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. Task.businessStatus
Definition

Contains business-specific nuances of the business state.

Control0..1
Binding

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

TypeCodeableConcept
Summarytrue
Requirements

There's often a need to track substates of a task - this is often variable by specific workflow implementation.

Comments

This may be used to convey more fine-grained status if such tracking is supported by the performer (and of interest to the requester). Support for this element is optional.

23. Task.businessStatus.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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
24. Task.businessStatus.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
Summaryfalse
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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Task.businessStatus.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
25. Task.businessStatus.coding
Definition

A reference to a code defined by a terminology system.

Control0..*
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. Task.businessStatus.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control1..1
Typestring
Must Supporttrue
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. 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
BindingThe codes SHALL be taken from TaskIntent Distinguishes whether the task is a proposal, plan or full order
Typecode
Summarytrue
Comments

This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances.

In most cases, Tasks will have an intent of "order".

Pattern Valueorder
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. Task.priority
Definition

Indicates how quickly the Task should be addressed with respect to other requests.

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

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

Meaning if MissingIf missing, this task should be performed with normal priority
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. Task.code
Definition

A name or code (or both) briefly describing what the task involves.

Control0..1
BindingFor example codes, see TaskCode Codes to identify what the task involves. These will typically be specific to a particular workflow
TypeCodeableConcept
Summarytrue
Comments

The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.

Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.org/fhir/CodeSystem/task-code"/>
    <code value="fulfill"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. Task.description
Definition

A free-text description of what is to be performed.

Control0..1
Typestring
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
31. Task.focus
Definition

A reference from one resource to another.

Control1..1
TypeReference(ReferenceRest)(PAServiceRequest)
Must Supporttrue
Summarytrue
Requirements

Used to identify the thing to be done.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
32. Task.for
Definition

A reference from one resource to another.

Control1..1
TypeReference(ReferenceRest)(USCorePatientProfile)
Must Supporttrue
Summarytrue
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.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
33. Task.encounter
Definition

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

Control0..1
TypeReference(Encounter)
Summarytrue
Requirements

For some tasks it may be important to know the link between the encounter the task originated within.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
34. 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
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
35. 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
Summaryfalse
Requirements

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

Alternate NamesCreated Date
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
36. 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
Summarytrue
Requirements

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

Alternate NamesUpdate Date
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. Task.requester
Definition

The creator of the task.

Control0..1
TypeReference(Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson)
Summarytrue
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).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
38. Task.performerType
Definition

The kind of participant that should perform the task.

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

Use to distinguish tasks on different activity queues.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. Task.owner
Definition

A reference from one resource to another.

Control0..1
TypeReference(ReferenceRest)(USCorePractitionerProfile|USCorePractitionerRoleProfile|USCoreOrganizationProfile)
Must Supporttrue
Must Support TypesReference(USCorePractitionerProfile|USCorePractitionerRoleProfile|USCoreOrganizationProfile)
Summarytrue
Requirements

Identifies who is expected to perform this task.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. Task.location
Definition

Principal physical location where the this task is performed.

Control0..1
TypeReference(Location)
Summarytrue
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).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. Task.reasonCode
Definition

A description or code indicating why this task needs to be performed.

Control0..1
Binding

Indicates why the task is needed. E.g. Suspended because patient admitted to hospital.

TypeCodeableConcept
Summaryfalse
Comments

This should only be included if there is no focus or if it differs from the reason indicated on the focus.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
42. Task.reasonReference
Definition

A resource reference indicating why this task needs to be performed.

Control0..1
TypeReference(Resource)
Summaryfalse
Comments

Tasks might be justified based on an Observation, a Condition, a past or planned procedure, etc. This should only be included if there is no focus or if it differs from the reason indicated on the focus. Use the CodeableConcept text element in Task.reasonCode if the data is free (uncoded) text.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
43. Task.insurance
Definition

Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.

Control0..*
TypeReference(Coverage|ClaimResponse)
Summaryfalse
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. Task.note
Definition

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

Control0..*
TypeAnnotation
Must Supporttrue
Summaryfalse
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Task.note.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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
46. Task.note.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
Summaryfalse
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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Task.note.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
47. Task.note.author[x]
Definition

A reference from one resource to another.

Control1..1
TypeReference(ReferenceRest)(USCorePractitionerProfile)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Summarytrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. A variety of resources might provide support for asserting this condition, however at minimum, systems must support the Physical Activity Vital Sign observations.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
48. Task.note.time
Definition

Indicates when this particular annotation was made.

Control1..1
TypedateTime
Must Supporttrue
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
49. Task.note.text
Definition

The text of the annotation in markdown format.

Control1..1
Typemarkdown
Must Supporttrue
Summarytrue
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
50. 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)
Summaryfalse
Alternate NamesStatus History
Comments

This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
51. 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
Summaryfalse
Requirements

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

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
52. 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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
53. 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
Summaryfalse
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.

InvariantsDefined 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())
54. 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
Summarytrue
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.

InvariantsDefined 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())
55. Task.restriction.repetitions
Definition

Indicates the number of times the requested action should occur.

Control0..1
TypepositiveInt
Summaryfalse
Requirements

E.g. order that requests monthly lab tests, fulfillment is sought for 1.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
56. Task.restriction.period
Definition

Over what time-period is fulfillment sought.

Control0..1
TypePeriod
Summaryfalse
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
57. 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)
Summaryfalse
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
58. Task.input
Definition

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

Control0..*
TypeBackboneElement
Summaryfalse
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
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
59. 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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
60. 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
Summaryfalse
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.

InvariantsDefined 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())
61. 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
Summarytrue
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.

InvariantsDefined 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())
62. 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
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.

TypeCodeableConcept
Summaryfalse
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
63. 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, Meta
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summaryfalse
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
64. Task.output
Definition

Outputs produced by the Task.

Control0..*
TypeBackboneElement
Summaryfalse
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Task.output. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ type
  • pattern @ type,
65. 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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
66. 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
Summaryfalse
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.

InvariantsDefined 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())
67. Task.output.modifierExtension
Definition

An Extension

Control0..0
TypeExtension
Is Modifiertrue
Summarytrue
InvariantsDefined 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())
68. Task.output.type
Definition

The name of the Output parameter.

Control1..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.

TypeCodeableConcept
Summaryfalse
Requirements

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

Alternate NamesName
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
69. 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, Meta
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summaryfalse
Requirements

Task outputs can take any form.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
70. Task.output:PerformedActivity
SliceNamePerformedActivity
Definition

Outputs produced by the Task.

Control0..*
TypeBackboneElement
Must Supporttrue
Summaryfalse
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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
71. Task.output:PerformedActivity.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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
72. Task.output:PerformedActivity.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
Summaryfalse
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.

InvariantsDefined 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())
73. Task.output:PerformedActivity.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
Summarytrue
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.

InvariantsDefined 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())
74. Task.output:PerformedActivity.type
Definition

The name of the Output parameter.

Control1..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.

TypeCodeableConcept
Summaryfalse
Requirements

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

Alternate NamesName
Pattern Value<valueCodeableConcept xmlns="http://hl7.org/fhir">
  <coding>
    <system value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
    <code value="resulting-activity"/>
  </coding>
</valueCodeableConcept>
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
75. Task.output:PerformedActivity.value[x]
Definition

The value of the Output parameter as a basic type.

Control1..1
TypeChoice of: CodeableConcept, Reference(ReferenceRest)(PADiagnosticReport|Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Must Support TypesChoice of: CodeableConcept, Reference(PADiagnosticReport)
Summaryfalse
Requirements

Task outputs can take any form.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Task.output.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
  • type @ $this
76. Task.output:PerformedActivity.value[x]:valueCodeableConcept
SliceNamevalueCodeableConcept
Definition

The value of the Output parameter as a basic type.

Control0..1
TypeCodeableConcept
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Must Support TypesCodeableConcept
Summaryfalse
Requirements

Task outputs can take any form.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
77. Task.output:PerformedActivity.value[x]:valueCodeableConcept.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
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
78. Task.output:PerformedActivity.value[x]:valueCodeableConcept.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
Summaryfalse
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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on Task.output.value[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
79. Task.output:PerformedActivity.value[x]:valueCodeableConcept.coding
Definition

A reference to a code defined by a terminology system.

Control0..*
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
80. Task.output:PerformedActivity.value[x]:valueCodeableConcept.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control1..1
Typestring
Must Supporttrue
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
81. Task.output:PerformedActivity.value[x]:valueReference
SliceNamevalueReference
Definition

A reference from one resource to another.

Control0..1
TypeReference(ReferenceRest)(PADiagnosticReport|Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Must Support TypesReference(PADiagnosticReport)
Summaryfalse
Requirements

Task outputs can take any form.

Comments

This element MAY resolve to a contained resource in situations where the resulting report is not available from a stand-alone endpoint

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))