This page is part of the Clinical Guidelines (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: CPG Communication Activity

Definition of a recommendation for a specific communication with the patient or other participant as part of a computable clinical practice guideline

Usage:

• Examples for this Resource Profile: ActivityExampleDoNotSendMessageAD, ActivityExampleSendMessageAD and CPGCommunicationRequestActivityDefinition

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CPGComputableActivityDefinition

Name	Flags	Card.	Type	Description & Constraints
ActivityDefinition		0..*	CPGComputableActivityDefinition	The definition of a specific activity to be taken, independent of any particular patient or context
kind		1..1	code	Kind of resource Fixed Value: CommunicationRequest
profile		1..1	canonical(StructureDefinition)	At least a CPG CommunicationRequest Fixed Value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-communicationrequest
code		0..1	CodeableConcept	Detail type of activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: send-message
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: proposal
doNotPerform		1..1	boolean	True if the activity should not be performed
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ActivityDefinition	C	0..*	CPGComputableActivityDefinition	The definition of a specific activity to be taken, independent of any particular patient or context adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
subject[x]	S	0..1		Type of individual the activity definition is intended for Binding: SubjectType (extensible): The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
library	S	0..1	canonical(Library)	Logic used by the activity definition
kind	SΣ	1..1	code	Kind of resource Binding: RequestResourceType (required): The kind of activity the definition is describing. Fixed Value: CommunicationRequest
profile	S	1..1	canonical(StructureDefinition)	At least a CPG CommunicationRequest Fixed Value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-communicationrequest
code	SΣ	0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed type of the activity; e.g. CBC. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: send-message
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Fixed Value: proposal
priority	S	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	1..1	boolean	True if the activity should not be performed
timing[x]	S	0..1		When activity is to occur
timingTiming			Timing
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingRange			Range
timingDuration			Duration
location	S	0..1	Reference(Location)	Where it should happen
participant	S	0..*	BackboneElement	Who should participate in the action
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	patient | practitioner | related-person | device Binding: ActionParticipantType (required): The type of participant in the activity.
dynamicValue	S	0..*	BackboneElement	Dynamic aspects of the definition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
path	S	1..1	string	The path to the element to be set dynamically
expression	S	1..1	Expression	An expression that provides the dynamic value for the customization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ActivityDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ActivityDefinition.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
ActivityDefinition.kind	required	Fixed Value: CommunicationRequest http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 from the FHIR Standard
ActivityDefinition.code	example	Pattern: send-message http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ActivityDefinition.intent	required	Fixed Value: proposal http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ActivityDefinition.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ActivityDefinition.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
adf-0	warning	ActivityDefinition	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
dom-2	error	ActivityDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ActivityDefinition	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	error	ActivityDefinition	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	error	ActivityDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ActivityDefinition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
ActivityDefinition	C	0..*	CPGComputableActivityDefinition	The definition of a specific activity to be taken, independent of any particular patient or context adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this activity definition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Additional identifier for the activity definition
version	Σ	0..1	string	Business version of the activity definition
name	ΣC	0..1	string	Name for this activity definition (computer friendly)
title	Σ	0..1	string	Name for this activity definition (human friendly)
subtitle		0..1	string	Subordinate title of the activity definition
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]	S	0..1		Type of individual the activity definition is intended for Binding: SubjectType (extensible): The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	Σ	0..1	dateTime	Date last changed
publisher	Σ	0..1	string	Name of the publisher (organization or individual)
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	Σ	0..1	markdown	Natural language description of the activity definition
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for activity definition (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose		0..1	markdown	Why this activity definition is defined
usage		0..1	string	Describes the clinical usage of the activity definition
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		0..1	date	When the activity definition was approved by publisher
lastReviewDate		0..1	date	When the activity definition was last reviewed
effectivePeriod	Σ	0..1	Period	When the activity definition is expected to be used
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
library	S	0..1	canonical(Library)	Logic used by the activity definition
kind	SΣ	1..1	code	Kind of resource Binding: RequestResourceType (required): The kind of activity the definition is describing. Fixed Value: CommunicationRequest
profile	S	1..1	canonical(StructureDefinition)	At least a CPG CommunicationRequest Fixed Value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-communicationrequest
code	SΣ	0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed type of the activity; e.g. CBC. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: send-message
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Fixed Value: proposal
priority	S	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	1..1	boolean	True if the activity should not be performed
timing[x]	S	0..1		When activity is to occur
timingTiming			Timing
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingRange			Range
timingDuration			Duration
location	S	0..1	Reference(Location)	Where it should happen
participant	S	0..*	BackboneElement	Who should participate in the action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	patient | practitioner | related-person | device Binding: ActionParticipantType (required): The type of participant in the activity.
role		0..1	CodeableConcept	E.g. Nurse, Surgeon, Parent, etc. Binding: ActionParticipantRole (example): Defines roles played by participants for the action.
product[x]		0..1		What's administered/supplied Binding: SNOMEDCTMedicationCodes (example): Code describing the type of substance or medication.
productReference			Reference(Medication | Substance)
productCodeableConcept			CodeableConcept
quantity		0..1	SimpleQuantity	How much is administered/consumed/supplied
dosage		0..*	Dosage	Detailed dosage instructions
bodySite		0..*	CodeableConcept	What part of body to perform on Binding: SNOMEDCTBodyStructures (example): A code that identifies the anatomical location.
specimenRequirement		0..*	Reference(SpecimenDefinition)	What specimens are required to perform this action
observationRequirement		0..*	Reference(ObservationDefinition)	What observations are required to perform this action
observationResultRequirement		0..*	Reference(ObservationDefinition)	What observations must be produced by this action
transform		0..1	canonical(StructureMap)	Transform to apply the template
dynamicValue	S	0..*	BackboneElement	Dynamic aspects of the definition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
path	S	1..1	string	The path to the element to be set dynamically
expression	S	1..1	Expression	An expression that provides the dynamic value for the customization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ActivityDefinition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ActivityDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ActivityDefinition.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
ActivityDefinition.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
ActivityDefinition.topic	example	DefinitionTopic http://hl7.org/fhir/ValueSet/definition-topic from the FHIR Standard
ActivityDefinition.kind	required	Fixed Value: CommunicationRequest http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 from the FHIR Standard
ActivityDefinition.code	example	Pattern: send-message http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ActivityDefinition.intent	required	Fixed Value: proposal http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ActivityDefinition.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ActivityDefinition.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 from the FHIR Standard
ActivityDefinition.participant.role	example	ActionParticipantRole http://hl7.org/fhir/ValueSet/action-participant-role from the FHIR Standard
ActivityDefinition.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
ActivityDefinition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
adf-0	warning	ActivityDefinition	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
dom-2	error	ActivityDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ActivityDefinition	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	error	ActivityDefinition	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	error	ActivityDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ActivityDefinition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CPGComputableActivityDefinition

Summary

Mandatory: 3 elements
Must-Support: 1 element
Fixed: 3 elements

Differential View

This structure is derived from CPGComputableActivityDefinition

Name	Flags	Card.	Type	Description & Constraints
ActivityDefinition		0..*	CPGComputableActivityDefinition	The definition of a specific activity to be taken, independent of any particular patient or context
kind		1..1	code	Kind of resource Fixed Value: CommunicationRequest
profile		1..1	canonical(StructureDefinition)	At least a CPG CommunicationRequest Fixed Value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-communicationrequest
code		0..1	CodeableConcept	Detail type of activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: send-message
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: proposal
doNotPerform		1..1	boolean	True if the activity should not be performed
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ActivityDefinition	C	0..*	CPGComputableActivityDefinition	The definition of a specific activity to be taken, independent of any particular patient or context adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
subject[x]	S	0..1		Type of individual the activity definition is intended for Binding: SubjectType (extensible): The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
library	S	0..1	canonical(Library)	Logic used by the activity definition
kind	SΣ	1..1	code	Kind of resource Binding: RequestResourceType (required): The kind of activity the definition is describing. Fixed Value: CommunicationRequest
profile	S	1..1	canonical(StructureDefinition)	At least a CPG CommunicationRequest Fixed Value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-communicationrequest
code	SΣ	0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed type of the activity; e.g. CBC. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: send-message
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Fixed Value: proposal
priority	S	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	1..1	boolean	True if the activity should not be performed
timing[x]	S	0..1		When activity is to occur
timingTiming			Timing
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingRange			Range
timingDuration			Duration
location	S	0..1	Reference(Location)	Where it should happen
participant	S	0..*	BackboneElement	Who should participate in the action
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	patient | practitioner | related-person | device Binding: ActionParticipantType (required): The type of participant in the activity.
dynamicValue	S	0..*	BackboneElement	Dynamic aspects of the definition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
path	S	1..1	string	The path to the element to be set dynamically
expression	S	1..1	Expression	An expression that provides the dynamic value for the customization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ActivityDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ActivityDefinition.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
ActivityDefinition.kind	required	Fixed Value: CommunicationRequest http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 from the FHIR Standard
ActivityDefinition.code	example	Pattern: send-message http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ActivityDefinition.intent	required	Fixed Value: proposal http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ActivityDefinition.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ActivityDefinition.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
adf-0	warning	ActivityDefinition	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
dom-2	error	ActivityDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ActivityDefinition	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	error	ActivityDefinition	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	error	ActivityDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ActivityDefinition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ActivityDefinition	C	0..*	CPGComputableActivityDefinition	The definition of a specific activity to be taken, independent of any particular patient or context adf-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this activity definition, represented as a URI (globally unique)
identifier	Σ	0..*	Identifier	Additional identifier for the activity definition
version	Σ	0..1	string	Business version of the activity definition
name	ΣC	0..1	string	Name for this activity definition (computer friendly)
title	Σ	0..1	string	Name for this activity definition (human friendly)
subtitle		0..1	string	Subordinate title of the activity definition
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]	S	0..1		Type of individual the activity definition is intended for Binding: SubjectType (extensible): The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	Σ	0..1	dateTime	Date last changed
publisher	Σ	0..1	string	Name of the publisher (organization or individual)
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	Σ	0..1	markdown	Natural language description of the activity definition
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for activity definition (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose		0..1	markdown	Why this activity definition is defined
usage		0..1	string	Describes the clinical usage of the activity definition
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		0..1	date	When the activity definition was approved by publisher
lastReviewDate		0..1	date	When the activity definition was last reviewed
effectivePeriod	Σ	0..1	Period	When the activity definition is expected to be used
topic		0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
library	S	0..1	canonical(Library)	Logic used by the activity definition
kind	SΣ	1..1	code	Kind of resource Binding: RequestResourceType (required): The kind of activity the definition is describing. Fixed Value: CommunicationRequest
profile	S	1..1	canonical(StructureDefinition)	At least a CPG CommunicationRequest Fixed Value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-communicationrequest
code	SΣ	0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed type of the activity; e.g. CBC. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: send-message
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Fixed Value: proposal
priority	S	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!SΣ	1..1	boolean	True if the activity should not be performed
timing[x]	S	0..1		When activity is to occur
timingTiming			Timing
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingRange			Range
timingDuration			Duration
location	S	0..1	Reference(Location)	Where it should happen
participant	S	0..*	BackboneElement	Who should participate in the action
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	patient | practitioner | related-person | device Binding: ActionParticipantType (required): The type of participant in the activity.
role		0..1	CodeableConcept	E.g. Nurse, Surgeon, Parent, etc. Binding: ActionParticipantRole (example): Defines roles played by participants for the action.
product[x]		0..1		What's administered/supplied Binding: SNOMEDCTMedicationCodes (example): Code describing the type of substance or medication.
productReference			Reference(Medication | Substance)
productCodeableConcept			CodeableConcept
quantity		0..1	SimpleQuantity	How much is administered/consumed/supplied
dosage		0..*	Dosage	Detailed dosage instructions
bodySite		0..*	CodeableConcept	What part of body to perform on Binding: SNOMEDCTBodyStructures (example): A code that identifies the anatomical location.
specimenRequirement		0..*	Reference(SpecimenDefinition)	What specimens are required to perform this action
observationRequirement		0..*	Reference(ObservationDefinition)	What observations are required to perform this action
observationResultRequirement		0..*	Reference(ObservationDefinition)	What observations must be produced by this action
transform		0..1	canonical(StructureMap)	Transform to apply the template
dynamicValue	S	0..*	BackboneElement	Dynamic aspects of the definition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
path	S	1..1	string	The path to the element to be set dynamically
expression	S	1..1	Expression	An expression that provides the dynamic value for the customization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ActivityDefinition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ActivityDefinition.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
ActivityDefinition.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type from the FHIR Standard
ActivityDefinition.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
ActivityDefinition.topic	example	DefinitionTopic http://hl7.org/fhir/ValueSet/definition-topic from the FHIR Standard
ActivityDefinition.kind	required	Fixed Value: CommunicationRequest http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 from the FHIR Standard
ActivityDefinition.code	example	Pattern: send-message http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ActivityDefinition.intent	required	Fixed Value: proposal http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ActivityDefinition.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ActivityDefinition.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 from the FHIR Standard
ActivityDefinition.participant.role	example	ActionParticipantRole http://hl7.org/fhir/ValueSet/action-participant-role from the FHIR Standard
ActivityDefinition.product[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
ActivityDefinition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
adf-0	warning	ActivityDefinition	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
dom-2	error	ActivityDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ActivityDefinition	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	error	ActivityDefinition	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	error	ActivityDefinition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ActivityDefinition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CPGComputableActivityDefinition

Summary

Mandatory: 3 elements
Must-Support: 1 element
Fixed: 3 elements

Other representations of profile: CSV, Excel, Schematron